KD-PAY-AP-001

Interim Payment Application

Name: Interim Payment Application
Brand: KubitDocs
SKU: KD-PAY-AP-001
Price: 9 GBP
Availability: InStock

The payee's interim application: the contract and period, a valuation built up from contract works, variations, daywork and materials on and off site, less retention and less sums already paid or due, the sum considered due and its basis, the valuation, due and final dates — and when the application stands as the payee's notice under s.110B(4).

3 pages · 76 fillable fields · works in Adobe Reader, Preview, Chrome, or on a phone — or complete it online in your browser and download the finished document.

£9+ VAT

Page 1 of 3 — click to enlarge

Read all 3 pages first — watermarked sample, no email Before you submit: the checklist

Single document

£9ex VAT — VAT at the applicable rate is added at checkout

I ask for immediate download, and I understand that once it begins I lose my 14-day right to cancel. My statutory rights if a file is faulty or not as described are unaffected.

Pay once — no subscription, nothing renews
Yours to keep, with every future revision free
Re-download any time from your downloads
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This document is approved for issue by its author — a director of a UK principal contractor, forty years in the industry, SMSTS. It has not been independently reviewed, and the document says so. Every future revision of it is free, and your order email includes a link to complete it online — fill it in your browser, download the finished document. Why we don’t say “compliant”.

All 8 payment notices£6.12 a document, every future revision free £49

Statutory basis, cited on the form

HGCRA 1996 ss.109, 110, 110A, 110B and 111
Scheme for Construction Contracts (England and Wales) Regulations 1998 Schedule Part II paras 2, 4, 8 and 12

What it is not

It is not a completed document and it is not health and safety advice. You must adapt it to your site and have a competent person complete and sign it off. See why we don't say "compliant".

Format

AcroForm fillable PDF. Every field has a tooltip. Tab order follows the reading order. Works on desktop and mobile, in Adobe and non-Adobe readers.

This revision was prepared against legislation current at 10 August 2026. Revision A0. Check kubitdocs.com/revisions for the current revision before use.