IT Server Request Form

Requester Information
When do you need this server by
Server Information
Please explain why a physical server is needed over a virtual server
Enter expected max storage size requirements, in GB
Will you be installing the operating system or will ITS install the operating system
Do you have the install media / disc for your operating system?
Will this server contain personal health information?
Network Information
If this server needs a special DNS entry, enter that here. Otherwise, leave blank.
If this server needs to be in a specific VLAN, enter that here. Otherwise, leave blank
List other servers that need access to this server or if this server needs to access other servers
Does a vendor need remote access to this server

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