DLS Change Form
Instructions: Save the form on your computer; fill-in highlighted areas only; e-mail the form to pm.dls@us.army.mil
Change Type: ECP
Number:
Date:
Title: Enter a brief title to identify your change Pertains to: ALMS DTF DDTC EMC Other
Requestor Information Name:
Contractor/Gov't representative requesting change
Organization Name & Address: E-mail Address:
Enter your AKO email address
Telephone Number:
DSN or Commercial w/Area Code
Configuration Item (s):
Version:
List Configuration Item(s) Affected to Lowest Configuration Component C/CUnit: Nomenclature/Name/CC/CU Vendor I.D. Part No./Model No.
Priority: Routine
Severity: Change Description
Classification: Class I
Description of Change:
Need/Justification for Change:
System Impact:
Benefit/Savings of Implementing for this Change:
Documentation:
Reviews Required:
Risk:
Form #DLS-0001 2009-04-16 Version 6
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DLS Change Form (concluded)
Materials Required
Materials Cost:
Estimated Manpower hrs: Summary of Signatures
Manpower Cost $:
Approve
Approve w/change
Withdrawn
Disapproved
Rework
Signatures for Approval COL Robert C. Morris, Jr. TRADOC Capabilities Manager TADLP Signature: Approve Approve w/change Disapproved Date:
LTC Antonio Boston Product Manager, Distributed Learning System Signature: Approve Approve w/change Disapproved Date:
Verification Officer (COR) Assigned Verification Officer’s Signature: Verification Officer’s Recommendation: Approve Comments: Disapprove Date: Rework
Configuration Manager: Configuration Manager’s Signature: Date:
Form #DLS-0001 2009-04-16 Version 6
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