Project Scope Change Request

If a client requests any changes to be made outside of the original project scope agreed upon, this form is to be completed. Upon completion, the additional cost for the changes mentioned will be provided.

Today's Date:

Project Name:

Submitter's Name:

Submitter's Email Address:

Client Name:

Client Email Address:

Changes requested:

(please be detailed as possible)

Deadline Requested for Changes Mentioned Above:

(optional)

Any Additional Information:

(optional)

Project Scope Change Request

Title

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