Document G703® – 1992
Continuation Sheet
AIA Document G703® – 1992. Copyright © 1963, 1965, 1966, 1967, 1970, 1978, 1983 and 1992 by The American Institute of Architects. All rights reserved. The “American Institute of Architects,” “AIA,” the AIA Logo, “G703,”
and “AIA Contract Documents” are registered trademarks and may not be used without permission. This document was created on under the terms of AIA Documents on Demand® Order
No. , is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA Contract Documents® Documents-on-Demand - End User License Agreement. To report copyright
violations, e-mail copyright@aia.org
.
AIA Document G702®, Application and Certification for Payment, or G732™, Application
and Certificate for Payment, Construction Manager as Adviser Edition, containing
Contractor’s signed certification is attached.
Use Column I on Contracts where variable retainage for line items may apply.
APPLICATION NO:
APPLICATION DATE:
PERIOD TO:
ARCHITECT’S PROJECT NO:
A B C D E F G H I
ITEM
NO.
DESCRIPT
ION OF WORK
SCHEDULED
VALUE
WORK COMPLETED
MATERIALS
PRESENTLY
STORED
(Not in D or E)
TOTAL
COMPLETED
AND STORED
TO DATE
(D + E + F)
%
(G ÷ C)
BALANCE
TO
FINISH
(C − G)
RETAINAGE
(If variable rate)
FROM PREVIOUS
APPLICATION
(D + E)
THIS PERIOD
GRAND TOTAL
