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Home
Leadership
Administration
Project Services
Business Services
Technical Services
Office Equipment Services
Outside Plant Services
Network Services
Systems Services
Telecommunication Services
IT Ticket
Forms
VPN Request
Policies
IT Facility Access
IT Purchasing Standard Operating Procedures
VPN Request
Forms
VPN Request
VPN Request
VPN
*
New
Change
Department Name
*
Application/Service
*
List the specific application or service that is required.
Justification for Access
*
Please explain why remote access is required
Colville Tribal Employee
*
Yes
No
Company/Contractor Name
*
Requestor Name
*
Requestor assumes responsibility for the VPN users activities.
First Name
Last Name
Requestor Email Address
*
Company/Contractor Point of Contact
*
Terms of Agreement
*
The following policies shall be adhered to by the Contractor and their Sponsor: 1. The duration of these accounts will be set for a limited period of time. The requested Contractor accounts will be set to expire ninety days from the time of initialization. 2. Clients will be disconnected from the network after 30 minutes of inactivity. 3. A VPN connection will be immediately disconnected and disabled if any suspicious activity is observed within that connection. 4. Strong passwords will be used. 5. Remote workstation will be scanned for updated virus software. A trouble ticket will be submitted to the I.T. Department help desk for tracking purposes. Please call (509) 634-2228 if you have any questions.
Yes
VPN User Name
*
First Name
Last Name
VPN User Email Address
*
VPN User Phone
*
(###)
###
####
VPN User's Supervisor Name
*
First Name
Last Name
VPN User's Supervisor Title
*
VPN User's Supervisor Phone
*
(###)
###
####
Sponsoring Agency
*
Sponsoring Agency Contact Name
*
First Name
Last Name
Sponsoring Agency Contact Email
*
Sponsoring Agency Contact Phone
*
(###)
###
####
Sponsoring Agency Technical Contact Name
*
First Name
Last Name
Sponsoring Agency Technical Contact Email
*
Sponsoring Agency Technical Contact Phone
*
(###)
###
####
Thank you!