DNS Request Form for AT&T DSL Customers
AT&T DSL customers, please complete the form below for DNS requests. This information will be used by the DNS Administrators at AT&T Internet Services to process your specific DNS needs. The DNS Team will send an email confirmation when the request has been completed or with follow-up questions. Only customers with Static IPs are supported. Customers who wish to upgrade to Static service may do so by calling the AT&T sales department.
NOTE: If you are not an AT&T DSL customer, or if AT&T Is not authoratative for your Zone, please refer to the bottom of this page for additional contact information.(ex: T1, Bellsouth, Uverse, and Webhosting customers)
Fields marked with an asterisk (*) are required.
Type of Request 1. Is this a Reverse DNS (PTR) request, Zone creation, a Modification to an existing DNS build, or a Reverse Delegation request (you manage your Zone)?*
Customer Information 2. Bill To Number (BTN) - number DSL service is on* :
( 3. Assigned LAN/CIDR block* :
4. Customer Contact Name:* :
5. Customer Contact Phone Number:* :
( 6. Customer Contact Email Address:* :
7. Service Address, City, State and Zip Code information. Address:
City:
* State:
-- Select a State --
Outside U.S.
Alabama
Alaska
American Samoa
Arizona
Arkansas
A.F. Africa,CAN,EU,MidEast
A.F. Americas (Except CAN)
A.F. Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Fed. States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:
REVERSE DNS (PTR) 8. Fully Qualified Domain Name (FQDN) for Reverse DNS only or what the MX record points to. Example: mail.domain.com.
9. IP Address (IP address you are requesting the PTR be applied to)
CUSTOM DNS RECORDS (New Build) 10. Do you have a mail server software program?
a) Hostname and MX preference you want assigned:
b) IP address you want assigned:
c) Hostname and MX preference of 2nd record:
d) IP address of 2nd record you want assigned:
11. If applicable, provide the Hostname of your web server:
12. If applicable, provide the IP address of your web server:
Additional HOSTS and IP Assignments 13. a) Hostname:
b) IP Address:
14. a) Hostname:
b) IP Address:
15. a) Hostname:
b) IP Address:
REVERSE DELEGATION 16. If you are requesting Reverse Delegation on your IP block, please provide your PRIMARY and SECONDARY name servers and IP address information.IP address IP address
Domain Name:
Primary Name Server:
Primary Server IP Address:
Secondary Name Server:
Secondary Server IP Address:
NOTES 17. Use this space to request modifications to an existing DNS build or to provide additional instructions.
Send this form by clicking the "Submit Form" button below.