Static IP – Self Reporting Form to gather user-reported data for devices that will need static IP addresses Name* First Last Phone*Email* Building Name* Room Number*Device Type*Static IP AddressServerNetworked PrinterIP Address* MAC Address* Hostname* Is this device used for anything other than remote access via RDP, ssh, or VPN?* Yes No Please explain what other use requires a static IPIf unsure, please contact your departmental IT person or the SoE helpdesk at 860-486-1821Do non-UConn (without NetID) users need to access this machine remotely?* Yes No Are there specific ports that need to be open for this device to function properly?Required for servers. If unsure, please contact your departmental IT person or the SoE help desk at 860-486-1821. NameThis field is for validation purposes and should be left unchanged.