VPN Access Exception Request

Please note:

  • VPN remote access is granted based on affiliation with the University. This form is to request access to Yale VPN services for systems or ineligible individuals.
  • Lead Administrators\Operations Managers must submit this form on behalf of the applicant and sponsor. After you complete this online form, it will be emailed to the Lead Administrator\Operations Manager for approval. See Procedure 1601 PR.04 and the VPN service page for more information on eligibility
Today's date
What type of VPN access request application is this?
Applicant Information
Name of applicant for Individual VPN access applications
NetID of applicant for individual VPN access applications
Applicant Department
Department of applicant for individual VPN access applications
Applicant's Yale Affiliation (alumni, conferee, parent volunteer, spouse, etc.)
Please provide a brief description of why you need access to the services or system you indicated above
System Information
Sponsor Information
NetID of the sponsor for the VPN access application
Lead Administrator/Operations Manager Information
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.