IP Request Form

A new IP address is required when a device is moved to a new subnet (vlan). Generally this is the case when moving to a new building. In such cases the old IP address may be kept by the department for other use or returned where it will be recycled back into the general inventory.

Complete the following form to request a new IP address, to transfer an IP to another device, or to update DNS information.
NOTE: Please allow up to 2 business days for request to be completed.

IP Address Request Form

All questions marked with a this field is required are required.

Requester Contact Information

IP Request Type

Is this request for a new IP or to transfer an IP to another device?

Primary User Contact Information

Device Information

  • If your computer does not have a Computer/Host name and you are unsure what it should be, leave field blank and one will be created for you.
  • question mark iconHow to find your computer's MAC or host name Apple-Mac Users | Windows Users

Device location

Enter additional instructions or comments below.

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