TESTNetwork-to-Network VPN Checklist

Date:
Customer Name:
Date Required:
Completed By:
Date Completed:

Test Customer Contact Information

Contact Information
Project Contact Name:
Project Contact Phone:
Project Contact Email:
Network Contact Name:
Network Contact Phone:
Network Contact Email:
Troubleshooting Contact: TESTHelp Desk
Help Desk Phone: 252-328-9866
Keywords: Network Analysis, VPN
Problem
Connection Information:
TEST
Connection Name
Connection Type Site-to-Site Site-to-site
Tunnel Interface Outside
Tunnel Endpoint/Peer 192.101.24.58
Tunnel Group Name Same as Peer IP address
Pre-Shared Key TBD Out of Band via secure
email
IKE Encryption AES-256
IKE Authentication SHA256
IKE DH Group 20
IPSEC Encryption AES-256

IPSEC Authentication SHA256

Perfect Forward Secrecy Enable

IPSEC(Phase2)DH Group 20

NAT-T Yes

Local / Remote Networks

IP Address Translation
Direction (In, Out, or Both)
NOTES:
Business/Technical Purpose of Tunnel:_______________________________________

Has a Assessment been completed & approved by ITCS (Y/N) ___________________

Will protected/confidential data be transmitted to/from this system(s) (Y/N) __________

If YES, specify the type of data (SSN, CC#, HIPAA, etc.):

_________________________________________

Applied CryptoMap Filter:

Option 1: Fill out the below form with the required information
Example provided on first line.
IP Addresses PORTS
TCP &
Permit/Deny Source IP Destination IP TCP UDP
UDP
Permit Any 150.216.x.x 80

Deny Any Any

Option 2: Attach a separate document with the required information (as listed in the
above form).
Services associated with the above listed TCP/UDP ports:

Is this request for Test and/or Temporary purposes (Y/N):

Special Instructions:
 Approvals
Requester’s Supervisor
Name

Signature

Approved (Y/N)
Date

FOR INTERNAL NETWORK APPLICATIONS USE ONLY

Network Applications Analyst:_________________________________ Date:

______________________

Affected FWs:
________________________________________________________________________
_

Notes:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
____________________________________________________