Change Request
CR Number: CR-[Project]-[XXX] Project: [Project Name] Client: [Client Name] Requested Date: [Date] Requested By: [Name, Company]
Change Summary
Title: [Brief title for this change]
Description: [What is being requested? Be specific.]
Reason for Change
Why is this change needed? [Business driver, new requirement discovered, scope clarification, etc.]
What happens if we don't make this change? [Impact of not doing it]
Impact Assessment
Scope Impact
| Current Scope | Proposed Change |
|---|---|
| [What was in scope] | [What changes] |
New Deliverables:
- [New deliverable 1]
- [New deliverable 2]
Removed Deliverables:
- [Removed item 1]
Timeline Impact
| Milestone | Current Date | New Date | Change |
|---|---|---|---|
| [Milestone] | [Date] | [Date] | +[X] days |
Overall Schedule Change: +/- [X] weeks
Budget Impact
| Category | Current | Change | New Total |
|---|---|---|---|
| Labor | $[X] | +$[X] | $[X] |
| Expenses | $[X] | +$[X] | $[X] |
| Total | $[X] | +$[X] | $[X] |
Resource Impact
| Resource | Current | Change |
|---|---|---|
| [Role] | [Current allocation] | [New allocation] |
Risk Assessment
New Risks Introduced
| Risk | Probability | Impact | Mitigation |
|---|---|---|---|
| [Risk] | H/M/L | H/M/L | [Mitigation] |
Impact on Existing Risks
[Does this change affect any existing project risks?]
Alternatives Considered
Option A: [This Request]
- Pros: [Benefits]
- Cons: [Drawbacks]
- Cost: $[X]
Option B: [Alternative]
- Pros: [Benefits]
- Cons: [Drawbacks]
- Cost: $[X]
Option C: No Change
- Pros: Stay on current plan
- Cons: [What we lose by not changing]
Recommendation: Option [X] because [reason]
Implementation Plan
If approved:
- [Step 1] - [Owner] - [Date]
- [Step 2] - [Owner] - [Date]
- [Step 3] - [Owner] - [Date]
Approval
empress Assessment
Assessed By: [Name] Date: [Date] Recommendation: Approve / Approve with modifications / Reject
Notes: [Any conditions or modifications recommended]
Client Approval
Status: Pending / Approved / Rejected
Client Approver: _________________ Title: _________________ Date: _________________ Signature: _________________
SOW Amendment Required?
[ ] Yes - Amendment attached [ ] No - Within existing contract flexibility
Tracking
| Date | Action | By |
|---|---|---|
| [Date] | CR Submitted | [Name] |
| [Date] | Impact Assessment Complete | [Name] |
| [Date] | Client Review | [Name] |
| [Date] | Approved/Rejected | [Name] |
| [Date] | Implementation Started | [Name] |
| [Date] | Implementation Complete | [Name] |