Change Request
Project Name
Change Number
Fleet Management Project
Requested By
Date of Request
Change Name
Description of Change:
Reason for Change:
Change request should submitted to the Change Management Team at this point, and they will complete
the rest of the form.
Change Management Team (only beyond this point)
Effect on Deliverables (including a list of any affected deliverables):
Effect on Organization:
Effect on Schedule (including Estimated Completion Date for this change):
Huffman Trucking Change Mgmt
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Change Request
Effect on Project Cost:
Hours
Item Description
Reduction
Dollars
Increase
Reduction
Increase
Analysis
0
$ 0.00
Development (Code and Unit Test)
0
$ 0.00
Total Net Change in Cost:
$ 0.00
Effect of NOT Approving this Change:
Reason for Rejection (if applicable):
Functional Project Manager
Approved
Rejected
Signature:
Title:
Date:
Leader, Change Management Team
Approved
Rejected
Signature:
Title:
Huffman Trucking Change Mgmt
Date:
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March 12, 2016