# 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.

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.

Canonical: https://reuily.com/templates/change-request-form
Use this template: https://reuily.com/form/from-template/change-request-form
Collections: Requests & Intake, SaaS, IT & Tech Support, Product, Operations
Last updated: 2026-10-24

## Questions

- Question 1: What's your name? (Short Text, required)
- Question 2: What's your work email? (Email, required)
- Question 3: Which project or system is this for? (Short Text, required)
- Question 4: What type of change is it? (Single Choice, required). Options: System or software change; Infrastructure or network; Project scope; Schedule; Budget; Process
- Question 5: Describe the change (Long Text, required)
- Question 6: Why is it needed? (Long Text, required)
- Question 7: What will it affect? (Multiple Choice, required). Options: Users or customers; Timeline; Budget; Security; Other systems; Nothing outside this project
- Question 8: What's the priority? (Single Choice, required). Options: Low; Medium; High; Emergency
- Question 9: When would you like to make the change? (Date, required)
- Question 10: What's the rollback plan if something goes wrong? (Long Text, optional)
- Question 11: Upload any plans or screenshots (File, optional)

## 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

## 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.