Freelance Change Order

Write a one-page change order I can attach to an existing project. ORIGINAL Project: [NAME] Original fee and end date: [FEE, DATE] Clause that says changes are written: [YES | "we never wrote one — note that"] CHANGE What they want added or removed: [DESCRIPTION] Hours or fee delta: [+/- NUMBER] New end date: [DATE] What gets dropped to make room, if anything: [ITEM OR NOTHING] Who approves: [NAME] THE DOCUMENT - Reference to the original agreement by name and date - The change in plain sentences - Fee before, delta, fee after - Date before and date after - What is unchanged (everything not listed) - A line that work on the change starts after written approval, not after a chat message - Signature lines and a date Also the email that sends it, under 80 words, with the decision I need and by when.