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    Change Request Form Template

    Uploaded by

    Hussain Elarabi
    This document is a project change request form template intended to help organizations formally document and review proposed changes to project scope, schedule, budget, quality, or other aspects. The form guides the requester to provide details of the proposed change such as description, justification, and impact of not implementing. It also structures the review process with sections for initial review results, impact analysis, and final recommendation. Signatures are included to indicate agreement with the documented change request.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    Change Request Form Template

    Uploaded by

    Hussain Elarabi
    132 views3 pages
    This document is a project change request form template intended to help organizations formally document and review proposed changes to project scope, schedule, budget, quality, or other aspects. The form guides the requester to provide details of the proposed change such as description, justification, and impact of not implementing. It also structures the review process with sections for initial review results, impact analysis, and final recommendation. Signatures are included to indicate agreement with the documented change request.

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    Project management Templates

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    This document is a project change request form template intended to help organizations formally document and review proposed changes to project scope, schedule, budget, quality, or other aspects. The form guides the requester to provide details of the proposed change such as description, justification, and impact of not implementing. It also structures the review process with sections for initial review results, impact analysis, and final recommendation. Signatures are included to indicate agreement with the documented change request.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    132 views3 pages

    Change Request Form Template

    Uploaded by

    Hussain Elarabi
    This document is a project change request form template intended to help organizations formally document and review proposed changes to project scope, schedule, budget, quality, or other aspects. The form guides the requester to provide details of the proposed change such as description, justification, and impact of not implementing. It also structures the review process with sections for initial review results, impact analysis, and final recommendation. Signatures are included to indicate agreement with the documented change request.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 3

    Put your Put your Project Change Request Form Template

    logo here organization


    name here

    PROJECT CHANGE REQUEST FORM

    Project Name:
    Prepared by:
    Date (MM/DD/YYYY):
    Control No. (from CR Log):

    Create links to referenced documents (e.g., Link_To_… ): use Insert  Hyperlink on your toolbar.
    Refer to the Change Management Plan for instructions on how to use this document.

    1. Requestor Information
    Fill in with appropriate information or place an “X” next to those that apply:

    Area of Change:
    Scope [ ] Schedule [ ]
    Budget [ ] Quality [ ]

    Is this Change the result of a Risk Management Action?


    No [ ] Yes [ ] Risk ID:
    Proposed Change Description and Provide information below concerning the
    requested change. Create links to any
    References: supporting documentation.

    Description:

    Justification:
    Hyperlinks: Link_To_Supporting_Document1
    Link_To_Supporting_Document2

    Impact of Not Implementing


    Proposed Change:

    Alternatives:

    www.cambridgeeducation.net Page 1
    Put your Put your Project Change Request Form Template
    logo here organization
    name here

    2. Initial Review Results of the Change Request


    Initial Review Date: Assigned to:
    (MM/DD/YYYY)

    Action Comments
    Approve for Impact Analysis [ ]
    Reject [ ]
    Defer Until (MM/DD/YYYY) [ ]
    Express Approval [ ]

    3. Initial Impact Analysis


    Baselines Affected:
    Configuration Items Affected
    (e.g. product specifications):
    Cost / Schedule Impact Analysis Required? (check one) Yes [ ] No [ ]
    Impact on Cost:
    Impact on Schedule:
    Impact on Resources:
    Risk associated with
    implementing the change:
    Risk associated with not
    implementing the change:
    Final Review Results:
    Review Date: (MM/DD/YYYY)
    Priority: (check one) High [ ] Medium [ ] Low [ ]

    www.cambridgeeducation.net Page 2
    Put your Put your Project Change Request Form Template
    logo here organization
    name here

    4. Impact Analysis Results


    Specific Requirements Definition:

    Additional Resource Requirements (insert rows as needed): Work Days Cost

    Totals
    Impact of Not Implementing the Change:
    Alternatives to the Proposed Change:

    5. Final Recommendation

    6. Project Change Request Form / Signatures


    Project Name:

    Project Manager:

    I have reviewed the information contained in this Project Change Request Form and agree:

    Name Title Signature Date


    (MM/DD/YYYY)

    The signatures above indicate an understanding of the purpose and content of this document by those
    signing it. By signing this document, they agree to this as the formal Project Change Request Form.

    www.cambridgeeducation.net Page 3

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