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Section 1. REQUEST FOR CHANGE DOCUMENT (RFC)

Date: Customer:
Organization:
Course Title
Original Desired
Publication Date: Completion Date:
Page and/or
Module, or
Paragraph
Number:
Description of
Change Request:
Solution
Recommended
(if known):
Additional
Comments:
Section 2. Customer Approval

Covered by Annual P.O. No:

Maintenance (If not covered)
Agreement?
P.O. Date:
Approved By: Date:
Title:

Section 3. Completed by Dynamic Works Staff

RFC No.:
Solution:
Estimated Hours: Estimated
Costs:
DWI Date:
Authorization By: