Change Request Form Template
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saadabdallaChange Request Form Template
Uploaded by
saadabdallaCHANGE REQUEST FORM TEMPLATE
Before completing this form you need to select the next number from the central Change Request Register and give a high-level
description of the nature of the change. This form is then submitted in accordance to the change control process and is assessed
for its merit and degree of impact on the project.
PROJECT: PROJECT MANAGER: DATE:
CHANGE
CHANGE TITLE: REQUESTER:
NUMBER:
CATEGORY □ Function □ Schedule □ Cost □ Scope □ Resources
(Put a ‘X’ in each relevant box) □ Requirements/Deliverables □ Testing/Quality
PURPOSE □ Corrective Action □ Preventative Action □ Defect Repair
(Put a ‘X’ in each relevant box) □ Updates □ Other
DESCRIPTION OF REQUESTED CHANGE:
REASON FOR CHANGE
POTENTIAL BENEFITS OF CHANGE
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Change Request Form Template
TECHNICAL
FINANCIAL
STRATEGIC
END USER / CUSTOMER
IMPACT ON PROJECT
(Enter brief description in appropriate STAKEHOLDER
areas.)
QUALITY
TIME FRAME
PROCUREMENT
RESOURCES
© www.free-management-ebooks.com 2013. All Rights Reserved
Change Request Form Template
REASONS FOR REJECTION
ALTERNATIVES CONSIDERED
STATUS □ APPROVE □ REJECT □ DEFER
JUSTIFICATION
NAME & TITLE SIGNATURE DATE
SIGNATORIES:
