Trusted Network Certification Form

Date: _______________________ TRUSTED NETWORK CERTIFICATION
  • We will comply with the "Specifications for Networks Connected to the Administrative Information Services through the High-Speed Data Backbone".
  • The Network Administrator will notify the Administrative Computing Security Officer when/if any changes are made to our network configuration which may compromise overall security. This includes changes in network operating system/platform.
_____________________________________________ ________________________
Network Administrator Date
   
_____________________________________________ ________________________
Access and Security Representative Date
   
_____________________________________________  
TCP/IP Network Address Range  

**Entry of individual IP addresses or IP address ranges into the IP filter is at the discretion of the Network Administrator and Access Security Representative.

If you have certified a range of addresses, please check below to let us know how you would like these to be entered into the filter:

Enter all addresses from range indicated above _______

Certify the range indicated above, but enter individual addresses upon request ______