ITS - Network Services - Faculty/Staff Computer & Printer Registration Form

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Faculty/Staff Computer and Printer Registration Form

Who should fill out this form?

Person installing the network adapter in a computer
Person installing a network printer
User of a computer or printer that is moving or changed ownership

NOTICE - PLEASE READ
Computers not used on the campus network for more than 180 days will be removed from our database and will need to be re-registered the next time they are used.

* Denotes required field

*Ethernet Address: (no dashes or colons)
The Ethernet Address (or Hardware Address) is a 12-digit hexadecimal number (0-9, a-f). You can find this information for a printer on the printer configuration page, or on a PC by clicking Start, All Programs, Accessories, Command Prompt, then typing ipconfig /all. Contact the Help Center at x7-3100 if you need further assistance.

*Type of Registration: New Re-registration Temporary
If you are replacing an existing machine, please use the Comments section at the bottom of the page to tell us the Ethernet Address or IP address of the machine you are replacing.

*Hostname / Printer Queue Name:
Specify a unique name you would like associated with this device. You may use alphanumeric characters, including hyphens " - ", however hostnames consisting of all numbers are unacceptable.

*Serial Number:

*Type of System:PC Mac UNIX Thin Client Printer
Other (specify):

Description of System:
(Ex: Gateway P-120, iMac, Dell Optiplex 755, IBM)

*Use:
Other (specify):

*Operating System:
Other (specify):

*User's full name:

*Email Address:

*Department:

Other (specify):

*Location:
Other (specify):

*Room number:
If this is a lab computer, please use the Comments section below to tell us.

*Form Filled Out By:

Comments:

You will receive a tracking number once the form has been submitted. Please keep this for your records, because you will use it for registration form questions in the future.

Requests may take up to 48 hours to process.

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