VPN *

New

Change

Colville Tribal Employee *

Yes

No

Requestor Name *

Requestor assumes responsibility for the VPN users activities.

First Name

Last Name

Terms of Agreement *

The following policies shall be adhered to by the Contractor and their Sponsor: 1. The duration of these accounts will be set for a limited period of time. The requested Contractor accounts will be set to expire ninety days from the time of initialization. 2. Clients will be disconnected from the network after 30 minutes of inactivity. 3. A VPN connection will be immediately disconnected and disabled if any suspicious activity is observed within that connection. 4. Strong passwords will be used. 5. Remote workstation will be scanned for updated virus software. A trouble ticket will be submitted to the I.T. Department help desk for tracking purposes. Please call (509) 634-2228 if you have any questions.

Yes

VPN User Name *

First Name

Last Name

VPN User Phone *

(###)

###

####

VPN User's Supervisor Name *

First Name

Last Name

VPN User's Supervisor Phone *

(###)

###

####

Sponsoring Agency Contact Name *

First Name

Last Name

Sponsoring Agency Contact Phone *

(###)

###

####

Sponsoring Agency Technical Contact Name *

First Name

Last Name

Sponsoring Agency Technical Contact Phone *

(###)

###

####