IT Change Request


Pipefy’s IT Change Request Template is designed for IT areas that want to manage their change requests. With this template, you are able to see the whole process from the change request, its details, approval, and procedure report.

Use template now

Template structure

See how this template is structured. As this is just an example, you can customize it.

Start Form

  1. Requester
  2. Email
  3. Department
  4. Subject
  5. Priority
  6. Impact
    • Low
    • Medium
    • High
  7. Risk
    • Low
    • Medium
    • High
    • Very High
  8. Change category
    • Schedule
    • Cost
    • Scope
    • Requirement/Deliverables
    • Testing/Quality
    • Resources
  9. Does this change affect:
    • Corrective action
    • Preventative action
    • Defect repair
    • Updates
  10. Description
  11. Planned start date
  12. Planned end date


  1. Assignee
  2. Notes

Change Description

  1. Describe the change.
  2. Describe the reason for the change.
  3. Impact of the change
  4. Proposed action
  5. Technical changes required
  6. Risks to be considered
  7. Resources needed to implement the change


  1. Approvers
  2. Do you approve this request?
    • Yes (move card to “Report”)
    • No (move card to “Request denied”
  3. Justify the decision.


  1. Hours spent on activity
  2. Describe the procedure to proceed with the change.
  3. Resources used
  4. Process level of difficulty
    1. Low
    2. Medium
    3. High

Approved requests

Denied requests

Welcome Aboard

Trusted by 60k users, this could be the beginning of something great.

Read More
Request a demo