REQUEST FOR CHANGE FORM

Purpose
The Request for Change (RFC) is to document the detailed description of the change, analyze the project
and business impact of the change if it occurs and to document the approval response.

PROJECT IDENTIFICATION
Project Name and Phase

CPI/Project Number

Project Type
(Business Consulting, Implementation,
Upgrade, Internal, other)

Customer Name

Customer Number

Project Sponsor

Program Manager

Planned Start/Finish

Project Manager (Customer)

Project Manager (Pastel)

CHANGE DESCRIPTION
Change Number

Priority

Project Phase

<This priority code indicates the

impact of this change on the project:
H = High (extremely important or
imperative to project success)
M = Medium (important to project
success, but a work around exists)
L = Low (this change is desirable, but
with little impact if the change is not
made)>>

<List the Project Phase that this

change applies to:>

Benefits or Reasons for Change: << Specify benefits of the change >>

DETAILED REQUEST INFORMATION

Requested By:

<last name, first name, email>

Date of Request:

<mm/dd/yy>

Solution/Module:
Business Area:

EVO26 Change request form

REQUEST FOR CHANGE FORM

IMPACTS
Factor

Description

Scope

<How does this change affect scope? Describe what work is added or removed. >

Schedule

<How does this change affect the timeline of the schedule? List the duration in days.
Describe any major milestone target date modifications or if the end date of the
schedule has changed. >

Resources

<Define the staff needs or adjustments required for this change. >

Budget

<State the cost to complete this change. Identify and analyze projected financial
consequences of making the change. Estimate cost differentials as precisely as
possible. >

Assumptions

<List any business and/or technical assumptions for this change.>

Impact of not
doing the
Change

<List the negative impact to the project if this change is not carried out. This would be
the Justification to do the change. >

Other

<State any other factors, such as impact on other interrelated projects. >

RECOMMENDED ACTION
<<List the action steps needed to carry out the change. >>

OTHER RELEVANT INFORMATION

Alternative Solutions

<Optional Section - List any alternative solutions if applicable. >

CHANGE APPROVAL
Approval options include Yes, No, Deferred to another Phase of the project, or Deferred to another project.
Name

EVO26 Change request form

Title

Date

Project Sponsor

< mm/dd/yy>

Business Manager

< mm/dd/yy>

Project Owner

< mm/dd/yy>

Program Manager

< mm/dd/yy>

Project Manager

< mm/dd/yy>

Approved

<Yes, No, Deferred to

another project, or Deferred
to another phase of the
project.>