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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, billing, and technical contacts are named individuals and must be unique; a security contact should generally be a team email address.

As of April 26, 2021, .gov domains no longer have a fee associated with them. However, the .gov registrar has not yet been updated to remove the billing contact role. Until then, you may consider the billing contact to be a secondary administrative contact.]

Administrative contact
First Last
Title
Address
Phone number
Email address

Billing 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]