project management
samira121
PROJ6003_template_change_request.docx|
Project Title: |
|
|
Date Prepared: |
|
|||||
|
Person Requesting Change: |
|
|
Change Number: |
|
|||||
|
Category of Change:
Justification for Proposed Change
Impacts of Change |
|||||||||
|
Scope |
|
|
|
||||||
|
Description:
|
|||||||||
|
Grade |
|
|
|
||||||
|
Description:
|
CHANGE REQUEST
|
Requirements |
|
|
|
|
Description:
|
|||
|
Cost |
|
|
|
|
Description:
|
|||
|
Schedule |
|
|
|
|
Description:
|
|||
|
Stakeholder Impact |
|
|
|
|
Description:
|
|||
|
Project Documents
|
Comments
|
|
CHANGE REQUEST
|
Disposition |
|
|
|
Justification
|
|
Change Control Board Signatures
Date: |
This template is sourced from Snyder, C. S. (2013). A project manager’s book of forms: A companion to the PMBOK guide (2nd ed.). Indianapolis, IN: Wiley Publishing.
Page 1 of 3
Quality
Requirements
Cost
Schedule
Documents
Increase
Decrease
Modify
Increase
Decrease
Modify
Increase
Decrease
Modify
Increase
Decrease
Modify
Increase
Decrease
Modify
High risk
Low risk
Medium risk
Approve
Defer
Reject
Scope
Page
1
of 3
CHANGE REQUEST
Project
Title:
Date Prepared:
Person Requesting Change:
Change Number:
Category of Change
:
Detailed Description of Proposed Change
Justification for Proposed Change
Impacts of Change
Scope
Description:
Grade
Description:
Scope
Cost
Quality
Schedule
Requirements
Documents
Increase
Decrease
Modify
Increase
Decrease
Modify
Page 1 of 3
CHANGE REQUEST
Project
Title: Date Prepared:
Person Requesting Change: Change Number:
Category of Change:
Detailed Description of Proposed Change
Justification for Proposed Change
Impacts of Change
Scope
Description:
Grade
Description:
Scope
Cost
Quality
Schedule
Requirements
Documents
IncreaseDecreaseModify
Increase
Decrease
Modify
