Unique ID:
Date of Submission:
Change Owner:
Initiator of the RFC:
Proposed Change Priority
Very High
High
Normal
DESCRIPTION OF CHANGE
Summary Description
Rationale for Change
Project Objectives
Costs
Benefits
Key Stakeholder Analysis
Low
RISKS
Identified Risks
Counter-measures
Back-out strategy
RESOURCES
Time/Schedule
Personnel
Cost Estimate
SUPPORTING DOCUMENTS
OTHER COMMENTS
APPROVAL/REJECTION
Approved
Date:
Rejected
Approved/Rejected By:
Change Reviewer(s):
Reviewed Priority
Very High
Restrictions
Reasons for Rejection (if applicable)
High
Normal
Low