Scope Change Request Form

Scope Change Request Form

Please fill out this form completely to request a change in the project scope.

Project Information

Project Name

    Project Manager

      Request Date

        Requester Information

        Name

          Position

            Department

              Phone number

                Email

                  Change Description

                  Please describe the change you are requesting for the project scope

                    Reason for Change

                    Provide a detailed explanation of why this change is necessary

                      Impact Assessment

                      Please describe the potential impact of this change on the project's timeline, budget, and resources

                        Approval Section

                        Approved

                        (To be completed by the Project Manager or Authorized Personnel)

                        Comments

                          Signature

                          Name:

                          Date:

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