|Account Profile Email Address Change Request
Mail to: email@example.com
Subject: Account Profile Email Change Request
|I am requesting to change the Account Profile Contact Email Address for a domain name. I am either the listed owner of this domain name, or I am a signing officer with the Organization listed on the domain name. I have verified the domain's ownership information using WHOIS prior to submitting this request, and am including the required documentation listed at the bottom of this form. I understand this may take up to 5 business days to process.|
|Company Name (if applicable):|
|Name of Requestor:|
|NEW "Forgot Password" Email Address:|
|Signature of Requestor: ______________________________________________________|
If this is a domain name registered to an individual you will need to include a clear copy of a government-issued photo ID such as a driver's license or passport.
If this is a domain name registered to a organization you will need to include:
A note about scanning Photo IDs
To ensure that your request is not rejected because the photo ID was illegible, try and take the following steps:
These steps are not mandatory, but lowers the risk of the request being rejected because of an illegible photo ID.
Send a scanned copy of this request (including this form with a signature and Photo ID) as a PDF to firstname.lastname@example.org with the subject of "Attention: Domain Admin / Password Email Change"
A note about privacy
The identification information being requested is used solely for proof of identification purposes in order to update the requested password email address. This information is not used for any other purpose.
Photo copies of the identification may be submitted to DNS Central with any certificate numbers blocked out or removed.
|Please complete this form and save it as a PDF, then email it to email@example.com with the subject of "Attention: Account Profile Email Change Request"|
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