PROJECT NAME

[Insert project name here]

DATE OF REQUEST

Insert date of request. For assignment purposes, you can cite the assignment due date.

PROJECT SUMMARY

Insert a 2-3 sentence description of the project, including the primary final output, due date, overall budget. You may use text previously written for other assignments.

REQUEST SUMMARY

“What are you asking for?” In less than 2 paragraphs, describe the change you are proposing. Examples could include:

· Addition of a new task

· Deletion of an existing task

· Modification of one of more solution requirements

Since you are requesting a change from your project plan, be sure to cite the original task, requirement, deliverable (whatever you want to change) for context, and then describe what the new task, requirement, or deliverable will be. You do not need to identify WHY the change is needed in this section (you’ll be able to provide your rationale in the next section.)

REASON FOR REQUEST

“What happened?” In less than 1 paragraph, describe what has happened to necessitate this change.

CHANGE COST ESTIMATE

Is there a monetary cost associated with making this change? How much (expressed in dollars?)

CHANGE SCHEDULE ESTIMATE

Is there a schedule change associated with making this change? How long (expressed in hours, days or weeks?)

IMPACT OF NOT MAKING CHANGE

“What if we do nothing?” Describe in specific terms what will happen if this change is not approved (for example, what requirement will be unfilled?)

BUSINESS REQUIREMENTS AFFECTED BY THIS CHANGE

“Does this mean other changes are necessary?” Are any business requirements affected by this change? If so, cite the business requirement here.

OTHER REQUIREMENTS OR TASKS IMPACTED BY CHANGE

“Does this mean other changes are necessary?” Are any solution requirements, other deliverables, or other tasks affected by this change? If so, cite the requirement number or the WBS number and title of the requirement/task/deliverable.

CHANGE TIMEFRAME

APPROVAL

Identify in this area which stakeholder(s) should be responsible for formally approving this request.