Server Request Form

Submitter’s contact information:

Name: Phone:
Title: Email:   
Today's date: 05 26, 2012
Statement of Use:
Primary Use - Services and software:
System Name:
Hostname (DNS):
IP Address (es):
MAC Address(es):
Location:
Responsible Department:
Responsible Person:
Administrator:
OS:
Data Sensitivity:
Off-campus Availability?
Security Restrictions:
User Accounts (total number):
Processor Cores:
RAM:
Total Disk:
Disk Used:
Disk Available:
ISU Property Tag:
Brand and Model:
Serial Number/Service Tag:
Support and maintenance: