PROJECT COMPLETION / DELIVERABLE ACCEPTANCE FORM

Project: [PROJECT NAME]
SOW / Agreement Reference: [REFERENCE NUMBER]
Date of Completion: [MONTH DAY, YEAR]

Between:
[Service Provider Name]
and
[Client Name]

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DELIVERABLE ACCEPTANCE

The following deliverables have been completed and submitted for Client review:

| # | Deliverable Name | Date Delivered | Date Accepted | Status |
|---|-----------------|----------------|---------------|--------|
| 1 | [Name]          | [DATE]         | [DATE]        | ☐ Accepted ☐ Accepted with Revisions ☐ Rejected |
| 2 | [Name]          | [DATE]         | [DATE]        | ☐ Accepted ☐ Accepted with Revisions ☐ Rejected |
| 3 | [Name]          | [DATE]         | [DATE]        | ☐ Accepted ☐ Accepted with Revisions ☐ Rejected |

[Add rows as needed]

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FINAL ACCEPTANCE

The Client hereby accepts the above deliverables as complete and in accordance with the agreed specifications, subject to any revisions noted above.

☐ All deliverables accepted without revision
☐ Deliverables accepted with the revisions noted above
☐ Deliverables rejected — reason: [STATE REASON]

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FINAL PAYMENT

Total Contract Value: $[AMOUNT]
Amount Paid to Date: $[AMOUNT]
Final Payment Due: $[AMOUNT]
☐ Final payment received in full
☐ Final payment pending — due [DATE]

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SIGNATURES

SERVICE PROVIDER:
Signature: ___________________________
Printed Name: ________________________
Title: _______________________________
Date: _______________________________

CLIENT:
Signature: ___________________________
Printed Name: ________________________
Title: _______________________________
Date: _______________________________

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IMPORTANT DISCLAIMER: This template is provided for informational purposes only and does not constitute legal advice. It is a starting point for your project documentation. You should consult with a licensed attorney in your jurisdiction to ensure this form complies with applicable laws and meets your specific needs.
