Emergency IT Change Request Form
About this free form template

When critical IT incidents threaten your business operations, you need a fast, structured way to document emergency changes and secure rapid approvals. This Emergency IT Change Request Form is designed specifically for IT teams managing high-priority incidents that require immediate infrastructure, security, or system modifications outside the standard change window.

Why IT Teams Need an Emergency Change Request Form

Standard change management processes are essential for maintaining stability, but true emergencies—security breaches, service outages, data loss events—demand a faster response. This template gives your IT team a structured framework to:

  • Document critical incidents with proper context and business impact assessment
  • Secure expedited approvals from CAB members and stakeholders without endless email chains
  • Track implementation details including rollback plans and risk mitigation steps
  • Capture post-implementation reviews to ensure changes achieved their objectives and identify lessons learned

Built for IT managers, change managers, system administrators, and operations teams working in fast-paced environments where downtime costs money and reputational damage.

How This Emergency Change Request Template Works

This form guides your team through a complete emergency change lifecycle:

Initial Request & Classification: Capture the requester's details, incident description, and change classification. Conditional logic reveals relevant fields based on change type (infrastructure, security, application, network, or database).

Business Impact Assessment: Document affected systems, services, and user groups. Estimate downtime, financial impact, and priority level to help approvers make informed decisions.

Technical Details & Implementation Plan: Outline the proposed changes, implementation steps, required resources, and estimated timeline. Include rollback procedures and risk mitigation strategies to minimize additional disruption.

Expedited Approval Workflow: Collect approvals from the Change Advisory Board (CAB) representative, technical lead, and business stakeholder. Each approval is timestamped and tracked within the submission.

Post-Implementation Review: After deployment, capture actual implementation results, any issues encountered, effectiveness rating, and lessons learned for continuous improvement.

Perfect for IT Operations and Change Management Teams

Whether you're managing a small IT department or coordinating changes across enterprise infrastructure, this template adapts to your needs. It's ideal for:

  • IT service management teams following ITIL or similar frameworks who need emergency change procedures alongside standard change processes
  • MSPs and IT consultancies managing client infrastructure who need documented approval trails for critical changes
  • DevOps and SRE teams responding to production incidents that require immediate remediation
  • Healthcare IT, finance IT, and regulated industries where change documentation and approval trails are compliance requirements
  • System administrators and network engineers who need to justify and track emergency maintenance windows

Automate Your Change Management Workflow with Stepper

Once submitted, this form can trigger intelligent automation using Stepper—Paperform's AI-native workflow builder. You can:

  • Automatically notify CAB members via Slack, Teams, or email when a new emergency change is submitted
  • Route approvals to the right stakeholders based on change type and business impact
  • Create change tickets in your ITSM platform (ServiceNow, Jira Service Management, Freshservice)
  • Update your CMDB and documentation systems with implementation details
  • Schedule post-implementation review reminders and compile lessons learned reports
  • Log all changes in your compliance tracking system for audit purposes

This eliminates manual handoffs and ensures emergency changes move through your approval process at the speed your business demands.

Built for Speed, Security, and Compliance

Paperform is SOC 2 Type II compliant and trusted by IT teams worldwide to handle sensitive operational data. With role-based permissions, you can control who can submit emergency changes versus who can approve them. Data residency controls ensure your change records stay where they need to for compliance.

The form calculates risk scores based on your input, uses conditional logic to show only relevant questions, and provides a professional, branded experience that works seamlessly on desktop and mobile—because emergencies don't wait for you to get back to your desk.

Get Started in Minutes

This template is ready to use out of the box, but you can customize every element to match your organization's change management process, terminology, and approval hierarchies. Add your company branding, adjust fields to align with your ITIL processes, and integrate with the tools your team already uses.

Start managing emergency IT changes with confidence, clarity, and complete audit trails—no code required.

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deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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