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Authorization letter template: Federal

[Federal 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 delegated to my organization.

[Briefly describe your agency’s mission or initiative that drives the domain name request, explaining what the domain name will be used for.]

In order to obtain and maintain [___________.gov] [Agency Name] will meet the general and specific requirements for federal agencies, found at https://home.dotgov.gov/registration/requirements.

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

[Administrative and technical contacts are named individuals and must be unique; a security contact should generally be a team email address.]

Administrative contact
First Last
Title
Address
Phone number
Email address

Technical contact
First Last
Title
Address
Phone number
Email address

Security contact [required for the executive branch]
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]