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Domain Transfer Letter

[Agency letterhead]

[Date]

.Gov Domain Registration
c/o Verisign, Inc.
12061 Bluemont Way
Reston, Virginia 20190

To the .gov Program:

As authorizing authority for [Agency Name], I request that responsibility for the domain name [___________.gov] be transferred [to ___________ /from my organization].

[Briefly state why this domain is being transferred to/from your agency.]

[If receiving, complete the contact information:]

The following will be listed as contacts for [___________.gov], which [Organization] will keep up to date in the .gov registrar.

Administrative contact
First Last
Title
Address
Phone number
Email address

Technical contact
First Last
Title
Address
Phone number
Email address

Security contact [recommended]
Email address

I understand that if I wish to retire [___________.gov], I must submit a written request to registrar@dotgov.gov.

Sincerely,
[Signature]

[Name]
[Title]