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Change Request Form

Change Request for <Project Name>


Project Details
CR Number

Project Name

Project Manager

Change Request Details


What Is the change request asking for? Who raised it? Why is it required? When was it raised? How will it impact the project?

Change Request Status


Raised

Date

Impact Assessment

Participants

Area Impacted

Change Request Form Change Request Status


Approve/Reject Project Manager Recommendation Reason

Approve/Reject Sponsor Recommendation Reason

Escalated?

Yes/No, date

Acceptance?

Approve/Reject

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