Project Scope Change Form
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:
