Domain Name Registration Form
To reserve a texas.gov domain name, complete
and submit this form. Please review the
Internet and
Email Domain Name Management Policy - PDF (290 KB) before submitting this form.
DIR will review and respond within five business days of submission.
After receiving authorization for a requested domain name, a state
agency may request delegation of that name at any time. To request the delegation of the domain, email the DIR technical team.
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Domain Name Requested: |
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The requested domain name is an exception to the policy naming
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Agency Head/Designee Title: |
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Agency Head/Designee First Name: |
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Agency Head/Designee Last Name: |
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Agency Head/Designee Email Address: |
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Date/Time of Request: |
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Transition Timeline Start Date: |
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Transition Timeline End Date: |
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Agency Name: |
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Agency Name: |
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Agency Address: |
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Agency City: |
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Agency State: |
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Agency Zip Code: |
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Contact First Name: |
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Contact Last Name: |
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Contact Phone: |
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Contact Email: |
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