Scribd
Upload
402 views1 page

CDC UP Change Request Form Example

This change request form is divided into three sections. Section 1 is for the submitter to provide details about the requested change. Section 2 is for the Project Manager to analyze the potential impact on hours, duration, schedule, cost, and provide recommendations. Section 3 is for the Change Control Board to document their final decision to approve, conditionally approve, reject the request or require more information.

Uploaded by

Jes Ramos
Copyright
© © All Rights Reserved
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
402 views1 page

CDC UP Change Request Form Example

This change request form is divided into three sections. Section 1 is for the submitter to provide details about the requested change. Section 2 is for the Project Manager to analyze the potential impact on hours, duration, schedule, cost, and provide recommendations. Section 3 is for the Change Control Board to document their final decision to approve, conditionally approve, reject the request or require more information.

Uploaded by

Jes Ramos
Copyright
© © All Rights Reserved
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
You are on page 1/ 1

Change Request Form (example)

[This form is divided into three sections. Section 1 is intended for use by the individual submitting the
change request. Section 2 is intended for use by the Project Manager to document/communicate their
initial impact analysis of the requested change. Section 3 is intended for use by the Change Control
Board (CCB) to document their final decision regarding the requested change.]

1.) SUBMITTER - GENERAL INFORMATION


CR# [CR001]
Type of CR Enhancement Defect
Project/Program/Initiative
Submitter Name [John Doe]
Brief Description of [Enter a detailed description of the change being requested]
Request
Date Submitted [mm/dd/yyyy]
Date Required [mm/dd/yyyy]
Priority Low Medium High Mandatory
Reason for Change [Enter a detailed description of why the change is being requested]
Other Artifacts Impacted [List other artifacts affected by this change]
Assumptions and Notes [Document assumptions or comments regarding the requested change]
Comments [Enter additional comments]
Attachments or Yes No
References Link:
Approval Signature [Approval Signature] Date Signed [mm/dd/yyyy]

2.) PROJECT MANAGER - INITIAL ANALYSIS


Hour Impact [#hrs] [Enter the hour impact of the requested change]
Duration Impact [#dys] [Enter the duration impact of the requested change]
Schedule Impact [WBS [Detail the impact this change may have on schedules]
]
Cost Impact [Cost] [Detail the impact this change may have on cost]
Comments [Enter additional comments]
Recommendations [Enter recommendations regarding the requested change]
Approval Signature [Approval Signature] Date Signed [mm/dd/yyyy]

3.) CHANGE CONTROL BOARD – DECISION


Decision Approved Approved with Rejected More Info
Conditions
Decision Date [mm/dd/yyyy]
Decision Explanation [Document the CCB’s decision]
Conditions [Document and conditions imposed by the CCB]
Approval Signature [Approval Signature] Date Signed [mm/dd/yyyy]

UP Template Version: 11/30/06 Page 1 of 1


[Insert appropriate disclaimer(s)]

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy