| Data | Comment | 
 
| Change request number | The unique identifiers of one or more change requests relevant to this change proposal | 
 
| Proposal author | Provide author name, signature, organisation and contact numbers (e.g. phone, facsimile, e-mail) | 
 
| CIs impacted | Identify all configuration items (CIs) that will require change (including documentation and code). Provide part numbers and other identifiers. | 
 
| Impact assessment | For each CI summarise the extent of change and classify as: [major | moderate | minor] | 
 
| Proposed change actions | Actions should include re-validation of components including documentation and code | 
 
| Change rationales | Provide reasons for change | 
 
| Effort estimates | Estimate the cost of the changes | 
 
| Priority assessment | Define the level of priority in the context of other change works in terms of: [high | medium | low] | 
 
| Proposed start date | Self explanatory | 
 
| Proposed completion date | Self explanatory | 
 
| Impact on other development | Describe impacts on other development activities. Identify individuals or teams that should be notified | 
 
 | Process improvement requirement | If the change is associated with a latent defect in a software development product or process and is preventable, identify the product or process and propose corrective action to prevent the problem from re-occurring |