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Network Access Request Form

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

(Required)
(Required)
(Required)
CS email addresses only
(Required)
Enter your email address again for verification
(Required)
(Required)
Room number where the machine will be located


(Required)


MAC (hardware) address of requested interface, such as 8:0:20:a3:23:9e. This is required for DHCP
Required only for static addresses. Please enter a fully qualified domain name such as example.cs.ucla.edu
(Required)
Sun, Windows, Linux, Mac OS, etc.

(Please wait for a response after clicking Submit.)