Customer DNS Delegation Form

EMBARQ IP Services Customer DNS Delegation Form

Use this form to request delegation of DNS requests to your DNS servers.

Please fill out all fields completely. Missing or inaccurate information in your DNS request may cause delays. Please allow a minimum of 2 business days for your request to be processed.

Contact Information
Company Name
Contact Name
Contact Phone #		--
Contact Hours
Contact Email
Your Circuit
Full Circuit ID
Network (WAN) Address
City, State (ex: Orlando, FL)

DNS Information

IP Address Space you would like requests delegated for (Please specify your ranges in the following format):

xx.xx.xx.xx / nn (where nn is the slash notation of your network)

Your Primary DNS Server IP Your Secondary DNS Server IP

Comments / Questions

NOTE: If you know of specific upcoming DNS changes that will significantly affect service to your domain, we strongly suggest that you plan ahead and notify us as far in advance as possible. We cannot guarantee you immediate service due to the volume of requests received.

NOTE: For any requests that cannot be handled via this form, please call 1-800-603-8044, options 1,1 and open a ticket.