Domain Name Change Request

Use this form to request a change in the URL associated with your Broadridge website.

Note: You must have already secured the new domain prior to completing this form. To order a new domain, please contact a Broadridge Website Consultant at (800) 233-2834.

Upon submitting the form, please allow 2 Business Days for fulfillment, an email notification will be sent once completed.

» Required Fields

Domain Name Change Request

» Website USER ID Number The Broadridge User ID Number can be found by logging in to your Website Administrator. Once logged in, click on “My Profile” in the upper right. Requests with the wrong User ID Number cannot be honored.
» Current Domain Name
» New Domain Name
» Broker Dealer
	Please check this box if you wish to have the old name forwarding to the new name. **Note that Broadridge can only set up Domain Forwarding if we manage both the current and new domains.
Compliance Approval Number*
* If your broker dealer has a required compliance approval number, please enter it here.
» Confirmation E-mail To