VPN Request Form
Please complete as much of this form as possible and email to servicedesk@ansgroup.co.uk
In conjunction with a completed Change Control Request Form, failure to do so will result in a
rejection of this VPN Creation Request.
Logging Details
Organisation Name:
VM Creation Requested By (Your Name):
Job Title:
Phone:
Email:
Date Change Submitted:
CR Number (ANS Use Only):
LOCAL
Endpoint IP address
PHASE 1:
Authentication
Encryption
Hash
Diffe-Hellman
Lifetime
IKEv1
Pre-Shared-Key
AES 128
SHA-1
Group 5
86400
PHASE 2:
Tunneling Protocol
Encryption
Hash
PFS
Lifetime Seconds
Lifetime Kilobytes
Encrypted Networks
ESP
AES 128
SHA-1
Enabled – Group 5
(default)28800
(default) 4608000
REMOTE