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Project Change Request Form V - 2

This document is a project change request form that must be completed to request approval for significant changes to an approved project plan. It collects details about the project, requested change, justification for the change, potential impacts, and distribution of the form. The steering committee chairperson is responsible for reviewing the request and indicating whether it is approved or not.

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mehboob hafiz
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426 views1 page

Project Change Request Form V - 2

This document is a project change request form that must be completed to request approval for significant changes to an approved project plan. It collects details about the project, requested change, justification for the change, potential impacts, and distribution of the form. The steering committee chairperson is responsible for reviewing the request and indicating whether it is approved or not.

Uploaded by

mehboob hafiz
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
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INFORMATION SERVICES DIVISION

PROJECT OFFICE

PROJECT CHANGE REQUEST FORM


This Project Change Request Form must be completed to request approval for a significant business,
technical or financial change to the approved requirements in the original Project Plan. Please attach
any supporting documentation that will be helpful for the approval process.
Please submit the form to the Steering Committee Chairperson, with a copy to the ISD Project Office.

1. PROJECT DETAILS
Name of Project

File references
Marval

P/Tracker

Central

2. REQUEST DETAILS
Date of Request

Request No.

Name of Requestor

Project Position

3. CHANGE DETAILS
Project Category

Proposed Change

Reason for Variance

Scope
Time
Cost
Quality
Risk Management
Communications
Other (add cat. name)

4. CHANGE JUSTIFICATION
Immediat
e

Priority

Essential

Urgent

High

Medium

Low

Intended outcome(s)
Expected benefit(s)

5. IMPACT OF CHANGE
List any important impact of the change(s) on the Project deliverables

6. FORM DISTRIBUTION LIST


Name

Position/Department

Distribution method

Date distributed

7. SUPPORTING DOCUMENTATION

CHANGE APPROVAL RESPONSE DETAILS


(To be completed by Steering Committee Chairperson (or Management/Project Manager according to project governance)

Approved (Yes/No)

Decision date

/var/www/apps/conversion/tmp/scratch_7/324471026.doc

Decision made by

Decision reason

Resulting Action

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