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Rev11, 2014-10-13
REQUEST FOR CHANGE (ALL LEVELS)
Date
RFC #
Worksheet Completed by:
What is this change and why is this
change being performed?
List all affected systems and services
What kind of change is this?
Does this change have security implications?
http://www.calstate.edu/icsuam/sections/8000/8065_FINAL_DRAFT
_Data_Classification_CW_V4.pdf
Notifications Required? Answer yes or no. If yes, how
will users be notified?
How will users be notified?
If other, please specify.
Planned or Suggested Date and time. Please indicate
when you plan to make the change including the start
and end time of the implementation.
Date:
Start:
End:
Time required for implementation (i.e. down time)
ADDITIONAL INFORMATION FOR RISK LEVELS 4 & 5 ONLY
Client/Requestor
T&C Change Initiator
T&C Manager
T&C Change Team
T&C Quality Assurance Team
Has this Change been tested on a test
system?
If you answered “yes” above, please provide
details or a test plan. In you answered “no”
above, provide written justification for the lack
of testing.
Reset
Print
Save
Help
Normal
Yes
No
Email Campus Global
Yes
No
Yes
No
Page 2 of 2
Rev11, 2014-10-13
How can this change be reversed? If the change
cannot be reversed, provide a reason for a lack of
reversibility.
How will you know if the change is successfully
implemented?
At what point will a go/no-go decision be made to revert this
change?
How much time will verification take for this change? How
much time will it take to revert the change (if necessary)?
Verification:
Revert:
RISK ASSESSMENT
Elements of Complexity
Low (1 pt)
Medium (2 pts)
High (3 pts)
Very High (4 pts)
Rating (1-4 pts)
# of Business Processes Affected
1
2-3
4-5
6 or more
# of IT Systems affected
1
2-3
4-5
6 or more
# of IT workgroups/teams involved (including
vendors or contractors)
1
2
3
4 or more
Criticality
Serves 1 dept.,
optional to others
Serves multiple
organizations
Campus wide need
Regulatory
requirement
Number of Internal Users
1-4
5-10
11+, up to 10% of
campus users
More than 10% of
campus users
Number of External Users (Outward facing
applications and services)
1-4
5-10
11+, up to 10% of
campus users
More than 10% of
campus users
Systems Availability
Best Effort
University
business hrs.
24 hrs/day, 7 days
per week
24 hrs/day, 7 days per
week, 4 hr. response
Experience Level of Technical Staff
Implementing Change
In-house expertise;
already in
widespread use
Familiar; already
in limited use
New to campus;
requires significant
changes
New to campus;
requires new business
process altogether
COMPLEXITY RATING
IMPACT DESCRIPTION
Low impact on
workgroup
Low impact on
department, medium
impact on workgroup
Low impact on multiple
depts., medium impact on
department, high impact
on workgroup
Low impact on CSUCI or
beyond, medium impact on
multiple departments, high
impact on a department
Medium/High impact on
CSUCI or beyond, high
impact on multiple
depts.
Rating (1-5 pts)
1
2
3
4
5
IMPACT RATING
RISK LEVEL
APPROVALS
Required for Project Risk Level
Role of Approver
Submitted on:
Approval Received:
All Changes
1. Change Manager
Risk Levels 1-3
2. Change Manager Only
Risk Levels 4+ above; Or RFC with high security
implications
3. ISO
Risk Levels 4+ above; Or any pre-approved change
request
4. Change Control Board
ROUTING:
Email T&C Administrator for approval.
Email Change Control Coordinator to schedule change, post to change calendar and notify CCB.
If change impacts Level 1 or Level 2 data, send copy to ISO.
Send copy to User Services Manager for campus global.
Email office coordinator to post service alerts to myCI.
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Completed 20 July 2020

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