Use this form to request a change for a project or initiative that has been approved for Mutual Benefits funding.

PROJECT DETAILS
INITIATIVE NAME	MB PROJECT ID	MBXXXX
EML GROUP PROJECT MANAGER	EML GROUP PROJECT SPONSOR

CHANGE REQUEST
Description of change requested
Reason for the change
Change Classification	☐ Low (e.g. no impact on total cost, delivery will remain in same financial year, no impact on external dependencies) ☐ Moderate (e.g. impacts cost by <$50k, has some negative impact on ROI/benefits, shifts delivery into following financial year, has some impact on external dependencies) ☐ Major (e.g. impacts cost by >$50k, has major negative impact on ROI/Benefits, moderate + impact on external dependencies).
Impacts of the Change	☐ Project Scope: ☐ Timeline: ☐ Budget: ☐ Benefits / ROI: ☐ Other:

APPROVALS	NAME & SIGNATURE	DATE
General Manager, Mutual Benefits
Project Sponsor / BU General Manager
EMMD ☐ Moderate – inform ☐ Major – seek approval ☐ Inform board where total >$500k