FULL IP Justification Form - I.P.J

HOST NIT INC - I.P.J v1.5

Request for IPv4 and IPv6 Address Space
Send completed form to noc@hostnit.com

 

 

In assigning IPv4 and IPv6 address space to Internet subscribers, Host NIT Inc takes guidance from assignment policies and procedures set forth by ARIN (American Registry for Internet Numbers) Number Resource Policy Manual, RFC 2050, and RFC 3177. The Host NIT Inc IP address public policy may be viewed at http://www.hostnit.com

 

In order to justify an IP address space assignment, please completely document all information requested below. IP address space will be assigned based on an analysis of your current and projected usage against strict utilization efficiency guidelines as defined by ARIN Number Resource Policy Manual, RFC 2050, and RFC 3177.  Following ARIN policy, Host NIT Inc will require applications for IPv4 address space to include an attestation of accuracy from an organizational officer.  

 

A complete set of instructions and examples are provided at the end of this document.

 

Note: If you need additional space for any of the documentation requested below, please provide the information in a separate document with your request.

 

 

I. Customer Information

Date:   FORMTEXT      

Please complete this section if you are requesting IPv4 and/or IPv6 address space.

Company/ Client Name

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Address

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City

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State

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Zip

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Technical Contact

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Phone

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FAX

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E-Mail

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2. Current IPv4 Address Space Utilization

Please complete this section if you are requesting IPv4 address space.

List ALL IPv4 address space currently assigned from all sources.

Network

Size

Assigned By

Assign Date

% in use

Example:

200.22.22.0

/24

AIMNET ISP  

5-30-95

80%

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Will you be renumbering out of your current space?    FORMCHECKBOX  Yes     FORMCHECKBOX  No

Date when renumbering is expected to be completed:  FORMTEXT      

III. IPv4 Address Space Request

Please complete this section if you are requesting IPv4 address space.

IPv4 Block Size Requested

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Describe your planned usage of the requested IPv4 address space. Please be concise.

 

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3. Planned Usage for Requested IPv4 Address Space

Please complete this section if you are requesting IPv4 address space.

Provide detail about projected usage for the IPv4 address space you are requesting. See the instructions at the end of this document for a detailed example.

 

Number of Hosts

 

Network

Subnet Size

Max

Now

3-mo

6-mo

Description

Example:

200.22.22.0

255.255.255.0

254

128

150

230

Campus Network

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Totals

 

 

 

 

 

 

4. Webhosting

Please complete this section if you are requesting IPv4 address space.

If you are providing webhosting services, please indicate in section IV the IP addresses currently being used for this purpose and provide a list of domains being hosted below. If IP-based hosting is being done, a list of technical reasons why named-based hosting cannot be done must be included.

 

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5. Additional Comments

 

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Please return the completed form to your Host NIT Inc ticket portal,  account Executive or to your Host NIT Inc Project Manager.Failure to provide the requested detail may cause a delay in provisioning your IP Address Space Request.

 

 

 

Customer Acknowledgment:

Printed Name

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Title

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Signature

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Date

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