Capex Minor Works Request Form

Lets staff request budget approval for small works, upgrades, or equipment purchases at a venue or site.

Use this template

Capex / Minor Works Request Form

Venue Name

Date Submitted

Requested By

Total CAPEX Budget Requested?

Details of the CAPEX Request

Quick Summary of Request

Impact to Customer

This request impacts the customer

Please describe the reasons why you ticked the boxes above

Impact to Employee

This request impacts the employee

Please add any comments related to the above points

The key drivers/reasons for my request are as follows

Cost saving Safety Compliance Customer experience

Please add any comments related to the above points

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What benefits do we expect to see? Summarize all of the above into expected benefits

Cost Breakdown

What is the breakdown of costs for this request? Include any additional costs such as downtime, wages, other

Please explain the return on investment: how and when will we see the expected return on this capex spend?

File Upload

Max 10 MB per file

Preferred Start Date

Proposed End Date / Duration

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Closing Note

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