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Example of Report Template


Company Name

Report Name

Recipient's Name

________________Report Name________________

1. Purpose of Report
Write the details and reason behind writing this report.


2. Origins
List the origins of the Report:

  • Current plan of action and actual results
  • Other resources
  • Management suggestions

3. Other Criteria
List any other criteria for your Report and details for a new plan.

  • Other Criteria
  • New plan details
  • New plan details

4. Options


Business Impact

Risk Assessment

Reports To









5. Consequences of Failing to Follow Report Suggestions
List any future consequences from not changing current plan.

6. Report Plan



Assigned To

Report To


7. Management/Project Manager's Suggestions
Explain Management's suggestions and reasons.

8. Lessons Learned
What was learned from this report and how it can be applied for future projects?



Reported/Suggested by











9. Additional Information
List any additional information, charts, tables, diagrams or other documents.

10. Omitted Sections

  • Omitted Section
  • Omitted Section

11. Distributed To



Job Title


12.  Approved by

Report prepared by:                                         _____        Date    ______                         

Report Approved by:                         _____                       Date    ______                         

Additional Signatures:                       _____                       Date    ______                         
                                                        ______                     Date     ______                        

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