Lion of Africa Change Request Form

Change DetailsTitle Of Request Sectional Title Product – Update Changes v2

Redmine Number Enter Redmine Number

Business Owner Underwriting

Date of Request 1 July 2013

Detailed description of change including reasons:

Enter description of the change and reasons for change

Risk AssessmentRisk Impact H/M/L Probability H/M/L1. Enter Risk that change may pose2. Enter Risk that change may pose3. Enter Risk that change may poseAction Plan to mitigate risks:Enter plan of action to be taken to mitigate the risks identified

Impact AnalysisReports Impacted File Location1. Enter name of report and fields impacted by change Enter location of change request for

report2. Enter name of report and fields impacted by change Enter location of change request for

report3. Enter name of report and fields impacted by change Enter location of change request for

reportOther Departments Impacted:

Claims If impacted check box and explain how it is impactedCredit Control If impacted check box and explain how it is impactedFinance If impacted check box and explain how it is impactedInsurance services If impacted check box and explain how it is impactedMarine If impacted check box and explain how it is impactedProcurement If impacted check box and explain how it is impactedQuality Assurance If impacted check box and explain how it is impactedUnderwriting If impacted check box and explain how it is impactedSales If impacted check box and explain how it is impacted

Other Impacts:Enter and explain other areas impacted

Sign Off :Name Role Signature Date

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