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RFC – Customer Approval

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RFC – Customer Approval

Request for Change - Customer Approval

Step 1 of 6

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Request for Change
JIM2 Reference*
Enter the assigned 8 to 12 digit number.
Customer / Site
Request Date
DD slash MM slash YYYY
Requested By
Priority
Target Devices
Change Number
(If going to CAB)
Change Type
(based on change Classification found on the last page)
Client Contact / Champion
Name
Email
Phone
RBC Contact / Champion
Name
Email

Change Request Summary
Responsible Team
Assigned To
Prepared By

Change Description
Customer Request
Reason for Change
Suggested Resource Requirements
External Documentation or Guides:
Outage or Hazard Window
Direct Client Impact Assessment
Change Should Be Completed
Proposed Completion Date
DD slash MM slash YYYY
Proposed Completion Time (Start)
: Hours
Minutes
AM/PM
Proposed Completion Time (End)
: Hours
Minutes
AM/PM
Change Execution
Execution List
Task Approx. Time Responsibility

Post Change
Pre Change Check
Test Plan
Next Day Checks
Roll-Back Plan
Communication Plan

Change Approval (Company)
Approval By
Hidden
CAB Approval Required?
Hidden
CAB Approved
Hidden
Comments
Billing
Quote

Customer Approval
Customer Name*
Customer Signature*

E-mail Address
Comments
Approved to be Completed
Approved Completion Date
DD slash MM slash YYYY
Approved Completion Time (Start)
: Hours
Minutes
AM/PM

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