NHA New Server Request Form

1

General Information

2

Requester's Name* This field is required.

First Name

Last Name

3

Requester's Email* This field is required.

4

Requester's Phone Number* This field is required.

5

Server Type (Check all that apply)* This field is required.

Application Server

Database Server

File / Print Server

Web Server

6

Environment (choose one)* This field is required.

Production

Dev / Test

7

System Requirements

8

Server Type* This field is required.

Virtual Machine

Physical Server

9

Server Name* This field is required.

10

Server Cname

11

Nbr of CPUs* This field is required.

2

4

8

12

Amt of RAM (Gb)* This field is required.

13

Special Instructions or requests

14

D (Install) Drive:* This field is required.

15

F (Data) Drive* This field is required.

16

G (Logs) Drive* This field is required.

17

H (Tempdata) Drive* This field is required.

18

J (Templogs) Drive* This field is required.

19

R (Backups) Drive* This field is required.