Form Center

VPN Access Request Form

2. Employee Name*

4. Department*

6. Employee Email Address*

8. List Essential Systems You Need to Access Remotely*

   List essential systems and note priority, (critical, high, low).

10. List File Shares You Need to Access Remotely

    List essential file shares and note priority, (critical, high, low).

12. By checking this, you agree to abide by the Town of Brookline Information Technology Acceptable Use Policy, and agree to additional terms for the use of VPN. You will not copy and store files to your home computer or any external devices.

    1. I Agree
    2. I Decline

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14. Submit

* indicates a required field