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Network Access Request Form

Before you request an IP Address, please do an 'nslookup' to make sure that the machine name you are requesting is available.

* indicates required field
CS Mail addresses only
Room Number where the machine will be located


MAC (Hardware) address of requested interface
Such as: 08:00:20:a3:23:9e
This is required for DHCP
Required only for static addrssses. Please enter a fully qualified domain name (.cs.ucla.edu)
example: yourpc.cs.ucla.edu
Sun, Windows, Linux, Mac OS, etc.
(Please wait for a response after clicking Submit)