IP Address Request and Justification

In assigning IPv4 and IPv6 address space to Internet subscribers, ISPs take guidance from assignment policies and procedures set forth by ARIN (American Registry for Internet Numbers) Number Resource Policy Manual, RFC 2050, and RFC 3177. IP address space is assigned based on utilization efficiency guidelines as defined by ARIN Number Resource Policy Manual, RFC 2050, and RFC 3177.

CWEP requires customers complete the IP justification form for the use of address space equal to or greater than a /29. CWEP’s policies are based on RFC2050 (http://tools.ietf.org/rfc/rfc2050.txt). CWEP abides by ARIN’s policies to promote efficient use of IP address space.

Requester must show EXACTLY how address assignments will be utilized and must provide appropriate details. Should CWEP determine the assigned address space is not being utilized efficiently, CWEP reserves the right to revoke the assignment and reassign an appropriate number of IP addresses.

Customer Details:

Contact Name*

First NameLast Name

Company / Organization

Title

Phone Number*

E-mail

example@example.com

Service Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

How Many IP Addresses?*

If 'Other', Please Specify*

Please indicate how you plan to use the IP addresses that you are requesting. Please note that equipment behind firewalls/routers do not require globally unique IP addresses (employ the use of "Network Address Translation" [NAT]). Please indicate whether you are already conserving address space using a form of NAT. If additional IP space is required for domain hosting, please indicate why you do not use “Name-Based Virtual Hosting”. If additional space is needed to explain your justification for IP addresses, you may attach an addendum and/or network diagram to this form.

Please indicate how you plan to use the IP addresses that you are requesting.

Please include existing IP assignments and requested assignments. Indicate your immediate need and projected need in one year.

Network Diagram / Justification Documents

Please provide any additional documentation that will help demonstrate a justified need for the IPs being requested. Items such as location of your reassignments to your customers, nmaps, arp table data, IP justification from your customers and so on.

Please note all documentation data must be accurate and verifiable. If we’re unable to verify the accuracy of the data provided, we may request additional information to verify your request data is accurate.

All requests are reviewed in accordance with the policies outlined in ARIN’s Number Resource Policy Manual at: https://www.arin.net/policy/nrpm.html

You may wish to review ARIN’s Quick Guide to Requesting Resources at: https://www.arin.net/knowledge/quickguide.pdf

By clicking 'Accept', you hereby certify that you are authorized to represent the organization named above and that the all the information provided on this form is true and correct to the best of your knowledge. You understand that Internet Protocol Version 4 addresses are limited and that users of the Internet are responsible for conserving IP addresses and ensuring efficient IP address utilization.

Certification of acceptance*

Accept

IP Address Request and Justification

IPv4 Request Information

Certification