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Screen Shot - Server Request Form

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Server Request - New Form
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Server Request Form
City of Chesapeake
Department of Information Technology
REQUESTERS INFORMATION
Name:
Date:
Corresponding HEAT ticket #:
Department:
Phone Number:
Email Address:
SERVER JUSTIFICATION INFORMATION
What function(s) will the server perform? Can its functions be folded into an existing server?
Note: Please provide justification for the server
Application Server
File Share
Web Server
Database Server
Print Server
Other
Requested Server Name:
Note: Name will have to be approved by Tech Support and it may change to conform with the Server Naming Policy
Will it be for:
Production: Select...
Test/Development: Select...
Will this server be located internally or on the DMZ? Select...
Note: If publicly accessible, further discussion will be needed with Todd Stevens.
Will this server be located in DIT, Public Safety,
or one of the Remote Sites?
Will this server replace an existing system?
Select...
If so, which server and when can it be
decommissioned?
When is this server needed by? Please allow a
minimum of 5 business days.
HARDWARE REQUIREMENTS
Will this be a physical or virtual server:
Select...
Justification will be needed if physical
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Server Request - New Form
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Processor/Cores
Will backups be required?
Note: Normally "YES"
Memory
GB
Select...
Hard Drive Configuration: please list the required drive letters and size
C: 65GB (Default)
D:
Which Operating System is required:
Select...
E:
F:
Other or Operating System:
G:
What applications will need to be installed
(if any)?
Who will be responsible for installing and
maintaining the installed application(s)?
USERS AND PERMISSIONS REQUIREMENTS
Specify which users/groups will need access to this server:
NOTES/COMMENTS
Please specify any additional comments or instructions:
Submit
The following section is to be completed by the Network Engineers
Approved Server Name:
Completion Date:
IP Address
VLAN
VCenter
Cluster
Backups
Patches
SEP Installed
SNMP
PRTG
SCCM
TriGeo
VMTools
NETWORK ENGINEER NOTES/COMMENTS
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If a physical server:
Model
Serial Number
Date Purchased
P.O. #
Owned by what Dept.
Submit
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