Project Change Request Template – Free PDF

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Project change request template

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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

Managing project changes without proper documentation often leads to scope creep and budget overruns. This project change request template provides a formal mechanism to evaluate proposed modifications before they disrupt your project. With dedicated sections for impact assessment across scope, schedule, budget, and resources, you can make data-driven decisions about which changes to approve.

Gartner research shows less than a third of change initiatives are a “clear success.” When clients request timeline extensions or feature additions, this template prompts you to analyze consequences, communicate impacts to stakeholders, and maintain accountability through a documented approval process.

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Created by

Ima Ocon

Preview of the template

Page 1

Change Details

Change Title

Change Description

Reason for Change

Proposed Change

Impacted Areas

Impacted Project Objective(s)

Impacted Schedule/Timeline

Impacted Resources (Budget, Personnel, etc.)

Impacted Project Deliverables

Change Assessment

Impact on Project Scope

Impact on Project Schedule

Impact on Project Budget

Risks of Implementing Change

Benefits of Implementing Change

Change Approval

Recommended Course of Action

Change Approved

Approver Name

Approver Signature

Approval Date

Frequently asked questions

How do I determine if a change is significant enough to warrant a formal change request? A

A change warrants formal documentation when it affects project scope, schedule, budget, resources, or deliverables. Even seemingly minor changes can have cascading effects. Use this template for any change that requires stakeholder approval or impacts baseline plans. When in doubt, document the change—this creates accountability and transparency.

How can I effectively assess the impact on project scope using this template?

Begin by identifying which deliverables or requirements will be added, modified, or removed. Compare these changes against your baseline scope statement and WBS. Quantify the impact where possible (e.g., “adds 3 new features” or “eliminates 2 requirements”). Consider downstream effects on other project areas and document whether the change alters fundamental project objectives.

When should I submit a change request using this template during the project lifecycle?

Submit change requests as soon as you identify a potential deviation from the baseline plan. Early submission allows for proper impact assessment before the change becomes urgent. Avoid waiting until the last minute, as rushed changes often lack thorough analysis. The template works throughout the project lifecycle, though changes typically become more disruptive and costly in later phases.

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.