Pay Application (AIA G702/G703-style)
Schedule of values with % complete per line item. Calculates current payment due less retainage.
Application Info
Schedule of Values
| Description | Sched. Value | % Prev | % This | % Total | Work to Date | Retain. to Date | |
|---|---|---|---|---|---|---|---|
| 0.0% | $0.00 | $0.00 | |||||
| 0.0% | $0.00 | $0.00 | |||||
| 0.0% | $0.00 | $0.00 | |||||
| 0.0% | $0.00 | $0.00 | |||||
| 0.0% | $0.00 | $0.00 |
Totals
- Original Contract Sum
- $0.00
- Approved Change Orders
- $0.00
- Contract Sum to Date
- $0.00
- Work Completed to Date
- $0.00
- Less Retainage (10%)
- -$0.00
- Less Previous Certificates
- -$0.00
- Current Payment Due
- $0.00
- Balance to Finish (incl. retainage)
- $0.00
Template only. Modeled after AIA G702/G703 format but not an official AIA document. Have your contract administrator confirm before submission.
Application and Certificate for Payment
AIA G702/G703-style
| Application No: | Application Date: | 2026-05-28 | |
| Period From: | 2026-04-28 | Period To: | 2026-05-28 |
| Project: | Owner: | ||
| Contract No: | Retainage: | 10% |
Schedule of Values
| Description | Scheduled Value | % Prev | % This | % Total | Work to Date | Retainage |
|---|
Payment Summary
- Original Contract Sum
- $0.00
- Approved Change Orders
- $0.00
- Contract Sum to Date
- $0.00
- Work Completed to Date
- $0.00
- Less Retainage (10%)
- -$0.00
- Less Previous Certificates
- -$0.00
- CURRENT PAYMENT DUE
- $0.00
- Balance to Finish (incl. retainage)
- $0.00
Contractor's Certification
The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and belief the Work covered by this Application for Payment has been completed in accordance with the Contract Documents.
Contractor Signature
Date
Architect/Owner Certification
In accordance with the Contract Documents, based on on-site observations and the data comprising this application, the Architect/Owner certifies the amount shown is due the Contractor.
Architect/Owner Signature
Date