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Project Change Request Form Template

Uploaded by

Nasko Tsvetkov
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© Attribution Non-Commercial (BY-NC)
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0% found this document useful (0 votes)
76 views1 page

Project Change Request Form Template

Uploaded by

Nasko Tsvetkov
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

PROJECT CHANGE REQUEST

This form documents a requested change to the project.


General Information
Date: Request Type:
Project Name/ID: Category:
Originator: Telephone:
Change Description:
Change Benefits:
Tracking Information (Administrator's Use Only)
Change Number: Date Received:
Change Name: Priority:
Evaluation and Analysis
Assigned to: Due Date:
Project Impact:
Estimated
Resources: Hours:
Estimated
Implementation Time: Estimated Cost:
Estimated Completion Estimated
Date: Benefit ($):
Authorization and Completion
Change Status: Accepted Date Approved:
Rejected Date Due:
To activate box, click
twice, select checked Deferred Date Completed:
Signatures
Project Manager: Date:
Stakeholder: Date:
Other: Date:
Re q ue st Ty pe Ca te g o ry Prio rit y
1= New requirement added 1= Fundamental
2= Overlooked requirement added 6= New report 2= Major importance
1= Development 3= Accepted requirement revised 7= New screen 3= Beneficial but can work
2= Maintenance 4= Incorrectly interpreted 8= Cosmetic change around
3= Guideline requirement 9= Revised report 4= Nice to have
4= Other 5= Revised processing logic 10 = Revised screen 5= Not required

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