Project Change Request

PROJECT CHANGE REQUEST

Project Name

Project #

Request Originator:

Date Requested:

Requesting Department
Description of Change Requested

Reason/Benefits

Impact If The Change Is NOT Made

Current Agreed Project Budget

$
Original Tangible Benefits
$
Current Planned Project Delivery Date

Revised Budget If Change Approved

$
Revised Benefits If Change Approved
$
Revised Delivery Date If Change Approved

Current Agreed Project Resourcing

Revised Resourcing If Change Approved

PROJECT CHANGE REQUEST APPROVAL

Name
Signature
Date
Project Manager
Project Sponsor
Approved For This/Next/Later Release Or Rejected
If rejected/deferred, reason for rejection/deferral

Saved 27 February, 2015

/var/www/apps/conversion/tmp/scratch_5/275721460.docx

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