Confirmation of Verbal Instruction

The Employer		The Engineer				The Contractor
Project:
From: (Contractor's Name)					To: ##### Consult
Confirmation of Verbal Instruction ( CVI )						CVI. No. :	CVI / xxx
						Date :
Originator of CVI :
We acknowledge that the following verbal instruction(s) has/have been received :
Instructed By :
Contractor's PM : Signature & Date				Received by #########Consult : Signature & Date
Engineer's Representative Comments / Confirmation :
Engineer's Representative : Signature & Date				Received by Contractor : Signature & Date
cc: Employer
#######'s Head Office