Project Change Request DRAFT Project Project Manager Project Phase Project Organisational Unit The template contains hints and suggestions as hidden text. These comments can be displayed by turning on the ‘Show/Hide’ button ( ¶ ). (Hide these paragraphs before submission of the document) Executive Summary PCR Number Reason for Change Cost Impact Schedule Impact Resource Impact Priority Date raised Status Raised by Priority: Critical / High / Medium / Low Status: Open / Approved / Rejected / Deferred / Closed Detailed Change Request Description Change Request Analysis Date of Analysis Solutions considered/selected: Change Impact Impact Scope or requirements: Yes/No Scheduled delivery dates: Yes/No Page 1 of 3 Deliverables: Yes/No Resource (staff): Yes/No Acceptance criteria: Yes/No Service Agreement (if applicable): Yes/No Vendor/contract: Yes/No Development/Implementation cost: Yes/No Annual production cost: Yes/No Software design: Yes/No Hardware or capacity: Yes/No Project approach: Yes/No Page 2 of 3 Change Request Decision Decision Approved/Rejected/Deferred Decision date Approved Cost Change Approved Schedule Change Approved Resource Change Approved by Role Page 3 of 3 Project Executive