IT Change Request Form Template
Manage IT changes safely with a structured request form that captures implementation plans, risk assessment, and rollback procedures.
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What is a Change Request Form?
An IT change request form documents proposed changes to production systems, infrastructure, or applications. It ensures changes are planned, reviewed, and approved before implementation.
Change management prevents outages and incidents caused by unplanned modifications. The form captures affected systems, risk level, implementation plan, and rollback procedures.
ITIL-aligned change management distinguishes standard (pre-approved), normal (requires approval), and emergency (expedited) changes with appropriate review processes.
Key Features
Change Classification
Standard, normal, emergency for appropriate process
Risk Assessment
Evaluate potential impact and likelihood of issues
Implementation Plan
Step-by-step procedure for the change
Rollback Plan
How to reverse if something goes wrong
Testing Evidence
What testing was performed before change
Business Impact
Effect on users and operations during change
Why Use This Template?
Reduced Incidents
Planned, tested changes fail less often
Faster Recovery
Documented rollback enables quick restoration
Audit Trail
Complete record of what changed, when, and why
Risk Visibility
Stakeholders understand change impacts
What's Included in This Template
Change Title
textBrief description for tracking and communication
Change Description
textareaDetailed explanation of what will change
Affected Systems
textareaList systems impacted by the change
Change Type
selectStandard, normal, or emergency classification
Risk Level
radioLow, medium, high impact assessment
Implementation Plan
textareaStep-by-step procedure to execute change
Rollback Plan
textareaHow to reverse if issues occur
Proposed Date
dateWhen will change be implemented
Perfect For
Infrastructure Changes
Server, network, and hardware modifications
Application Deployments
Software releases and updates
Configuration Changes
System settings and policy updates
Maintenance Windows
Planned maintenance activities
Frequently Asked Questions
What is a standard change?
Pre-approved, low-risk changes that follow established procedures. Examples: password resets, adding users, routine patches. No individual approval needed.
When should I use emergency change?
Only for critical issues requiring immediate action: production outage, security breach response. Emergency changes bypass normal approval but require post-implementation review.
Who approves change requests?
Change Advisory Board (CAB) for significant changes. Technical lead for standard changes. Multiple approvers for high-risk changes. Define approval matrix by risk level.
How far in advance should changes be submitted?
Standard: same day. Normal: 3-5 business days. High-risk: 1-2 weeks. Allow time for review, testing validation, and stakeholder notification.
What if a change fails?
Execute rollback plan immediately. Document what happened. Submit incident report. Conduct root cause analysis. Reschedule with improved plan if needed.
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