Interim Payment Certificate Template UK

The Interim Payment Certificate Template UK is provided in multiple formats, including PDF, Word, and Google Docs, featuring customizable and printable examples.

Open – Template

Online – Template

Sample

Interim Payment Certificate Template UK

Editable – Printable

PDF – 1 PDF – 2

Interim Payment Certificate Template UK

1. Project Information


2. Contractor Information


3. Client Information


4. Payment Certificate Details



5. Work Progress Summary

6. Amount Due

7. Retention Amount

8. Payment Instructions

9. Certification Statement

10. Signatures and Declaration



11. Declaration and Acknowledgment

PDF

WORD

Examples

Interim Payment Certificate Template UK (1)
Project Name:
[Name of Project]
Certificate No:
[Certificate Number]
Date of Issuance:
[Date]
Employer:
[Name of the Employer]
[Employer’s Address]
[Employer’s Phone]
[Employer’s Email]
Contractor:
[Name of the Contractor]
[Contractor’s Address]
[Contractor’s Phone]
[Contractor’s Email]
Details of Work Completed:
This certificate is issued to confirm the following work has been completed as per the agreement dated [Contract Date].
Work Description: [Description of completed works].
Value of Works Completed: [Total Value].
Interim Payment Calculation:
Total Value of Works: [Total Contract Value].
Value of Previous Certificates: [Total of Previous Payments].
Less Retention Amount: [Retention Percentage].
Total Amount Due This Period: [Calculation].
Payment Instructions:
Please make the payment to the following bank account:
Bank Name: [Bank Name]
Account Number: [Account Number]
Sort Code: [Sort Code].
Signed by:
[Signature of the Employer]
[Name of the Employer]
[Signature of the Contractor]
[Name of the Contractor]
For and on behalf of [Name of the Contractor]
Interim Payment Certificate Template UK (2)
Project Name:
[Name of Project]
Certificate No:
[Certificate Number]
Date of Issuance:
[Date]
Employer:
[Name of the Employer]
[Employer’s Address]
[Employer’s Phone]
[Employer’s Email]
Contractor:
[Name of the Contractor]
[Contractor’s Address]
[Contractor’s Phone]
[Contractor’s Email]
Summary of Work Completed:
This certificate confirms the successful completion of the following work as per the agreement dated [Contract Date]:
Work Title: [Title of Work].
Total Completion Value: [Total Value].
Interim Payment Summary:
Contract Value: [Total Contract Value].
Total Amount Certified Previously: [Previous Amount Certified].
Retention Amount: [Retention Percentage].
Balance Due: [Final Calculation].
Payment Details:
Payment to be made to:
Bank Name: [Bank Name]
Account Number: [Account Number]
Sort Code: [Sort Code].
Authorized Signatures:
[Signature of the Employer]
[Name of the Employer]
[Signature of the Contractor]
[Name of the Contractor]
Issued on behalf of [Name of the Contractor]

Printable

PDF – 1 PDF – 2

Interim Payment Certificate Template UK