Request For Change Template Page 2

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Project Change Control Log Template
Change Log Template
# Change Description
Date Submitted
Initiator
Reviewer/Approver
Status
Outcome/Actions
Date Closed
This identifies the individual/group
This describes what the final decision was and
A summary describing the change and the rational behind the
This is the person/group who
This describes whether the change is
The date for that this change has been
This is the date the change request was submitted
who are responsible for deciding the
the reason behind the decision and the actions
change
requested the change
open, being reviewed, or closed
closed
outcome
needed to implement if approved
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Free Template Developed by Philip R. Diab, MBA, PMP
For Individual Use Only
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