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Web Design25 fields6 sections

Domain & DNS Access Request

Collect the information we need to access and manage your domain and DNS records safely for website setup, migration, or troubleshooting.
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Domain Details

Provide details about the domain(s) you want us to access or manage. Include any relevant notes about the current setup.

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Enter the root domain we will manage (no https://). If multiple, add them in the next field.

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List any other domains or subdomains involved in this project, one per line. Leave blank if none.

Current domain registrar

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Where the domain is currently registered. If you're not sure, choose 'Not sure' and provide a screenshot in uploads.

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Only fill this if you selected 'Other' above.

Access Method & Credentials

Tell us how you'd like to grant access. For security, we prefer temporary access or delegated roles. Do not paste full passwords in notes — use the secure file upload if necessary.

Preferred access method

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Select how you'd like to grant our team access to your domain/DNS.

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Include any approval workflows, scheduled maintenance windows, or other constraints. Do not paste passwords here — use the secure file upload if needed.

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Provide the username or account email associated with the registrar or DNS provider account. Required if granting account-level access.

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If you're transferring the domain, paste the EPP code here or upload it securely. Leave blank if not transferring.

DNS & Hosting Configuration

Tell us about your current DNS records and hosting so we can plan DNS changes without downtime.

Where are DNS records currently managed?

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Choose the DNS management location.

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List any existing records we must preserve (email MX records, SPF/TXT, custom subdomains). If unsure, upload a screenshot of your DNS settings below.

Does your site use email on this domain?

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Email setup affects MX and TXT records. Select the current email provider if known.

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Only fill this if you selected 'Other' above.

Security, Backups & Timing

Share any security or timing constraints so we can coordinate DNS changes safely.

Security & backup preferences

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Select any steps you'd like us to take before making DNS changes.

Preferred date & time for changes

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If you have a preferred maintenance window, select it here. Timezone assumed to be your local timezone unless otherwise noted.

Uploads & Verification

Upload screenshots, export files, or temporary credentials. For sensitive files (passwords or EPP codes), use the 'Secure credential file' option so we can store them encrypted.

Screenshot of domain registrar or DNS settings

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Upload screenshots showing your DNS or registrar dashboard if you're unsure of settings. Helps us avoid mistakes.

Client will be asked to drop files here or
click to browse files

Secure credential file (passwords, EPP code, or authorization docs)

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Upload a password-protected document or secure note containing any sensitive credentials. We recommend using a password-protected PDF or encrypted text file. We will delete these after setup per our data retention policy.

Client will be asked to drop files here or
click to browse files

Domain transfer / authorization correspondence

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Upload any emails or documents related to domain transfer approvals or registrar communications.

Client will be asked to drop files here or
click to browse files

Final approvals

Consent and signature so we can proceed with the requested domain or DNS work.

Approval to proceed

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Please confirm you authorize our team to access and/or make the requested DNS/domain changes.

Digital signature

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Sign to confirm authorization. By signing you confirm you have the authority to request changes for the domain(s) listed.

Draw a signature in the box above

Request Summary
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Total Progress:
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