Server Connection Log Form
Please complete this form to record details about your server connection event for auditing and security purposes.
Full Name
*
First Name
Last Name
Department or Team
*
Email Address
*
example@example.com
Date and Time of Connection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Server Name or IP Address
*
Connection Type
*
Please Select
SSH
RDP
FTP/SFTP
VPN
Web Panel
Other
Source IP Address
*
Device Used for Connection (e.g., Laptop, Desktop, Mobile)
*
Please Select
Laptop
Desktop
Mobile Device
Other
Purpose of Access
*
Connection Status
*
Successful
Failed
Reference Ticket Number (if applicable)
Additional Notes or Comments
Submit Log Entry
Should be Empty: