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Customer DNS Services Form

Use this form to add, modify, or delete DNS records for your domain.

How do I submit a DNS request?

CenturyLink customers will have a circuit number such as 99.QHSX.123456 and will complete our online DNS Request Form below. The DNS request requires that you know the circuit number of your dedicated IP connection. Please allow 72 business hours to complete your request. NOTE: Your request may be delayed if we have not received a Job Cost Analysis document from your CenturyLink Account Manager, authorizing new or additional hosted DNS services . If you need assistance in completing the CenturyLink Regional Dedicated IP form please contact; hours of operation 8-6 central M-F.

Note: For a DNS delegation, please use the DNS Delegation Form

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
Circuit Information
Full Circuit ID (e.g. 60.LOXX.123456)
Network (WAN) Address
City, State (ex: Orlando, FL)
DNS Information
Domain Name (required)
        Type of Request New  Modify  Delete
IP Numbers and Hostnames to be changed or added
(Please specify all of your requests in the following format):
Add / Modify / Delete       Type (A, MX, PTR, CNAME)      IP Address      Hostname
Additional Relevant Information (Name servers, MX records, etc.)
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: A confirmation e-mail will be sent to the "Contact Email" entered in the form above with the order number included. Please make sure that your e-mail SPAM filter allows the domain name as a safe sender.

If you have any questions about filling out this form or for any requests that cannot be handled through this form, please contact; hours of operation 8-6 central M-F.