[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-256790-105":53,"doc-detail-256790-en":127},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","2021-ga-billing-forms-website-revised-1","2021 GA Billing Forms - WEBSITE Revised 1","","This package provides standardized payment documentation for construction projects, including an application and certificate for payment request with contractor and subcontractor certification sections, project and payment details, contract amount reconciliation, work completed tracking, stored materials accounting, retainage calculation, and the amount due for the request period. It also includes Georgia-specific lien and payment bond release forms for interim and final payments, covering waiver scope, notice language, and compliance requirements tied to statutory timing and retainage exceptions.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":21,"@type":70,"position":76},"https://docshare.wps.com/template/invoices/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/2021-ga-billing-forms-website-revised-1/256790/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/2021-ga-billing-forms-website-revised-1/256790.png","ImageObject",442,249,{"name":88,"@type":89},"Evangeline","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-17","2026-09-13",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",6,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What information is collected in the payment request form for a project?","Question",{"text":109,"@type":110},"The form captures parties (contractor and subcontractor), project identification, payment request number, period covered, and a statement of the contract account including original amount, approved change orders, adjusted contract amount, and work completed to date.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"How is the amount due for the payment request determined?",{"text":114,"@type":110},"The statement calculates totals to date, subtracts retainage and previously certified amounts, and outputs the amount due this request based on the listed line items and any approved changes.",{"name":116,"@type":107,"acceptedAnswer":117},"What do the Georgia lien and payment bond waiver forms cover?",{"text":118,"@type":110},"They provide waiver and release of liens and related bond rights upon interim and final payments, specifying the property and project details, the payment received, retained-amount exceptions, and required notice language affecting enforceability.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},256790,1790483951,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":20,"category_name":21,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":101,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":73},13056703019662,"https://ap-avatar.wpscdn.com/avatar/be000253a8e92610077?_k=1778726343310543188","APPLICATION FOR PAYMENT  \n(Developed as a guide by The Associated General Contractors of America, The National Electrical Contractors Association, The Mechanical Contractors Association of America, The Sheet Metal and Air Conditioning Contractors National Association of Plumbing-Heating-Cooling Contractors.)  \nTO:  Integra Construction, Inc.   \nFROM:    \nPROJECT:    \nPAYMENT REQUEST NO.:    \nPERIOD:   , 20   to   , 20   \nSTATEMENT OF CONTRACT ACCOUNT:  \n1. Original Contract Amount $   \n2. Approved Change Order Nos   (As per attached breakdown) (Net) $   \n3. Adjusted Contract Amount $   \n4. Value of Work Completed to Date: (As per attached breakdown) $   \n5. Value of Approved Change Orders Completed: (As per attached breakdown) $   \n6. Materials Stored on Site: (As per attached breakdown) $   \n7. Total to Date $   \n8. Less Amount Retained (   %) $   \n9. Total Less Retainage $   \n10. Total Previously Certified (Deduct) $   \n11. AMOUNT DUE THIS REQUEST $   \nCERTIFICATE OF THE SUBCONTRACTOR:  \nI hereby certify that the work performed, and the materials supplied to date, as shown on the above represent the actual value of accomplishment under the terms of the Contract (and all authorized changes thereto) between the undersigned and Integra Construction, Inc. relating to the above referenced project.  \nI also certify that payments, less applicable retention, have been made through the period covered by previous payments received from the contractor, to (1) all my subcontractors (sub-subcontractors) and (2) for all the materials and labor used in or in connection with the performance of this Contract. I further certify I have complied with Federal, State and local tax laws, including Social Security laws and Unemployment Compensation laws and Workmen’s Compensation laws insofar as applicable to the performance of this Contract.  \nSUBCONTRACTOR  \nSubscribed and sworn before me this   day of  \n  , 20  .  \nBY:    \nNotary Public:   TITLE:    \nMy Commission Expires:   DATE:    \nThis form must be accompanied by appropriate lien waivers.   \nCONTINUATION SHEET DOCUMENT G703 PAGE 2 OF 3 PAGES  \n\n| Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, Containing Contractor's signed Certification, is attached.\u003Cbr>In tabulations below, amounts are stated to the nearest dollar.\u003Cbr>Use Column 1 on Contracts where variable retainage for line items may apply. | APPLICATION NO.: |\n| --- | --- |\n|  | APPLICATION DATE: |\n|  | PERIOD TO: |\n|  | PROJECT NO: |\n\n\n| Item | Description | Scheduled | Work Completed |  |  |  | Stored | Total Compl. | % | Balance To | Retainage |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| No. A&B | C | Value D | Previous E |  | Current F |  | Materials G | & Stored H (E+F+G) | Compl. | Finish\u003Cbr>I (D-H) | J |\n| 1 |  |  |  |  |  |  |  |  |  |  |  |\n| 2 |  |  |  |  |  |  |  |  |  |  |  |\n| 3 |  |  |  |  |  |  |  |  |  |  |  |\n| 4 |  |  |  |  |  |  |  |  |  |  |  |\n| 5 |  |  |  |  |  |  |  |  |  |  |  |\n| 6 |  |  |  |  |  |  |  |  |  |  |  |\n| 6 |  |  |  |  |  |  |  |  |  |  |  |\n| 7 |  |  |  |  |  |  |  |  |  |  |  |\n| 8 |  |  |  |  |  |  |  |  |  |  |  |\n| 9 |  |  |  |  |  |  |  |  |  |  |  |\n| 11 |  |  |  |  |  |  |  |  |  |  |  |\n| Subtotal |  |  |  |  |  |  |  |  |  |  |  |\n| Change Orders |  |  |  |  |  |  |  |  |  |  |  |\n| 1 |  |  |  |  |  |  |  |  |  |  |  |\n| 2 |  |  |  |  |  |  |  |  |  |  |  |\n| 3 |  |  |  |  |  |  |  |  |  |  |  |\n| 4 |  |  |  |  |  |  |  |  |  |  |  |\n| 5 |  |  |  |  |  |  |  |  |  |  |  |\n| 6 |  |  |  |  |  |  |  |  |  |  |  |\n| 7 |  |  |  |  |  |  |  |  |  |  |  |\n| 8 |  |  |  |  |  |  |  |  |  |  |  |\n| Subtotal Change Orders\u003Cbr>|  |  |  |  |  |  |  |  |  |  |  |\n| SUMMARY |  |  |  |  |  |  |  |  |  |  |  |\n\nWAIVER AND RELEASE OF LIEN  \nAND PAYMENT BOND RIGHTS UPON INTERIM PAYMENT  \nSTATE OF GEORGIA  \nCOUNTY OF    \n(Project Location)  \nTHE UNDERSIGNED MECHANIC AND/OR MATERIALMAN HAS BEEN EMPLOYED BY  \n Integra Construction, Inc.  (NAME OF CONTRACTOR) TO FURNISH  ","cbCairCbzYPfP3iU","https://ap.wps.com/l/cbCairCbzYPfP3iU","pdf",164735,"English","# APPLICATION FOR PAYMENT\n## STATEMENT OF CONTRACT ACCOUNT\n## CERTIFICATE OF THE SUBCONTRACTOR\n# CONTINUATION SHEET DOCUMENT G703\n## PAYMENT REQUEST SUMMARY\n# WAIVER AND RELEASE OF LIEN AND PAYMENT BOND RIGHTS UPON INTERIM PAYMENT\n# WAIVER AND RELEASE OF LIEN AND PAYMENT BOND RIGHTS UPON FINAL PAYMENT","[{\"question\":\"What information is collected in the payment request form for a project?\",\"answer\":\"The form captures parties (contractor and subcontractor), project identification, payment request number, period covered, and a statement of the contract account including original amount, approved change orders, adjusted contract amount, and work completed to date.\"},{\"question\":\"How is the amount due for the payment request determined?\",\"answer\":\"The statement calculates totals to date, subtracts retainage and previously certified amounts, and outputs the amount due this request based on the listed line items and any approved changes.\"},{\"question\":\"What do the Georgia lien and payment bond waiver forms cover?\",\"answer\":\"They provide waiver and release of liens and related bond rights upon interim and final payments, specifying the property and project details, the payment received, retained-amount exceptions, and required notice language affecting enforceability.\"}]","2021 GA Billing Forms - WEBSITE Revised 1 | PDF",1789307439]