IP/DNS Resource Request Form

This form should be used to request the addition of an IP/DNS Resource. If you wish to change an IP/DNS resource, click here. If you wish to remove an IP/DNS resource, click here

Location of Device

Building:

Room Number:

Existing IP address of
device (if applicable): . . .

Hardware Specifics

Hardware (MAC) Address: - - - - -

This device is a:

Server

Workstation

Printer

Other

What DNS Name is being requested for this device?

What Subnet/VLAN would you like this device placed in?

Administrator Information:

Primary Server/Device Administrator

Server/Device Administrator name:

Phone number:

E-Mail Address:

Building and Room Number:

Fax number:

Secondary Server/Device Administrator

Server/Device Administrator name:

Phone number:

E-Mail Address:

Building and Room Number:

Fax number:

Comments

Authentication Information

Your CSUN User ID