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Change Request Form Template

Streamline Your Change Request Process with This Template

Handling change requests can be chaotic and overwhelming without the right structure. This Change Request Form Template is designed for teams looking to simplify their approval process and ensure clear communication. You can effectively document change details, prioritize requests, and keep track of their status, making project management smoother and more organized. Easily customize this template for various projects, maintain compliance with regulatory needs, and enhance team collaboration. Start using the live template today to see the difference.

Use this Template (FREE) Live Preview
Full name
Work email
Phone number
Department or team
Change title or summary
Type of change
Standard change
Normal change
Emergency change
Feature or enhancement
Bug fix or defect
Configuration update
Security patch
Other
Please Specify:
Business justification
Affected systems or areas
Website
Mobile app
API or middleware
Database
Infrastructure or network
Internal tool
Third-party integration
Data pipeline or ETL
Other
Please Specify:
Expected user or customer impact during the change window
None
Minimal
Moderate
Significant
Unknown
Overall priority
Critical
High
Medium
Low
Planned or deferred
Overall risk level
Very low
Low
Medium
High
Very high
Likelihood of issues occurring
Very unlikely
Unlikely
Neutral
Likely
Very likely
Brief rollback plan summary
Is a backout or rollback plan available?
Yes
No
Requested implementation date
Preferred implementation window
Business hours
After hours
Weekend
No preference
Implementation steps summary
Validation and monitoring plan
Dependencies and prerequisites
Is a communication plan in place?
Yes
No
Approvals required from
Product owner
Project manager
IT operations
Security or compliance
QA or testing
Finance
Change Advisory Board (CAB)
Data protection officer
Other
Please Specify:
Requester signature (type full name)
Signature date
I confirm the information provided is accurate and I am authorized to request this change
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
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paper art illustration featuring a change request form design for an article on FormCreatorAI

When to use this form

This form helps you propose and track a change to scope, requirements, schedule, budget, or design. Use it when a client asks for a new integration, a supplier delay shifts a deadline, an engineer needs to swap a material, or IT plans a server upgrade. It gives project managers, engineers, QA, and sponsors a single place to review impact and approve work. If it is routine upkeep rather than a scope change, use the Maintenance request form. For contract price or schedule changes on a build, route through the Construction change order form. When a design update must be executed by engineering, pair this request with an Engineering change order form for implementation.

Must Ask Change Request Questions

  1. What change are you proposing, and why now?

    This frames the request and the problem or goal it solves. Clear intent reduces back-and-forth and helps reviewers judge urgency.

  2. Which projects, systems, or documents are affected by this change?

    Listing impacted items lets teams estimate work and avoid surprises. It also flags dependencies and required notifications.

  3. What is the expected impact on timeline, cost, scope, and quality?

    Decision-makers need a quick view of trade-offs. A consistent impact summary supports approvals and audit trails.

  4. What options did you consider, including doing nothing?

    Alternatives show that the proposal is the best path, not the only path. If a temporary variance is enough, route it as a Deviation request form instead.

  5. Who must approve this change, and what is the target implementation and acceptance plan?

    Naming approvers and dates creates accountability and sets expectations. To close the loop after work is done, capture proof of completion using the Work order completion form.

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