IMPACT ANALYSIS Change Request ID: XYZ

1. Affected Areas

1.1. Departments

1.2. Strategy

1.3. Processes

2. Impact

2.1. Positive

2.2. Negative

3. Decision

3.1. Approved

3.2. Rejected

3.3. Deferred

4. Action Items

4.1. Task #1

4.2. Task #2

4.3. Task #3