Firewall Access Request
Please carefully enter the information below. Any incorrect information may cause your request to be denied.

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Name *
Email *
must be within domain
Office/Lab Phone *
Advisor's Name
Building *
Room Number *
SEASnet IP Address *
This is a valid SEASnet IP address registered to you. If the IP address is not registered with SEASnet, your request may be denied. If you need a SEASnet IP, the form is at
Port(s)/Service(s) *
Please provide (1)Service name (e.g. SSH, Web, SFTP, etc) and (2)Corresponding port number.  If you want to narrow the access from full internet access to a specific IP or set of IPs (for example, UCLA IPs or UCLA VPN IPs), please also specify here.  
Operating System & Version *
Explanation/Justification *
Please provide as much explanation as you can for why you need the port(s) open.
Recharge ID *
User Consent *
I understand that making this request opens my device to the internet, which makes it open to attack and possible compromise. I take full responsibility for any and all damages, expenses, and costs resulting from or connected to opening access to my device. I agree to make continued efforts to secure and update my server/service to prevent compromise.
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