Sample Change Request Form Project Management

PROJECT CHANGE REQUEST (PCR) FORM

1. DOCUMENT CONTROL

• Document Title: Formal Project Change Request (PCR) / Contract Amendment
• Effective Date: [DD/MM/YYYY]
• Version: [1.0]
• Jurisdiction/Governing Law: [State/Province/Country]
• Scope: This document constitutes a formal addendum to the Master Services Agreement (MSA) dated [Original Agreement Date].

2. LEGAL NOTICE & COMPLIANCE DISCLAIMER

CONFIDENTIALITY NOTICE: This document contains proprietary information and constitutes a legally binding modification to the existing contractual engagement. All requested changes are subject to review for legal, financial, and operational viability. Failure to execute this form prior to the commencement of modified work constitutes a breach of the original Statement of Work (SOW). This document is not a substitute for formal legal counsel.

3. PARTIES & IDENTIFICATION

• Project Name: [Project Title]
• Client Entity: [Client Full Legal Name] ("Client")
• Service Provider: [Provider Full Legal Name] ("Provider")
• PCR Reference ID: [Unique Tracking Number]

4. OPERATIVE CLAUSES & TERMS

1. Scope of Change: The parties agree to modify the project deliverables as follows: [Detailed description of addition, deletion, or modification of scope].
2. Impact Analysis: The requested change necessitates the following adjustments:
   • Schedule Adjustment: [New Completion Date] (or N/A).
   • Budgetary Impact: [Currency and Amount] (Increase/Decrease).
   • Resource Reallocation: [Specific personnel or hardware shifts].
3. Performance Obligations: All original contractual terms, including indemnity, limitation of liability, and intellectual property provisions, remain in full force and effect except as explicitly amended herein.
4. Acceptance: By signing this PCR, the Client warrants that the requested changes are authorized and that funding has been secured for any associated costs.
5. Conflict: In the event of a conflict between this PCR and the original SOW, the terms of this PCR shall prevail solely regarding the scope defined in Clause 1.

5. SIGNATURES & ACKNOWLEDGMENT

For Client: Name: [Printed Name] Title: [Title] Date: [Date] Signature: __________________________

For Provider: Name: [Printed Name] Title: [Title] Date: [Date] Signature: __________________________

6. STEP-BY-STEP EXECUTION GUIDE

• Step 1: Impact Validation: Before internal signing, the Project Manager must conduct an "Impact Analysis" to ensure technical feasibility and confirm that requested changes do not violate the baseline security or compliance standards of the original SOW.
• Step 2: Financial Reconciliation: Attach an updated "Project Budget Spreadsheet" as an addendum to this document if the "Budgetary Impact" in Clause 2 reflects a change in project costs.
• Step 3: Formal Execution: This document must be signed by individuals with verified signatory authority (e.g., C-level executives, Project Owners, or authorized procurement officers) to be enforceable.
• Step 4: Version Control: Upon execution, file the original document in the master contract repository and update the Project Management Office (PMO) register to reflect the revised project baseline.