Scope Change

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Project Change Request DRAFT
Project
Project Manager
Project Phase
Project Organisational Unit
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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
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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
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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
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