OMEGABYTE NETWORKS IP Address Justification

OMEGABYTE NETWORKS conforms to the North American IP Registry (ARIN) policies regarding IP address allocation. As part of our standard service, OMEGABYTE will assign only the amount of IP addresses that customers can justify for use on their VLAN within our network and facilities. Please Use this form for initial assignments and additional augments.

We require a written justification form for any IP address blocks requested so that we can demonstrate to ARIN that IP addresses allocated to OMEGABYTE are being used efficiently.

Per ARIN guidelines (http://www.arin.net), organizations will be assigned address space based on immediate utilization plus three month and six month utilization rate and supply documentation to justify the level of confidence. If you have any questions about the IP assignment policy or process, please refer to the IP Address Assignment Policy and Procedures, and RFC 2050 (http://www.arin.net/knowledge/rfc/rfc2050.txt).

The form for justifying IP use is provided below. Please complete the form and submit it to our IP Administrator (ipmanager@omegabyte.com). If you have any questions about filling out the form, please call OMEGABYTE Technical Support at 1-888-OMEGABYTE (1-888-663-4229). Thank you.

Customer: Technical Contact:
Company: Company:
Address 1: Contact Name:
Address 2: Title:
City/State/ZIP: Phone Number:
Phone Number: E-mail:

1) Domain and Server Name: Note: If more than one domain, use first domain registered.

A) Do you have your own name server for hosting reverse DNS? Yes   No

B) If yes, what is/are the name(s) of the name server(s)?

2) Do you have previously assigned addresses? Yes   No

A) If yes, what addresses were assigned? Enter Upload
IP Address CIDR Assigned By

3) Are you renumbering into OMEGABYTE IP's? Yes   No

A) If yes, what is your timeframe for renumbering?     

4) Number of IP addresses required:
A) Now
B) Within three months
C) Within six months

5) Number of subnets required:
A) Now

6) Number of IP addresses requested:
Note: If your organization already has IP space assigned, you must utilize 80% before applying for more IP space.

7) Please select all that apply and the number of machines using these various technologies:
VPN Clients ( 1-32; 33-64; 65-128; 129-256; 256+ ) clear
SQL or other Database Hosting ( 1-32; 33-64; 65-128; 129-256; 256+ ) clear
SSL Sites ( 1-32; 33-64; 65-128; 129-256; 256+ ) clear
PC Anywhere/VNC/Timbuktu ( 1-32; 33-64; 65-128; 129-256; 256+ ) clear
Mail Servers ( 1-32; 33-64; 65-128; 129-256; 256+ ) clear
Application Development Servers ( 1-32; 33-64; 65-128; 129-256; 256+ ) clear
Video Conference/Surveillance Servers ( 1-32; 33-64; 65-128; 129-256; 256+ ) clear
Other Servers ( 1-32; 33-64; 65-128; 129-256; 256+ ) clear

8) Please use the space provided to describe why you require the number of IP addresses requested in item 9. Please note that equipment behind firewalls does not require globally unique IP addresses. Please also indicate whether you are conserving address space using address translation.



9) Please complete a network table like the one you see below to show you have used any existing IP assignments, and show predicted future growth of your network.

SAMPLE
Network/CIDR Subnet Mask Max Now 3 mo 6 mo Description
192.168.1.0/27 255.255.255.224 30 8 12 16 Network Infrastructure
192.168.2.0/27 255.255.255.224 30 17 17 22 Engineering
192.168.1.32/27 255.255.255.224 30 12 12 12 Manufacturing
192.168.1.128/25 255.255.255.128 126 40 80 110 Management
192.168.1.192/27 255.255.255.224 30 10 12 20 Sales
192.168.1.224/27 255.255.255.224 30 7 20 28 Finance
192.168.1.64/26 255.255.255.64 190 100 160 180 Servers/Web Sites

Use the following Network Table as an template to describe your IP assignments today, in three months, and in six months. Expand the table as necessary to accomodate your requirements. Please be as accurate as possible when making projections.

Enter Upload
Network/CIDR Subnet Mask Max Now 3 mo 6 mo Description


10) If your justification request is approved, we are obligated to submit SWIP your organizational information (https://www.arin.net/resources/request/reassignments.html) to the ARIN WHOIS database.

A) Please list the ARIN ORG-ID you would like us to use for this assignment?

B). Will this be a reallocation or reassignment to the ORG-ID listed above?
Reallocation   Reassignment

* Note: If you do not have an ARIN ORG-ID, please contact ARIN.NET for information on how to set up a web account to request resources.


AUTHORIZATION

I verify that i am authorized to represent the organization below and that the above information is true and correct. I understand that Internet Protocol Version 4 address space is limited and that users of the Internet are responsible for conserving address space and ensuring that space is utilized efficiently.

Signature Will appear on the next step Date 05/19/2012
Print Name Title
Organization Phone# (day)
E-mail Fax