<p> Remote Access Request</p><p>General Information:</p><p>Date of Request</p><p>Project Name</p><p>Function / Cell</p><p>Requestor Details:</p><p>Contact Person / Domain ID Contact No Email Location</p><p>Function Head Contact No Email Location</p><p>Change Request Definition</p><p>Description – Describe the proposed change.</p><p> </p><p>Justification – Justify why the proposed changes should be implemented.</p><p></p><p></p><p>Impact Description – Describe the impact.</p><p> </p><p>Request Server Detail:</p><p>Server Name Access Type Duration (min 4 hrs to 1 day) Location</p><p>Change Request by FH Approval:</p><p>FH Manager Name Title Approval / Reject</p><p>Recommendation – State the rationale for recommendation.</p><p>ITSSG - Data Center Support - HOV Services Version – 1.0 1 Remote Access Request</p><p>General Information:</p><p>Date of Request</p><p> </p><p>IT Head Name Title Approval / Reject</p><p>Special Instructions – Provide any additional information regarding the final recommendation.</p><p> </p><p>ITSSG - Data Center Support - HOV Services Version – 1.0 2</p>