ATTACHMENT 23- REQUEST FOR CHANGE FORM.pdf

ATTACHMENT 23: REQUEST FOR CHANGE FORM

Request for Change (RFC) Form

Cannabis Systems Integration (CSI) Project

REQUEST FOR CHANGE (RFC) FORM

Change Request Title:

Change Request Number:

SECTION 1: GENERAL INFORMATION

[To be completed by the Requestor]

Date Submitted:

Requestor Name:

Organization:

Email Address:

Phone Number:

General Impact Area (Choose Best One) ☐ Licensing ☐ Compliance ☐ Cashiering Technical ☐ Interface ☐ Other (explain):

Is this RFC being generated from a JIRA Issue# or ServiceNow Ticket#?

☐ JIRA Issue ☐ ServiceNow ISSUE/TICKET #:

Request Information Proposed Change: (Explain the change requested and include a succinct requirement statement for the change.)

Is this feature or functionality currently available in the Acella systems?

☐ Yes ☐ No

Current Problem: (Explain the current situation that has brought about the need for a change)

Expected Benefits/Justification: (Describe benefits in terms of amount of work saved, or costs or delays avoided.)

Impact if Request is denied:

Workarounds: (If the change is not implemented, is there any workarounds available?)

A workaround using legacy and manual systems is possible but would create workflow and staffing issues.

Alternative Solutions: (Different ways to implement the proposed change.)

Description Advantages Disadvantages 1 • •

2 •

Deputy Director Approval:

Signature

Date

Printed Name:

If attachments are included as part of Section 1, then indicate filename(s).

SECTION 2: PO VALIDATION

[To be completed by Project Management]

Product OwnerValidation:

Comments: (List assumed impacts if approved/denied, and recommendation to approve/deny; document impacted baselines below)

If denied:

Knowledge Transfer (KT) Required? ☐ YES ☐ NO Data Conversion Required? ☐ YES ☐ NO Divisions Impacted:

Product Owner Name (Please Print):

Signature: Date:

Technical Validation:

Comments: (List assumed impacts if approved/denied, and recommendation to approve/ deny; document impacted baselines below)

Signature:

Date:

State PM Review:

Baselines Impacted: (List approved baseline(s) by Release impacted by change.)

Project Requirements

Recommend for Impact Analysis? ☐ Yes ☐ No

Comments: (List comments in addition to above.)

Signature:

Date:

SECTION 3: ITGC REVIEW

[To be completed by the Change Control Manager/Project Director/ITCG Chair]

Impact Analysis Approval

Approved for Impact Analysis (IA)? ☐ Yes ☐ No If “yes” – IA due back to ITGC by:

Approval Assumptions: (List assumptions that, if true, constitute ITGC’s Approval of this

RFC.)

SECTION 4: RFC ACTION

[To be completed by the Change Control Manager/Project Director/ITGC Chair]

Approval Assumptions Met? ☐ Yes ☐ No ☐ N/A Issues or additional information requiring additional ITGC Action?

☐ Yes ☐ No

ITGC Action

Comments: (List additional approval/rejection details as appropriate. Please indicate selection of any alternative)

☐ Approve ☐ Reject Funding Source: ☐ Unanticipated Task; ☐ Zero Cost Action resulted from: ☐ Assumptions; ☐ ITGC Vote; ☐ PD Authority; ☐ Emergency

Approver Signature Date

Printed Name and Title

SECTION 5: RFC CLOSEOUT

[To be completed by the Change Control Manger/Project Director/Project Manager]

Have the impacted baselines been updated with the change and accepted? ☐ Yes ☐ No Comments:

CCM/PD/ PM Signature: Date:

Printed Name and Title:

Scheduler Verification (if needed)

Has Change been incorporated into Schedule? ☐ Yes ☐ No ☐ N/A

If Yes, which schedule?

Have appropriate milestones been shared with additional work plans? ☐ Yes ☐ No ☐ N/A

Scheduler Signature: Date:

Requestor Verification (if needed)

Requestor Signature: Date:

ATTACHMENT A: IMPACT ANALYSIS

[To be completed by the Contractor]

Impact Assessment Complete description of the work to be performed to implement the change:

Technical Impacts: (Architecture and Solution Software impacted by the change)

Schedule for the work to be performed, including any impacts to phase or release milestones:

Chargeable Hours Estimate: (Use Hours and Classifications from Contract Cost Worksheet) Hours Classification Rate per Hour Total Cost

Project Manager $

Scrum Master $ $ Business Analyst $ $ Configuration Lead $ $ Technical Lead $ $ Other $ $ Other $ $

Total Contractor Hours:

Final cost to implement change: $

Baselines impacted, needing revision, or new Deliverables to be produced:

Is an impact analysis alternative attached? ☐ Yes ☐ No If yes, how many? _ Impact Analysis Owner Approval:

Signature: Date: