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Performance Extension Request Form

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PERFORMANCE EXTENSION REQUEST FORM

This Performance Extension Request (the "Request") is submitted pursuant to the terms of the underlying contract described below and constitutes a proposed amendment to that contract if approved by the parties.

Contract and Parties

Contract Number:

Client Name:

Contractor Name:

Original Contract Date:    Original Completion Date:

WHEREAS Recitals

WHEREAS, Client and Contractor entered into the contract identified above under which Contractor agreed to perform certain services and deliverables described in the contract and its attachments; and

WHEREAS, unforeseen conditions or events have impacted Contractor's ability to achieve the Original Completion Date set forth above; and

WHEREAS, the parties desire to document the agreed extension, including any related adjustments to scope, schedule, or payment terms, without waiving any other rights or remedies except as expressly stated herein.

Request Details

Proposed Additional Time:   New Proposed Completion Date:

Supporting Documents Included:

Scope of Work Affected

Payment Terms and Adjustments

Proposed Change to Contract Price (if any):

Late Payment Fee (if extension causes delayed invoice acceptance):

Unless otherwise set forth in this Request and agreed in writing by both parties, all other payment terms of the underlying contract remain in full force and effect.

Term and Termination

If approved, the extension shall modify the Completion Date to:

Extension Effective Date:

Notice Period for Termination Following Approval (number of days):

Except as expressly modified by any approved extension, all termination rights, remedies, and obligations under the underlying contract remain unchanged. Approval of an extension does not constitute a waiver of any breach or default unless expressly stated in writing.

Confidentiality

All non-public information exchanged in connection with this Request and any resulting amendment is Confidential Information under the underlying contract. The receiving party shall continue to protect Confidential Information in accordance with the confidentiality provisions of the underlying contract.

Acknowledgment:

Governing Law and Entire Agreement

Governing Law: The validity, interpretation, and enforcement of this Request and any amendment resulting from its approval shall be governed by the laws of the state of without regard to conflict of law principles.

Entire Agreement: To the extent the parties approve this Request in writing, the approved Request (together with the underlying contract) constitutes the entire agreement concerning the subject matter of the extension and supersedes all prior proposals, representations, or understandings, whether written or oral, relating to the extension. All other terms of the underlying contract remain in full force and effect.

Decision and Approvals (For Administrative Use)

Signatures

Requesting Party (Printed Name):

By:

Date:

Approving Party (Printed Name):

By:

Date:

Enter text✕

What the Performance Extension Request Form Is

A Performance Extension Request Form is a written notice used to seek extra time to meet contractual obligations. It identifies the contract, explains the reason for delay, proposes a new completion date, and documents any interim mitigation steps. When accepted by the counterparty, it amends the original performance schedule and becomes part of the contract record. Properly executed forms reduce dispute risk and create evidence of mutual agreement to change deadlines under applicable contract and electronic signature laws.

Why the Form Matters for Contract Risk and Clarity

Using a standardized Performance Extension Request Form preserves a clear record of agreed schedule changes, reduces ambiguity about deliverables and responsibilities, and helps avoid breach claims by documenting mutual consent to revised timelines under ESIGN/UETA.

Why the Form Matters for Contract Risk and Clarity

Who Typically Prepares and Signs These Requests

Parties across project, procurement, and professional services contracts use this form to request formal schedule relief.

  • Project managers and contractors who need documented schedule changes for ongoing projects.
  • Purchasing or procurement officers when vendor delivery dates cannot be met.
  • General counsel or contract administrators for review and final approval of modifications.

Keeping approval authority, legal, and contract administration involved helps ensure the request is accepted and properly recorded.

Core Elements to Include in a Professional Request

A clear structure helps recipients evaluate and accept an extension: identify the contract, state factual reasons, propose new dates, explain mitigation, specify impacts, and capture signatures and approvals.

Requester Details

Name, company, contact email and phone for the person making the request so the recipient can respond promptly and confirm receipt.

Contract Reference

Contract title, parties, contract or PO number, and original effective and performance dates to link the request unambiguously to the governing agreement.

Reason for Delay

Concise factual explanation of cause (e.g., supply delay, weather, regulatory hold) with dates and supporting document references if available.

Proposed Schedule

New target completion date(s), interim milestones if applicable, and any revised delivery or acceptance procedures tied to the extension.

Impact & Mitigation

Describe steps taken to reduce delay, expected impact on cost or downstream obligations, and whether compensation or time-and-materials adjustments are requested.

Approvals & Signatures

Signature block for authorized signers, date lines, and routing instructions for counterparty approval; note if notarization or witness is required.

Required Data Fields at a Glance

Requestor Name: Full legal name
Contract Number: Unique identifier
Original Due Date: MM/DD/YYYY
Proposed New Date: MM/DD/YYYY
Delay Summary: Brief justification
Authorized Signer: Name and title

Step-by-Step: Submitting a Performance Extension Request

Follow these four steps to prepare and route a clear, enforceable request that the counterparty can review and approve efficiently.

  • 01
    Prepare: Complete all required fields and attach supporting evidence.
  • 02
    Internal Review: Obtain approvals from project, procurement, and legal as needed.
  • 03
    Send to Counterparty: Route via the contract mailbox or authorized contact per contract instructions.
  • 04
    Obtain Signatures: Secure counterparty approval and retain the fully executed amendment.

Configuring an Online Request Workflow

Set up a digital template to standardize requests, automate routing, and capture auditable approvals across teams and systems.

Field Configuration
Authentication Email link or SMS code; consider stronger methods for sensitive contracts
Conditional Fields Show justification and attachments only when delay reason is 'third-party'
Routing Order Project lead → Procurement → Legal → Counterparty
Retention Save executed amendment to contract repository automatically

Where to Send or File an Approved Request

After approval, route the completed form to contract stakeholders and store it in the official repository to maintain a single source of truth.

  • Contract Administrator: Primary custodian for contract documentation and version control.
  • Counterparty: Send the approved copy to the counterparty for signature and acknowledgement.
  • Corporate Repository: Upload the executed amendment to the contract management system for access and audit.
  • Legal Department: Retain a working copy for interpretation and future disputes.

Digital Signing and Submission: Technical Considerations

Use a platform that preserves an audit trail, supports common file formats, and integrates with storage and contract systems to minimize manual handling.

  • Supported Formats: PDF, DOCX
  • Authentication: Email, SMS, or stronger methods
  • Integrations: CRM, cloud storage, contract repository

Typical Timelines and Review Deadlines

Expect internal and external review windows; specify clear response deadlines on the request to avoid open-ended uncertainty.

Request Submission:

Sender transmits the completed request immediately upon identifying delay

Counterparty Review:

Commonly 7–14 calendar days for review and questions

Approval Effective Date:

Date the counterparty signs or otherwise accepts the extension

Revised Performance Deadline:

New date agreed by both parties and recorded in amendment

Repository Upload:

Upload executed amendment within 3 business days of approval

Key Milestones from Request to Resumed Performance

Track these sequential milestones to monitor progress and preserve evidence of consent at each stage of the extension process.

01

Draft Request

Requestor prepares form and attaches supporting documents

02

Internal Approval

Project, procurement, and legal sign off before external submission

03

Counterparty Response

Counterparty reviews, negotiates, and signs or proposes modifications

04

Execute Amendment

Fully executed amendment is stored and performance continues under revised terms

Penalties and Risks of an Incorrect or Late Request

Breach Claim: May expose party to liability
Liquidated Damages: Contract may impose per-day penalties
Payment Withholding: Counterparty may delay payments
Termination: Repeated delays can justify contract termination
Insurance Impact: Claims or coverage disputes may arise
Tax Consequences: Changes to performance timing may affect accounting periods

Common Mistakes to Avoid

  • Submitting vague reasons without evidence delays approval and invites rejection or additional inquiries.
  • Failing to reference the exact contract or PO number creates uncertainty about which agreement is amended.
  • Not obtaining internal authorization before sending leads to rejected requests and wasted time.
  • Relying on informal email agreements rather than a signed amendment increases dispute risk.

Sample eSignature Vendor Comparison for Executing Extension Requests

Compare common vendor attributes for contract amendment workflows; signNow is listed first per platform comparison conventions.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day free trial No No Yes, limited Yes, limited
Bulk Send Yes Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
Envelope Cap No cap 100 envelopes/user/year No cap No cap No cap

Frequently Asked Questions About Executing an Extension

Answers to common legal, procedural, and technical questions when preparing or accepting a Performance Extension Request Form.


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