Startup Change Management Request Form Template

Startup Change Management Request Form

Complete all sections of this form with detailed information about the proposed change, including its description, type, priority, impact, and resources required. After filling out the form, submit it to the designated Change Management Coordinator or the relevant department head for review.

A. Request Information

Fields	Details
Change Request ID
Date Submitted	[Month, Day, Year]
Submitted By	[Your Name]
Department
Contact Information

B. Change Details

Description of Change

[Provide a detailed description of the proposed change, including what it entails and the reason for the change]

Change Type

System Update
Process Improvement
Product Modification
Other:

Priority

High - Immediate action required
Medium - Important but not urgent
Low - Can be scheduled as per convenience

C. Impact Analysis

[Discuss the potential impacts of the change on the business, including any departments, processes, or systems that might be affected]

D. Resources Required

[List any resources (human, financial, technological) required to implement the change]

E. Approval and Implementation

Approval Status

Approved
Pending Review
Denied

Approved by

Name: [Approver's Name]

Position: [Job Title]

Date: [Month, Day, Year]

Implementation Plan

[Outline the steps for implementing the change, including timelines and responsible parties]

F. Additional Comments

[Provide any additional comments or relevant information not covered above]

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