Scribd
Upload
34 views2 pages

Request For Change No: RFC-domain-XXX Initiation

This document is a change request form template used to request and manage IT changes. It collects information about the proposed change such as the requestor, priority level, impacted systems, reason for change, implementation plan, test plan, and reversal plan. The form is submitted to a change manager for review and approval before the scheduled change date.

Uploaded by

Aathi Hari
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
34 views2 pages

Request For Change No: RFC-domain-XXX Initiation

This document is a change request form template used to request and manage IT changes. It collects information about the proposed change such as the requestor, priority level, impacted systems, reason for change, implementation plan, test plan, and reversal plan. The form is submitted to a change manager for review and approval before the scheduled change date.

Uploaded by

Aathi Hari
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
You are on page 1/ 2

Request For Change No : RFC-domain-XXX

Related Ticket No :
Initiation (to be filled-in by Change Technician)
Originator Name/PID/Tel.
Date o Request
Re!ie"ed #$ %&u'er!isor(
Date re!ie"ed
Pro'osed Date and
Time or change
Date :
Start : End :
(To be filled in by Change Manager)
Priorit$
Categor$
)''ro!ed Date and Time or change :
Date :
Start : End :
In case of an emergenc$ change !lease also !hone the Change "anager #
&$stem%s( / Data#ase%s( )ected Related *usiness )''lication%s(
Technician grou's required
(highlight in blue and bold)
+ocation
Syso!s $ Telecom $ %"& $ CC $ local IS (indicate location)
&ther (e'g' e(ternal s)!!lier) (indicate) : Database team
Reason or Change (bac*gro)nd !roblem to be sol+ed maintenance b)siness benefit etc' ,gi+e details-)

Descri'tion o 'ro'osed Change (.or* to be done com!onents to be changed etc')
Inormation or 'riorit$ setting Pro'osed 'riorit$
Im!act of c)rrent !roblem :
(im!act descri!tion
/b and ty!e of )sers im!acted
etc')
%0 1 Emergency
%2 1 3igh
%4 1 "edi)m
%5 1 6o.
(
3
i
g
h
l
i
g
h
t
)
Ris* if change not done or
delayed :
&ther comment :
Inormation or categor$ setting Pro'osed categor$
Im!act of change to ser+ice :
C2 1 "a7or
C4 1 Significant
C5 1 "inor
C8 1 Information
(
3
i
g
h
l
i
g
h
t
)
Do.ntime for )sers :
Ris* of change itself
(com!le(ity ris* and im!act of
fail)re etc')
Estimated effort ("an-3o)r) :
When form is filled at least until there, send to Managers Mail ID
Change Request Form Template - 2.1
!'2 of 4
Change Plan (to be filled-in by Change Technician)
Test Plan
!tion item Responsibility Target "ate
Im'lementation 'lan
!tion item Responsibility Target "ate
Change Re!ersal Plan
!tion item Responsibility Target "ate
,eriication Task Im'lemented #$ ,eriied #$ (after im!lementation)
Documents / Names o Data#ases to #e u'dated -odiied #$ (after im!lementation)
When form is filled until there, submit to Managers ID
Change Request Form Template - 2.1
!'4 of 4

You might also like