Fillable Printable Change Request Template
Fillable Printable Change Request Template
Change Request Template
C
HANGE
R
EQUEST
T
EMPLATE
This Change Request Template is free for you to copy and use on your project
and within your organization. We hope that you find this template useful and
welcome your comments.
CHANGE REQUEST
C
OMPANY
N
AME
S
TREET
A
DDRESS
CITY,STATE ZIP CODE
DATE
1
Change request forms are the primary project management tool used for requesting any changes
to a specific project and are one piece of the change management process. All project managers
must manage change carefully and implement a thorough change control process to ensure
project’s remain within their approved constraints. Some projects have many stakeholders with
varying levels of interest in the project and change is an inevitable part of any project lifecycle.
The change request form is filled out by the individual who identifies the need for a change and
submitted to the project team in accordance with the change control process. The project
manager then leads the team in identifying the impacts of the change, whether or not it will
benefit the project, and if it will allow the project to proceed within its approved constraints. The
request is then submitted to the change control board with the project team’s findings where it is
reviewed and either approved, rejected, or deferred until clarification can be sought.
If the change is approved, all project documentation must be updated accordingly and the change
must be communicated to all stakeholders. Some changes may also require re-baselining of the
costs, schedule, or scope. There are many formats for change requests depending on the
organization. Below is one example of a thorough change request form.
The following table shows a common format used for a project change request (next page):
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Standard Change Request Template:
Change Request
Project: Date:
Change Requestor: Change No:
Change Category (Check all that apply):
□ Schedule □ Cost □ Scope □ Requirements/Deliverables
□
Testing/Quality
□
Resources
Does this Change Affect (Check all that apply):
□
Corrective Action
□
Preventative Action
□
Defect Repair
□
Updates
□
Other
Describe the Change Being Requested:
Describe the Reason for the Change:
Describe all Alternatives Considered:
Describe any Technical Changes Required to Implement this Change:
Describe Risks to be Considered for this Change:
Estimate Resources and Costs Needed to Implement this Change:
Describe the Implications to Quality:
Disposition:
□
Approve
□
Reject
□
Defer
Justification of Approval, Rejection, or Deferral:
Change Board Approval:
Name Signature Date
