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This document allows active Kaiser Permanente Choice Solution members to update their personal information, add or cancel dependents, or voluntarily cancel coverage.
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How to fill out change request form

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How to fill out Change Request Form

01
Gather necessary information about the change.
02
Obtain the Change Request Form from the designated source.
03
Fill out the requestor's information including name, department, and contact details.
04
Clearly describe the change being requested.
05
Explain the reason for the change.
06
Indicate the urgency and impact of the change.
07
Specify any necessary resources or budget adjustments required.
08
Submit the completed form to the appropriate manager or change control board.

Who needs Change Request Form?

01
Project managers
02
Team leaders
03
Quality assurance teams
04
Stakeholders involved in change management
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A team member planned to complete a task on Day 12 of a project. On Day 10, they realize that the previous task will take much longer than planned. They submit a change request to ask if it's possible to reschedule the upcoming task from Day 12 to Day 20.
Contents Identify the need for a change request. Determine the scope and desired outcome of the change request. Identify stakeholders who will be impacted by the change request. Gather data and information relevant to the change request. Write a clear, concise, and comprehensive change request.
This means it can include information like the requestor's name, a description of the requested change, why the change is necessary, and the date of the request. A change request form may also contain a description of how the change could affect the project, such as its cost, duration, quality, risk, and scope.
This change request template is the first step towards collecting the data that will determine how you deal with change, so it doesn't create issues or problems in your workflow. A change request form is one of the building blocks that make up the structure of the larger change management process.
Definition: The Request for Change (RFC) is formal request for the implementation of a Change. The RFC is a precursor to the 'Change Record' and contains all information required to approve a Change. Further information is added as the Change progresses through its lifecycle.
Writing effective Change Requests The project name; The request number; The requestor; Description of the change; The reason for the change; The impact of the change; The proposed action to be taken; The business priority of the change;
For the best chance of success, any change request should clearly describe the proposed change (what are we doing?), its rationale (why do we need to do it?), and potential benefits (what good will it do?). You're not going to get this last one from client-created change requests.

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A Change Request Form is a document used to propose changes to a project or process. It outlines the suggested modifications to be evaluated and approved.
Anyone involved in a project, including project managers, team members, or stakeholders, may file a Change Request Form when they identify the need for changes.
To fill out a Change Request Form, provide details such as the reason for the change, descriptions of the current and proposed states, the impact of the change, and any additional relevant information.
The purpose of a Change Request Form is to formally document and manage proposed changes, ensuring that they are carefully evaluated and approved before implementation.
The information that must be reported includes the requester's name, date of the request, a description of the change, the justification for the change, affected areas, and potential impacts on the project.
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