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

The label on the port. example: 2F31

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