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System Event
Notification Form

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*: Indicates Required Field
Author/Submitted By:
*
Contact Email:
*
Phone:
*
Pager:
Department:
*
Date Of Request:
Comments/Information for the Helpdesk:
Subject:
(enter the subject that would be sent on the notification email)
System or Application:
(System/server name and location)
(Applications/databases affected)
*
Event:
(Description of reason for downtime)
*
Event Schedule:
(Proposed date and time of service interruption)
You are required to give at least a 1 week notice for ALL Major - non-routine system maintenance. *
Anticipated Downtime:
(Duration of downtime)
*
Priority:
Routine - regular system maintenance
Major - non-routine system maintenance
Urgent - repair/prevention of system failure
Change Control:
(Change request number and approval date)     None
*
Routine Schedule:
(Downtime time period and frequency)

User Impact:
(Client base affected)
(Alternate sources of data accessibility)        None
*
Interface Impact:
(Affected data interfaces where applicable)      None
*
Network Impact:
(Subnets/locations - description of impact)      None
*
Support Plan:
(Outline of support procedures for duration of downtime/upgrade/maintenance) *
Contact: (Click here to enter requestor information)
(Names and notification procedures for support personnel responsible for downtime)
*
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