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    Medical It Site To Site VPN Request Form

    Uploaded by

    Jose Luis Cabrera
    This form requests the setup of a site-to-site IPsec VPN with the University of Miami Miller School of Medicine. It requires contact information for both organizations, technical parameters for the VPN such as encryption methods and network access lists, and requires the signature of a UM sponsor to justify the request. Completed forms should be emailed or faxed to the University's network security team.

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    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    Medical It Site To Site VPN Request Form

    Uploaded by

    Jose Luis Cabrera
    380 views1 page
    This form requests the setup of a site-to-site IPsec VPN with the University of Miami Miller School of Medicine. It requires contact information for both organizations, technical parameters for the VPN such as encryption methods and network access lists, and requires the signature of a UM sponsor to justify the request. Completed forms should be emailed or faxed to the University's network security team.

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    Medical It Site to Site VPN Request Form

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    This form requests the setup of a site-to-site IPsec VPN with the University of Miami Miller School of Medicine. It requires contact information for both organizations, technical parameters for the VPN such as encryption methods and network access lists, and requires the signature of a UM sponsor to justify the request. Completed forms should be emailed or faxed to the University's network security team.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    380 views1 page

    Medical It Site To Site VPN Request Form

    Uploaded by

    Jose Luis Cabrera
    This form requests the setup of a site-to-site IPsec VPN with the University of Miami Miller School of Medicine. It requires contact information for both organizations, technical parameters for the VPN such as encryption methods and network access lists, and requires the signature of a UM sponsor to justify the request. Completed forms should be emailed or faxed to the University's network security team.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Medical IT Site-to-Site VPN Request Form

    This form is to request a site-to-site IPSEC VPN with the University of Miami, Miller School of Medicine. All information held on the following worksheet will remain confidential. When you have completed this form, please fax to (305) 243-6417 or e-mail to help@med.miami.edu (attn: Network Security). Date of Request: UM Sponsor Name: UM Sponsor Email: Vendor Contact Name: Vendor Email: Parameters VPN Hardware Software/Firmware Version VPN Gateway(s) IP Digital Certificates Pre-shared key Authentication Method IKE Method Diffie-Hellman Group IPSec Encapsulation Mode Network List/Encryption Domain
    (Note: this list contains the subnetworks and/or specific hosts that need to be accessed. Make sure to include subnet masks) We need your IT Department to supply an IP address for the equipment.

    Needed By: UM Sponsor Department: UM Sponsor Phone: Vendor Company Information: Vendor Company: Vendor Phone: UM Medical VPN Juniper NetScreen 5200 5.4.0r9.0 129.171.150.1 NO YES Phase 1 (pre-g2-3des-sha) Phase 2 (g2-esp-3des-sha) Group 2 (1024 bits) Tunnel Partner VPN

    University of Miami Miller School of Medicine Sponsor Information:

    Access requested (which TCP/UDP ports/protocols and applications will specifically need to be opened) Comments and Business Justification:

    UM Sponsor Signature:

    Date:

    Requests take 48 hours minimum E-mail to: help@med.miami.edu or fax to: (305) 243-6417

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