Change Request Form Template
A free change request form for IT and project teams. Log each proposed change with the reason, impact, priority and rollback plan before it is approved.
Customize the pages and design to fit your needs.
About this template
Use one change request form for changes to systems, software or project scope. Collect what will change, why, what it affects, the priority, the planned date and how to roll back, so the approver can decide quickly.
Common uses
- IT change management
- Software and product teams
- Project managers handling scope changes
Key features
- Impact and priority
- Rollback plan
- File uploads for plans
What this template asks
What's your name?
Short Text
What's your work email?
Email
Which project or system is this for?
Short Text
What type of change is it?
Single Choice · System or software change, Infrastructure or network, Project scope, Schedule, Budget, Process
Describe the change
Long Text
Why is it needed?
Long Text
What will it affect?
Multiple Choice · Users or customers, Timeline, Budget, Security, Other systems, Nothing outside this project
What's the priority?
Single Choice · Low, Medium, High, Emergency
When would you like to make the change?
Date
What's the rollback plan if something goes wrong?
Long Text · Optional
Upload any plans or screenshots
File · Optional
How to use this template
Copy it
Select Use template and a copy opens in your workspace as an unpublished draft.
Make it yours
Edit any question or answer, choose a theme, and add your logo.
Share it
Publish, then send the link, show a QR code, or embed the form on your site. Responses arrive in Submissions.
Frequently asked questions
What should a change request form include?
What will change, why it's needed, what it affects, the priority, the planned date and how to roll back if something goes wrong.
Is this the same as a construction change order?
No. This form is for changes to systems, software and project scope. For changes to a building job, use the change order form template.
How do approvers review requests?
Each request is a response with the impact and priority up front. Send them to Google Sheets or a webhook so your change board can review them together.