Alaska Form 25D-068 – Fill Out and Use This PDF

Alaska Form 25D-068 is a change order document issued by the Alaska Department of Transportation and Public Facilities. Contractors use it to formally amend an existing construction contract when the project scope, timeline, or budget changes. The form records cost adjustments, timeline extensions, and scope modifications, and requires signatures from both the contractor and an authorized DOT representative. Use the button below to open and fill out Alaska Form 25D-068.

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Alaska Form 25D 068 PDF Details

Alaska Form 25D-068 is issued by the Alaska Department of Transportation and Public Facilities to document official amendments to construction contracts. The form records changes to the project scope, cost adjustments to specific bid items, and extensions to the contract completion date. Once the contractor and the department both sign, the amended terms become binding. If a contractor disagrees with a payment adjustment or timeline change, they must accept the form to acknowledge receipt, then file a separate Intent to Claim form within the period stated in the original contract. The form also includes sections for authorizing subcontractors previously proposed for specific portions of the work. Completing Form 25D-068 accurately protects both the contractor and the department by creating a clear written record of every change made during the project life cycle.

Question	Answer
Form Name	Alaska Form 25D 068
Form Length	1 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	15 sec
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	STATE OF ALASKA
	DEPARTMENT OF TRANSPORTATION
	AND PUBLIC FACILITIES
	Select REGION	Change Order
		Change Order
Project No.:		Change Order No.
Project Name:

Contractor:

Address:

Change Order Summary:

Calendar Days (+ / -):

New Completion Date:

Amount of Change Order:

Recommended By:		Date:
	Title:
Approved By:		Date:
	Title:

This change order constitutes agreement to terms, conditions and prices stated below.

Accepted By:

Date:

Contractor’s Representative

Acknowledgement indicates only receipt of Change Order and not mutual agreement for basis of payment or time allowance. If a the matter cannot be resolved within 7 days from signature date, an Intent to Claim form must be submitted to the engineer within 14 days.

Acknowledged By:

Date:

Contractor's Representative

Permission for previously submitted subcontractor(s) to perform all or portions of the work described herein is as checked: Yes No N/A

Seal of Alaskan Professional Engineer

(if required)

The following change(s) in the above Contract are hereby made in accordance with the terms of the Contract and under the terms and conditions stated below. Price adjustments resulting from inaccurate cost and pricing data are subject to the provisions of AS 36.30.400(c). This document shall become an amendment to the Contract and all provisions of the Contract will be applicable.

DESCRIPTION OF CHANGE (Use Continuation Sheet 25D-065 as Required)

Form 25D-068 (Revised 04/12)

C.O. No.

Page 1 of 1

How to Edit Alaska Form 25D 068 Online for Free

This guide covers how to complete Alaska Form 25D-068 step by step, common mistakes to avoid, and answers to frequently asked questions about the form.

Steps to Fill Out Alaska Form 25D-068

Enter the contract information. Write the contract number, project name, and project number at the top of the form. These fields link the change order to the original contract.
Describe the change. In the change order description section, state the specific work being added, removed, or modified. Reference the exact bid item numbers from the original contract.
Record cost adjustments. For each affected bid item, list the original unit price and the adjusted contract amount. Note whether the change increases or decreases the total contract value.
Adjust the timeline. If the change affects the completion date, enter the number of additional calendar days required or removed from the contract period.
Authorize any subcontractors. If the change involves subcontractors proposed earlier in the project, complete the subcontractor authorization section and submit it for department review.
Obtain both signatures. The contractor and the authorized Alaska DOT representative must both sign before the change order takes effect. An unsigned form has no legal standing.
Submit to your regional office. File the completed Alaska 25D-068 form with the correct Alaska DOT regional office within the deadline set in your original contract.

Common Mistakes to Avoid

Skipping bid item numbers. Always reference the exact bid item numbers from the original contract. A vague description delays approval and may require resubmission.
Incomplete cost breakdown. List each affected bid item individually. A single lump-sum adjustment line is not accepted by the department.
Missing one signature. Both the contractor and the DOT representative must sign. A form with only one signature will be returned.
Missing the Intent to Claim deadline. If you disagree with the terms, sign to acknowledge receipt, then file an Intent to Claim within the timeframe in the original contract. Missing this window may forfeit your right to dispute.
Confusing calendar days and working days. Check your original contract to confirm whether timeline adjustments are in calendar days or working days before filling in the number of days.

Frequently Asked Questions

What is Alaska Form 25D-068?

Alaska Form 25D-068 is the official change order form used by the Alaska Department of Transportation and Public Facilities. Contractors submit it to amend an existing construction contract when the project scope, cost, or timeline changes.

Who needs to sign Form 25D-068?

Both the contractor and an authorized Alaska DOT representative must sign the form. Without both signatures, the change order is not valid and the amended terms are not binding.

What if a contractor disagrees with the change order terms?

A contractor who disagrees with the payment or time allowances must still sign to acknowledge receipt. They should then file an Intent to Claim form within the deadline stated in the original contract. Filing on time preserves the contractor's right to dispute the terms through the proper channel.

Can Form 25D-068 authorize subcontractors?

Yes. The form includes a section for authorizing subcontractors proposed earlier in the project for specific portions of the work. The department reviews and approves these authorizations as part of the change order process.

What happens after the form is submitted?

The Alaska DOT regional office reviews the change order for accuracy and completeness. Once approved and signed by the department representative, the amended contract terms take effect. Retain a copy of the signed form for your project records.

Related Alaska Construction and DOT Forms

Other Alaska Department of Transportation documents you may need during a construction project:

Alaska Form 807 – Alaska DOT administrative reporting form
Alaska Form 809 – Alaska DOT project documentation form
Alaska Form 812 – Alaska DOT construction project form
Alaska Form 02-1890 – another Alaska DOT administrative document
Construction Application Form – for initiating new construction project applications
Subcontractor Agreement – formalize the scope and terms of subcontractor arrangements