Change Request and Record Form Template

by Nash V


A Change Request and Record Form Template in IT Governance is a standardized document or digital form used to initiate, document, and manage proposed changes within an organization's information technology infrastructure and systems. Change Requests are the lifeblood of any IT governance structure. They are the formal channel through which proposed alterations, enhancements, or fixes are evaluated, approved, and implemented within an organization's IT infrastructure. These requests act as a safeguard, ensuring that every change is thoroughly assessed for its potential impact on operations, security, and overall performance. Adaptability is key in the ever-evolving landscape of Information Technology (IT). As systems, applications, and technologies continually progress, organizations must have a robust framework to manage changes effectively. This is where Change Request and Record Forms play a pivotal role.

Change Request and Record Form Template

Purpose of Change Request and Record Form Template

The Change Request and Record Form Template serves several critical purposes within the realm of IT Governance

1. Formalizing Change Requests: It provides a structured framework for submitting and documenting proposed changes to an organization's IT infrastructure. This formality ensures that all changes are correctly recorded and evaluated.

2. Standardizing Information: The template enforces a consistent format for capturing essential details about the proposed change. This standardization streamlines the review process and ensures all necessary information is included.

3. Risk Assessment and Mitigation: It prompts stakeholders to assess potential risks associated with the proposed change. By identifying risks early on, organizations can implement strategies to mitigate them before the change is executed.

4. Enhancing Communication: The form facilitates clear communication by specifying who is responsible for the change, who needs to approve it, and how it will be implemented. This helps prevent misunderstandings and ensures everyone is on the same page.

6. Establishing Approval Workflows: The template outlines the approval process, including which stakeholders must review and authorize the change. This structured workflow helps prevent unauthorized or hasty changes that could lead to issues.

Step-By-Step Guide To Filling Out The Change Request And Record Form

Step 1: Identification Information

  • Title/Description: Provide a concise title or description of the change. This should convey the nature of the proposed alteration.
  • Requester Information: Fill in your name, department, and contact details. This indicates who is initiating the change request.
  • Change Request ID/Number: If applicable, assign a unique identification number to the change request for tracking and reference purposes.

Step 2: Description of Change

  • Detailed Explanation of Change: Clearly articulate what the proposed change involves. Be specific about what elements of the IT environment will be affected.
  • Justification for the Change: Explain the reasons behind the proposed change. Highlight any benefits or improvements it will bring to the organization.
  • Expected Impact: Describe the change's anticipated positive and negative effects. This could include improvements in efficiency, potential disruptions, or security enhancements.

Step 3: Risk Assessment and Mitigation

  • Potential Risks Associated with the Change: Identify any potential risks or challenges arising from implementing the change. These could be technical, operational, or compliance-related.
  • Risk Mitigation Strategies: Outline specific steps or measures that will be taken to mitigate identified risks. This demonstrates proactive planning to address potential issues.

Step 4: Change Approval Process

  • Stakeholders Involved: List all stakeholders who need to review and approve the change. This may include IT managers, department heads, compliance officers, etc.
  • Approval Workflow: Specify the sequence in which approvals will be obtained. Clarify whether sequential or parallel approvals are required.
  • Escalation Process: Describe the procedure for escalating the request if it encounters delays or issues during the approval process.

Step 5: Implementation Plan

  • Timeline and Milestones: Provide a detailed timeline for executing the change. Include critical milestones and deadlines.
  • Resources Required: List the resources (personnel, equipment, software, etc.) needed to implement the change successfully.
  • Rollback Plan: Outline the steps that will be taken in case the change needs to be reversed or rolled back. This is a crucial contingency plan.

Step 6: Testing and Validation

  • Pre-Implementation Testing: Detail the tests conducted before implementing the change to ensure it will function as intended.
  • Post-Implementation Validation: Describe the validation process after implementing the change to confirm that it meets the desired objectives.

Step 7: Documentation and Reporting

  • Change Documentation: Explain how the change and its implementation will be documented. This may include updates to system documentation, configuration files, or user guides.
  • Reporting and Communication Plan: Specify how progress updates and final results will be communicated to stakeholders.

Step 8: Review and Submission

  • Review the Form: Review the completed form to ensure that all relevant information has been provided accurately and comprehensively.
  • Submit the Form: If applicable, follow the designated process for submitting the completed Change Request and Record Form for review and approval.
Change Request and Record Form Template

Best Practices for Utilizing Change Request and Record Forms

Standardized Templates and Formats

  • Ensure the Change Request and Record Forms follow a standardized template, including all necessary fields.
  • Include sections for detailed information about the change, its impact assessment, approval workflow, and implementation plan.

Clear and Concise Documentation

  • Encourage stakeholders to provide clear, concise, and complete information in the forms.
  • Use specific and unambiguous language to describe the proposed change, its purpose, and expected outcomes.

Define Clear Roles and Responsibilities

  • Clearly outline the roles and responsibilities of each stakeholder involved in the change management process.
  • Specify who is responsible for initiating the change request, reviewing it, approving it, and implementing it.

Establish Approval Workflow

  • Define a structured approval workflow that outlines the authorisation levels required for different changes.
  • Specify the criteria that must be met at each approval level.

Risk Assessment and Mitigation

  • Conduct a thorough risk assessment to identify potential positive and negative impacts of the proposed change.
  • Develop a plan to mitigate identified risks and document this in the form.

Resource Allocation and Management

  • Specify the resources required for the change, including personnel, budget, equipment, and time.
  • Ensure that resources are allocated efficiently and that there is a contingency plan in case of unexpected resource constraints.

Testing and Validation Procedures

  • Include a section outlining the testing and validation procedures before implementing the change.
  • Specify criteria for successful testing and validation.

Documentation of Decision-Making Process

  • Document all discussions, decisions, and actions during the change management process.
  • This provides a historical record and helps in accountability and transparency.


By adopting the Change Request and Record Form Template, organizations empower themselves to navigate the change challenges with precision and foresight. It's a tool that streamlines the change request process and instils a culture of accountability and transparency within IT teams. Moreover, this template serves as a historical record, a repository of past changes and the wisdom gained from them. It’s a roadmap to continuous improvement, allowing organizations to learn from their experiences and fine-tune their approach to change management.