Free Project Scope Change Form Template

Project Scope Change Form

Project Name:

Project Manager:

Date:

Change Request Number:

Change Request Details

Description of Change

Current Scope

Proposed Change

Reason for Change

Impact Analysis

Impact on Project Timeline

Task

Original Date

New Date

Impact (Days)

Impact on Budget

Budget Item

Original Cost

New Cost

Change Amount

Impact on Resources

Resource

Original Allocation

New Allocation

Change

Requested By:

Date:

Reviewed By:

Date:

Approved By:

Date:

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