Student Technology Services

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Section III : Request to Replace Old Connection(s) with New Connection(s)


Last Name:

First Name:

Student ID:

Email:

Telephone:

Residence:

Room/Apt#:



		OLD connection MAC address: (MAC address is a required field)



		NEW connection MAC address: (MAC address is a required field)


		Why are you replacing the connections? I got a new computer Old computer crashed Other


		Note: if more than one old connection is being replaced by more than one new connection, submit an additional form!


I understand that NTS reserves the right to allow or deny my application for an additional network address. I also understand that I am responsible for the use of my network service connection including the use by another individual(s). My use will comply with all rules and regulations set forth in the Washington University Information Security Policy, Network Technology Services policies, and where applicable, other Washington University policies. My use will also comply with regulations set forth by the student government of the Residence Halls and University Housing. I further agree that my use will comply with all applicable federal, state, and local laws. Please allow 5 business days for your request to be processed. Upon approval/denial, you will receive an email notification from STS.