SW Ticket #: F00xxxxx IMPACT TO SYSTEM Estimated Time to Complete: Date/Release to be completed: Cost (if applicable): Schedule Impact: 1. Affected (List all system impacts, areas in applications that will be affected, etc.) 2. High Level Tasks: Group/Individual Task Description APPROVALS Product/Project Manager: Customer: Name: Name: Title: Title: Email: Email: Phone: Phone: Signature: Signature: History Log: Venue for Note Taker/ Date Comments Notes Attendees Note Taker: Attendees: Note Taker: Attendees: CHANGE REQUEST STATUS Approval Status: Priority: Resolution: Comments:
SW Ticket #: F00xxxxx IMPACT TO SYSTEM Estimated Time to Complete: Date/Release to be completed: Cost (if applicable): Schedule Impact: 1. Affected (List all system impacts, areas in applications that will be affected, etc.) 2. High Level Tasks: Group/Individual Task Description APPROVALS Product/Project Manager: Name: Title: Email: Phone: Signature: Customer: Name: Title: Email: Phone: Signature: History Log: Date Venue for Notes Comments Note Taker/ Attendees Note Taker: Attendees: Note Taker: Attendees: CHANGE REQUEST STATUS Approval Status: Priority: Resolution: Comments:
2016_08_04_EPS_ER_Form.docx