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Information Request Form
From your current network administrator
Please forward this sheet to your current Network Administrator (IT Staff) to provide
you with the information below :
1. Administrative user name and password for network server :
User Name : _____________________ Password: _________________
2. Administrative user name and password for access points:
User Name : _____________________ Password: _________________
3. Administrative user name and password for Microsoft licensed products:
User Name : _____________________ Password: _________________
4. Administrative user name and password for all PCs:
User Name : _____________________ Password: _________________
5. Current warranty and replacement information for all PCs
Network Server : ___________________ Warranty Expiration Date: ___________
Computer / PC : ___________________ Warranty Expiration Date: ___________
Network AP : ___________________ Warranty Expiration Date: ___________
Cisco Switches : ___________________ Warranty Expiration Date: ___________
Velco Cloud Devices: ___________________ Warranty Expiration Date: ___________
Palo Alto Firewall : ___________________ Warranty Expiration Date: ___________
Network Printer: ___________________ Warranty Expiration Date: ___________
Print or email to your current IT provider