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Domain Name System (IP address/BOOTP/DHCP)
Online Application Form
Add Request

Items in bold are required.
If there is anything unusual about this request, please describe it in detail in the comments section.
If you are having difficulty filling out this form, please contact the AcIS Helpdesk at x4-1919, or click here.

Submitter Information

Name
Department
Email Address
Phone

Machine Information

Machine Name
Subdomain (if known)
Subnet (if known)
IP Address
(leave blank and one will be chosen for you)
Building
Location (Room, Jack)
Type of Computer
Operating System
Hardware Address(12 hexadecimal digits)
Comments