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Change Request
USF Information Technologies Page 1 of 2 April 13, 2015
Project Change Request Template v3
Project Name
Change Number
Requested By
Date of Request
Presented To
Change Name
Description of Change:
Reason for Change:
Effect on Deliverables (including a list of any affected deliverables):
Effect on Organization:
Effect on Schedule (including Estimated Completion Date for this change):
Item Description
Hours
Dollars
Reduction
Increase
Reduction
Increase
Analysis
0
$ 0.00
Development (Code and Unit Test)
0
$ 0.00
Total Net Change in Cost:
$ 0.00
Effect of NOT Approving this Change:
Reason for Rejection (if applicable):
Functional Project Manager
Approved
Signature:
Change Request Template
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