Lumiform
Features Solutions Resources Templates Enterprise Pricing
Select a language
Englishen
Deutschde
Françaisfr
Españoles
Português (BR)pt-BR
en
Log in
Book a demo
Book a demo
Back
Englishen
Deutschde
Françaisfr
Españoles
Português (BR)pt-BR
Features Solutions Resources Templates Enterprise Pricing
Free demo
Log in
en
Book a personal demoView video demoContact sales
Explore
Resource hubCentral repository for all Lumiform resourcesCustomer storiesReal-world successes and experiences with Lumiform.
Learn
Template collectionsComprehensive collections of best practice templates.Topic guidesComprehensive safety, quality, and excellence insights.LexiconDefinitions key to quality, safety, and compliance.
Support
Developer's guideTechnical documentation for developers.Help centerAssistance with onboarding and platform mastery.
Featured reads
Explore our collection of 38 free preventive maintenance checklists

Template collection

Explore our collection of 38 free preventive maintenance checklists

Start reading
Your guide to performing and documenting efficient child care observation

Topic guide

Your guide to performing and documenting efficient child care observation

Start reading
Lumiform as customer journey mapping tool in gastronomy

Success story

Lumiform as customer journey mapping tool in gastronomy

Start reading
Book a personal demoView video demoContact sales
By industry
HospitalityManufacturingConstructionRetailLogisticsFacility managementView all industries
By business needs
Health and safetyQualityOperational excellenceRisk management and complianceView all business needs
By use case
Safety management softwareEnergy audit appForklift inspection appBuilding management softwareVehicle inspection appQMS appKaizen method appProperty inspection appRestaurant inspection appElevator management appProject management softwareFire inspection app
View all app uses
Book a personal demoView video demoContact sales
Overview
Template libraryDiscover over 12,000 free, ready-made and expert proofed templates.
Use cases
CleaningMaintenanceRisk assessmentSupply chainIncident management
Business needs
Health and safety managementQuality managementOperational excellenceRisk management and compliance
Industries
Food and hospitalityManufacturingRetailTransport and logisticsConstructionFacility management
Book a personal demoView video demoContact sales
Overview
Product overviewAll features
Capabilities
Digitize
Form builderMobile AppActions
Automate
Workflow automationApprovalsIntegrations
Transparency and accountability
ReportsAnalytics
Orchestrate
Administration
Book a personal demoView video demoContact sales
Templates
Change management request form

Change management request form

Use this form to create an organized approach for every change in your organization, with clear sections for impact, risk assessment, and approvals.

Use this template with Lumiform

  • Customize this template or build your own
  • Fill out templates via mobile app
  • Get reports and analyse your data
Prices start from ░░░ per month
Book a demo
Learn more
or Download template as PDF
Change management request form

Use this form to create an organized approach for every change in your organization, with clear sections for impact, risk assessment, and approvals.

Use this template with Lumiform

  • Customize this template or build your own
  • Fill out templates via mobile app
  • Get reports and analyse your data
Prices start from ░░░ per month
Book a demo
Learn more
or Download template as PDF

Created for project managers and change control boards, this change management request form standardizes how modifications are proposed, evaluated, and approved. The template documents critical information including the nature of the change, business justification, impact assessment, and approval signatures.

When facing scope creep or unexpected project pivots, you’ll appreciate having a systematic way to evaluate changes before implementation. According to the Project Management Institute, poor change management contributes to 56% of project failures. This form helps you break that statistic by ensuring changes receive proper scrutiny and only proceed when their full implications are understood and accepted.

Related categories

  • Operational excellence templates
  • Quality management templates
  • General templates
  • Professional services templates
  • Leadership and management templates
  • Templates for business processes

Created by

Author Name Ima Ocon
Preview of the template
Page 1
Change Details
What is the change being requested?
Describe the reason for the change.
What is the business impact of this change?
What is the target implementation date?
Risk and Impact Assessment
Have all risks been identified and mitigated?
What is the potential impact on existing systems/processes?
What is the potential impact on end users?
What is the back-out plan if the change fails?
Implementation Plan
Detailed steps for implementing the change.
Resources required to implement the change.
Estimated timeline for implementation.
Communication plan for informing stakeholders.
Approvals
Has the change been approved by management?
Provide names and signatures of approvers.

More templates like this

Change order form template
Change order form template
Document project changes systematically with three-stage approval process and visual evidence tracking.
Quality assurance templates
Change request form
Change request form
Manage change requests with ease using a structured, user-friendly form that captures essential details, from initial submission to final approval.
Quality assurance templates
Room change request form
Room change request form
This request form helps you manage student housing adjustments. It covers key details—such as room preferences and eligibility—so you can track, approve, and document requests.
Quality assurance templates
Schedule change request form
Schedule change request form
Keep your team organized and informed with a schedule change request form that captures key details of shift adjustments. Use it to simplify your submission and approval process.
Templates for business processes
Shift change request form
Shift change request form
Simplify team scheduling and keep shift changes clear with this form. It covers shift details as well as impact assessments so you can manage shift adjustments more smoothly.
Templates for business processes
Project change request template
Project change request template
Thi template is a ready-to-use resource for documenting, assessing, and approving changes across your organization, from impact analysis to approvals.
Leadership and management templates

Related resources

Access a complete set of resources aimed at maximizing safety, quality, and operational excellence, including detailed guides, related templates, and real-world use cases.

Topic guides

Read in-depth guides covering key topics related to this article.

Change management essentials: A guide for leadersManagement of change guide: Best practices and strategiesBusiness impact analysis: Expert insights for robust continuity5 whys method: A practical guide for root cause analysis
See all topic guides

Template collections

See comprehensive collections of best practice templates related to this topic.

Top 13 free change request forms14 free root cause analysis templates for effectiveness4 free ready-to-use organizational change management plan templatesTop 6 must-use management of change templates
See all template collections

Use cases

Check out how the Lumiform software can be utilized for related use cases.

Change management softwareProject management system softwareIssue management softwareChecklist creator app
See all use cases

Other resources

Explore all the additional resources we offer to assist you in mastering this topic.

Kotter’s 8 steps of change managementHow to implement operational excellenceSuccessful change management in your businessThe three top change management models you should know

Frequently asked questions

How can I ensure my change management request form is actually used by the team?

Make your form accessible, easy to understand, and integrate it into your project workflow. Train team members on its importance, establish clear submission guidelines, and demonstrate how it protects the project. When teams see the form preventing costly mistakes, they’ll embrace it as a valuable tool.

Who needs to approve a change management request form in most organizations?

Typically, approvals come from the project manager, functional managers affected by the change, the change control board (in larger organizations), and sometimes the client or sponsor. The approval hierarchy should match the change’s significance—minor changes might need fewer approvals than those impacting critical project parameters.

What’s the difference between urgent and standard change requests in the form?

Urgent change requests address time-sensitive issues requiring immediate action to prevent project failure or safety risks. They follow expedited approval processes with minimal documentation initially. Standard requests follow the complete evaluation process with no shortcuts. Both types should eventually have full documentation for project records.

Author
Ima Ocon
Ima is a writer and editor who specializes in technology, with experience crafting content for companies like Canva and FluentU. She's passionate about startups, remote work, and language learning, as well as the applications of AI in marketing. Currently, she is based in Asia, and she previously studied in Taiwan and Singapore.
This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.
Lumiform logo
Platform
HomeProductAll featuresPricingEnterpriseTrust and securityCustomer success offeringsDownload the appDemo videos
Solutions
IndustriesFood and hospitalityManufacturingConstructionRetailTransport and logisticsFacility management
Business needsHealth and safetyQualityOperational excellenceRisk management and compliance
Uses cases
Learn
Template collectionsTopic guidesLexiconHelp centerJournalInfographicsVideos
Resources
Lumiform templatesby industryby use caseby business needAll categories
Customer storiesDeveloper APIResource hubIntegrations
Company
AboutJobsLegalBook a demoContact sales
© 2025 LumiformTerms and conditionsPrivacyData processingSitemap
App StoreGoogle play