Project Management Templates Page 14
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18Project management templates from Project Agency – please alter to suit your needs
Project Title
Project Number
Project Manager
CHANGE REQUEST
Originator
Date of request
Change request no.
allocated by Change Controller
Phone:
Items to be changed
Reference(s)
Description of change (reasons for change, benefits, date required)
Estimated cost, and time to implement (quotation attached? Yes
No )
Priority / Constraints (impact on other deliverables, implications of not proceeding, risks)
CHANGE EVALUATION
What is affected
Work required (resources, costs, dates)
Related change requests
Name of evaluator
Date evaluated
Signature
CHANGE APPROVAL
Name
Signed
Date
Accepted
Rejected
Deferred
Comments
CHANGE IMPLEMENTATION
Asset
Implementer
Date completed
Signature
Change Control Log
Project Title
Project Number
Project Manager
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Parent category: Business