Example: Sample Change Request Form |
This is an example of the type of information that may be on a change request form.
Relationships
Related Elements | Submit Change Request
Description
Main Description | Submitter Name and Title Name and role of the stakeholder who is submitting the request. Reference Number A reference tracking number that is associated with the contract or statement of work, used for tracking purposes. Dates For tracking purposes, the form may have several dates: Submission date Assigned to review date Approval dates Closed date Problem Control Report Unique numbers used to track the request. Subject The title of the request. Description Detailed description of the request that should include the purpose of the request. Documents Supporting materials that are attached to the change request submission. Benefits These define the benefit of executing the request (for example, to save money, fix a defect, or improve customer satisfaction and achieve business value). A best practice is to quantify the benefits. Cost or price The cost associated with the request should be documented. Approvals The list of approvers. This is unique to your organization. Typically, the list includes funding or sponsor management, and those who have reviewed the request and provided recommendations on how to best handle the change request.
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