Lion of Africa Change Request Form

Change Details
Title Of Request

Sectional Title Product Update Changes v2

Redmine Number

Enter Redmine Number

Business Owner

Underwriting

Date of Request

1 July 2013

Detailed description of change including reasons:

Enter description of the change and reasons for change

Risk Assessment
Risk
Impact H/M/L
1. Enter Risk that change may pose
2. Enter Risk that change may pose
3. Enter Risk that change may pose
Action Plan to mitigate risks:
Enter plan of action to be taken to mitigate the risks identified

Probability H/M/L

Impact Analysis
Reports Impacted
1. Enter name of report and fields impacted by change

File Location
Enter location of change request for
report
Enter location of change request for
report
Enter location of change request for
report

2. Enter name of report and fields impacted by change

3. Enter name of report and fields impacted by change
Other Departments Impacted:
If impacted
Claims
If impacted
Credit Control
If impacted
Finance
If impacted
Insurance

check
check
check
check

box
box
box
box

and
and
and
and

explain
explain
explain
explain

how
how
how
how

it
it
it
it

is
is
is
is

impacted
impacted
impacted
impacted

services
Marine
Procurement
Quality Assurance
Underwriting
Sales

check
check
check
check
check

box
box
box
box
box

and
and
and
and
and

explain
explain
explain
explain
explain

how
how
how
how
how

it
it
it
it
it

is
is
is
is
is

impacted
impacted
impacted
impacted
impacted

If
If
If
If
If

impacted
impacted
impacted
impacted
impacted

Other Impacts:
Enter and explain other areas impacted

Sign Off :
Name

Role

Signature

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