Your Studio Name:
Date:
Project Manager:
Contact Info:
CH ANGE AUTHO R IZ ATI ON F OR M
Project Name:
Project #:
Client:
Requested by:
Request Date:
Contact Info:
Type of Change
q
q
q
q
Scope
Schedule
Budget
Quality
Description of Change:
Reason for Change:
Cost:
Time:
Priority
q
q
q
q
High
Medium
Low
Approval:
Recommendation:
Cost Estimate:
Original Project Estimate:
New Estimate:
Schedule Impact:
Original Scheduled Completion:
New Scheduled Completion:
I have reviewed the information contained in this Project Change Request Form and agree:
Approved By:
(Your Name Here):
Date:
Customer:
Date:
The signatures above indicate an understanding of the purpose and content of this document by those signing it. By signing this document,
they agree to this as the formal Project Change Request Form.