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<tbody>
<tr class="odd">
<td colspan="34"><strong>APPEAL REQUEST - COVER SHEET</strong></td>
</tr>
<tr class="even">
<td colspan="34">Address questions to NWS Change Management at (301)
713-1373. Submit appeal requests to the NWSRC mailbox (External:
NWSRC@noaa.gov).</td>
</tr>
<tr class="odd">
<td colspan="4" rowspan="2">3. ORIGINATOR OFFICE</td>
<td colspan="12">4. SUBMITTING AUTHORITY</td>
<td colspan="7">5. COGNIZANT TECHNICAL INDIVIDUAL</td>
<td colspan="6" rowspan="2">6. ORIGINATOR TRACKING NUMBER</td>
<td colspan="5">7. DATE SUBMITTED</td>
</tr>
<tr class="even">
<td colspan="12"><p>Name:</p>
<p>Routing Code:</p></td>
<td colspan="7"><p>Name:</p>
<p>Routing Code:</p>
<p>Phone:</p></td>
<td colspan="5"></td>
</tr>
<tr class="odd">
<td colspan="29">8. SYSTEMS AFFECTED BY CHANGE</td>
<td colspan="5" rowspan="3">9. ORD IDENTIFIER</td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="3">ASOS</td>
<td colspan="3"></td>
<td colspan="4">AWIPS</td>
<td colspan="3"></td>
<td colspan="2">CSSA</td>
<td colspan="2"></td>
<td colspan="2">CRS</td>
<td colspan="2"></td>
<td colspan="6">DATA PRODUCTS</td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="3">EMWIN</td>
<td colspan="3"></td>
<td colspan="4">NEXRAD</td>
<td colspan="3"></td>
<td colspan="2">RRS</td>
<td colspan="2"></td>
<td colspan="10">OTHER (specify)</td>
</tr>
<tr class="even">
<td colspan="34">10. TITLE OF CHANGE</td>
</tr>
<tr class="odd">
<td colspan="14">11. CATEGORY OF CHANGE</td>
<td colspan="20">12. TYPE OF CHANGE</td>
</tr>
<tr class="even">
<td></td>
<td colspan="2">RC</td>
<td colspan="3"></td>
<td colspan="3">PECP</td>
<td colspan="2"></td>
<td colspan="3">ECP</td>
<td colspan="2"></td>
<td colspan="6">DOCUMENTATION ONLY</td>
<td></td>
<td colspan="2">HARDWARE</td>
<td colspan="3"></td>
<td colspan="3">SOFTWARE</td>
<td colspan="2"></td>
<td>DATA</td>
</tr>
<tr class="odd">
<td colspan="34">13. SITES AFFECTED</td>
</tr>
<tr class="even">
<td colspan="34">14. NEW INFORMATION ON REQUIREMENT, PROBLEM, OR
DEFICIENCY OF EXISTING SYSTEM FOR APPROVING AUTHORITY CONSIDERATION</td>
</tr>
<tr class="odd">
<td colspan="34">15. NEW INFORMATION ON KNOWN OR PROPOSED SOLUTION</td>
</tr>
<tr class="even">
<td colspan="34">16. NEGATIVE CONSEQUENCES IF NOT APPROVED</td>
</tr>
<tr class="odd">
<td colspan="7" rowspan="2">17. REQUIRED CHANGE DATE</td>
<td colspan="16" rowspan="2">18. RATIONALE FOR REQUIRED CHANGE DATE</td>
<td colspan="11">19. PRIORITY</td>
</tr>
<tr class="even">
<td></td>
<td colspan="2">ROUTINE</td>
<td></td>
<td colspan="3">URGENT</td>
<td colspan="2"></td>
<td colspan="2">EMERGENCY</td>
</tr>
<tr class="odd">
<td colspan="34">DRG/CCB/PMC/CMB DECISION</td>
</tr>
<tr class="even">
<td colspan="10">20. DECISION AUTHORITY AND IMPACT LEVEL</td>
<td colspan="3"></td>
<td colspan="5">PMC or NWS CMB DECISION REQUIRED</td>
<td colspan="2"></td>
<td colspan="3">CCB LEVEL ONLY</td>
<td></td>
<td colspan="2">FAST TRACK</td>
<td></td>
<td colspan="3">MAJOR CHANGE</td>
<td colspan="2"></td>
<td colspan="2">MINOR CHANGE</td>
</tr>
<tr class="odd">
<td colspan="10" rowspan="3">21. CCB LEVEL DECISION</td>
<td colspan="3" rowspan="2"></td>
<td colspan="5" rowspan="2">APPROVED</td>
<td colspan="2" rowspan="2"></td>
<td colspan="3" rowspan="2">DISAPPROVED</td>
<td colspan="11" rowspan="2">SIGNATURE</td>
</tr>
<tr class="even">
</tr>
<tr class="odd">
<td colspan="3"></td>
<td colspan="5">RECOMMEND APPROVAL</td>
<td colspan="2"></td>
<td colspan="3"><p>REFERRED</p>
<p>TO OSIP</p></td>
<td colspan="11">DATE SIGNED</td>
</tr>
<tr class="even">
<td colspan="34" rowspan="2">FOR USE ONLY WHEN PMC or NWS CMB DECISION
REQUIRED</td>
</tr>
<tr class="odd">
</tr>
<tr class="even">
<td colspan="10">22. PMC OR NWS CMB DECISION</td>
<td colspan="3"></td>
<td colspan="5">APPROVED</td>
<td colspan="2"></td>
<td colspan="3">DISAPPROVED</td>
<td colspan="11">SIGNATURE/DATE</td>
</tr>
</tbody>
</table>

NWSRC Form 1002 (9/1/2005) APPEAL REQUEST (Cover Sheet)