PayApplicationGenerator.com

Blank Pay Application Template

A printable, fill-in-by-hand version of the full pay application — cover page with application summary, change order summary, and certifications, plus an itemized schedule of values.

First time filling one of these out? Our step-by-step guide walks through every field — or let the guided version ask you one question at a time.Read the guideTry the guided version

Template options

I have read and agree to the Terms of Use. I understand and agree that documents are provided without warranty and are not legal advice, and that this site does not recommend or endorse the use of any generated document for any particular purpose — whether a document is suitable for my needs is my decision alone. I agree that I am solely responsible for verifying all amounts, calculations, and wording before signing, submitting, or otherwise using them in connection with any legally binding agreement.
The Excel version has the same two pages and US-dollar formatting; the line-item count, notarization, stored materials, and retainage options above apply to both.

What's in the template

  • ✓Cover page with the application summary — contract sum, change orders, retainage, previous applications, and the payment due line
  • ✓Contractor's certification with signature, date, and an optional notary block
  • ✓Payer's certificate for payment with an amount-certified line for your customer
  • ✓Itemized schedule of values continuation sheet: scheduled value, previous applications, this period, stored materials, percent complete, and balance to finish
  • ✓Options before you download: currency, number of line items, notarization, stored materials, and retainage columns
  • ✓Also available as an Excel workbook — the same two pages with the totals, retainage, and payment-due formulas built in
Blank pay application template: printable cover page with application summary, certifications, and ruled fill-in lines

The template's cover page — the ruled schedule of values follows on page two.

How to fill it out by hand

Work line by line on the schedule of values first: enter each item's scheduled value, what you billed on previous applications, this period's work, and any stored materials — then total the columns. Carry the totals to the cover page, apply your retainage rates, subtract previous applications, and the remainder is the payment due. Double-check that the schedule of values sums to the contract sum; mismatched totals are among the most common reasons applications bounce.

First time? Our step-by-step guide walks every field, and this one covers the mistakes payers reject.

Prefer the math done for you?

The free generator fills this exact form on screen — retainage, totals, percent complete, and the amount due are all calculated automatically, and next month's application rolls forward with one click.

Use the free generator instead

Frequently Asked Questions

Is the template free?
Yes — free to download and print, with no account required. You accept the site's terms of use before downloading, same as the generator.
Can I print it and fill it out by hand?
That's exactly what it's for. The template is a letter-size PDF with ruled entry lines sized for handwriting — value columns on the schedule of values, summary lines on the cover, and signature and notary blocks.
Does a pay application need to be notarized?
Only if your contract or the payer requires it. The template includes an optional notary block you can toggle on or off before downloading.
Is there an Excel version?
Yes — the same template as an .xlsx workbook: a G702-style cover and a continuation sheet with as many rows as you choose, with the totals, retainage, and payment-due formulas already wired so the workbook calculates as you type. It opens in Excel, Google Sheets, and LibreOffice.
How many line items does it support?
Up to 20 schedule-of-values lines — a practical limit for hand-written math. If your project needs more, the free generator supports up to 60 lines and calculates every total for you.
Is this an official AIA G702/G703 form?
No. It's an original layout that captures the same information those forms are used for — schedule of values, retainage, and payment due. If your contract strictly requires official AIA documents, purchase them from AIA Contract Documents.