ITSS-207

Revised:

Virtual Machine Request Form

VM Name:

Machine information:
Operating system (specific settings are required based on the operating system to be used):

Disk storage: GB

Memory: MB
#CPU:
SMP required: no yes, number:

Network access required: 83 4 34 134

Purpose of machine:

Cluster partner (if applicable):

Performance characteristics:

Any special requirements:

Virtual Center login information:

Virtual Center login name to be used:
Virtual Center login password to be used:

Requestor information:
Requestor's Full Name: William Walker Request Date:
Requestor's Department: Infrastructure and Operations Requestor's Phone: 777-4784

Requestor's E-mail:

William Walker
REQUESTOR'S SIGNATURE: DATE:

ITSS DIRECTOR OR ASSOCIATE DIRECTOR: DATE:

Admin Use Only

USER ID: PASSWORD:

SECURITY ADMINISTRATOR: DATE:

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