Pennera Enhancement Request Form

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PennERA Enhancement Request Form
This form is used to submit users’ requests for software changes, enhancements, and data/report requests regarding the PennERA
system. Form requires authorization from the PennERA System Administrator. Send completed form to:
PennERA System Administrator
Office of Research Services
3451 Walnut Street, Room P-221
Philadelphia, PA 19104-6205
For internal use only
Change Request ID:
Request Details (all fields below are required)
Module:
Requested By:
Date Requested:
Requestor’s Organization:
Date Desired:
Requestor’s E-mail:
Priority (high, med, low):
Requestor’s Phone:
Description of Enhancement:
Projected Benefit of Enhancement:
This Section For Internal Use Only
Part 1. PennERA System Administrator to complete
Date received:
Action approved
Rejected
On hold
Date of action:
Priority (relative to other requests):
Comments:
Part 2. ISC-AIT to complete
Date received:
ISC-AIT estimated effort in person-weeks:
Target date:
Estimated cost to complete:
Impact:
Assigned to:
Date assigned:
Part 3. Vendor information (if necessary)
Date sent to vendor for estimate:
Vendor estimated effort in person-weeks:
Vendor estimated cost to complete:
Vendor target date:
Last revised 8/9/05

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