ICTC Change Management Form

Change Management Request Form

Information and Communications Technology Office, De La Salle Lipa
Submit Your Change Request

Use this form to submit a change request to the ICTC Change Management System.
Change Requestor*

First NameLast Name
Email*
example@example.com
Request Title*
Provide a brief and clear summary of your request.
Implementation Details*
Provide a detailed explanation of your request. Include relevant information such as the purpose, background, and any specific details or requirements.
Reason*
Explain why this request is necessary. Provide clear justification, outlining the key reasons and benefits. Consider including how the request aligns with current goals, addresses a problem, or fulfills a specific need
Systems and Services Affected*
List any systems, tools, or services that will be impacted by this request. Be as specific as possible—mention software, hardware, departments, or processes that may experience changes.
Proposed implementation*

MonthDayYear
Specify the suggested date and time for when the change will be implemented.HourMinutesAM/PM Option
Completion*

MonthDayYear
Date and time marking the end of the change request.HourMinutesAM/PM Option
Risk Assessment*
Identify and evaluate any potential risks associated with the proposed change.
Rollback Plan*
Describe the steps to reverse or undo the change if something goes wrong during implementation.
Change Initiator
Identify the person or team responsible for starting this change request.
Change Advisory Board
Specify the individuals or groups responsible for reviewing and approving the change request.
Technical Reviewers*

Agnes D. HernandezAlfredo Salumbides Jr.Angela RecioArnel AlbisEmmanuel MagpantayGail Jonas VelascoGil L. PanganibanJerome DimaculanganJerwin LasinJhun TorresLea AbarentosMarissa MalaluanMark Arthur MontoyaMelchor De Las AlasMichelle MagsombolNoel PascualPaulo Jeromme LescanoReden RamirezRonald AriolaRonie GonzalesRuben B FraneSherlie Magabo
Implementers*

Agnes D. HernandezAlfredo Salumbides Jr.Angela RecioArnel AlbisEmmanuel MagpantayGail Jonas VelascoGil L. PanganibanJerome DimaculanganJerwin LasinJhun TorresLea AbarentosMarissa MalaluanMark Arthur MontoyaMelchor De Las AlasMichelle MagsombolNoel PascualPaulo Jeromme LescanoReden RamirezRonald AriolaRonie GonzalesRuben B FraneSherlie Magabo
Testers*

Agnes D. HernandezAlfredo Salumbides Jr.Angela RecioArnel AlbisEmmanuel MagpantayGail Jonas VelascoGil L. PanganibanJerome DimaculanganJerwin LasinJhun TorresLea AbarentosMarissa MalaluanMark Arthur MontoyaMelchor De Las AlasMichelle MagsombolNoel PascualPaulo Jeromme LescanoReden RamirezRonald AriolaRonie GonzalesRuben B FraneSherlie Magabo
Test Plan

Browse Files
Outline the steps and procedures to verify that the change works as intended. The test plan should include specific test cases, expected outcomes, and criteria for success. Cancelof
Initial Approval Manager
Should be Empty:

Change Management Request Form

Submit Your Change Request