IP request form (Science only)

**Note: This form is only for devices in the Faculty of Science (excluding Pharmacy and Optometry). For all other faculties, please reach out to your respective IT units.**

  • To expedite processing of your request, ALL fields marked (*) must be accurately completed. 
  • Please include the information on the wall jack you will be using.
  • Please make only one request per submission.
Has this machine ever been registered on the network before?
eg. computername.uwaterloo.ca (must be unique - you will be notified if changes must be made)
eg. 129.97.4.100
eg. PC Celeron-700 Windows XP
This relates to what type of data is on your computer. For more detailed definitions, visit Section 7 on https://uwaterloo.ca/secretariat-general-counsel/policies-procedures-guidelines/policy-46-information-management.
userid of primary user
Owner of the machine 
eg. PHY 2007
Not sure how to find your MAC address? Visit: http://www.howtogeek.com/236838/how-to-find-any-devices-ip-address-mac-address-and-other-network-connection-details/
This is a University of Waterloo permanent staff or faculty member who is responsible for the machine and that would normally be contacted in the event there is an issue with the machine. Same as Owner for University-owned machines. Separate multiple email addresses with commas.
Please include any numbers on the port.