Free Change Request Form Template

Change Request Form

Use this form to describe a change you'd like me to make. I will assess risk, downtime and cost, then send a written plan and any quote.

1. Your name (required)
2. Email address (required)
3. Phone number

Managed IT support

Use this to request a change to your managed IT support. I will review impact and next steps.

1. Brief title for this change (required)
2. Which systems or users are affected?
3. If I approve this change, will anyone lose access or email? (required)
   • No
   • Yes, some users will lose access
   • Yes, email accounts will be changed
   • Not sure
4. Estimated downtime and after-hours preference (required)
5. Maximum additional cost if the change takes longer (USD)
6. If something breaks, should I roll the change back if possible? (required)
   • Yes, roll back immediately
   • Yes, but ask first
   • No, do not roll back