Transfer of Registrar Dispute Claim Form

Instructions
This form should be completed as thoroughly as possible. Incomplete or inaccurate forms will not be resolved as quickly or as easily as thoroughly completed forms. Do not file more than one dispute claim for the same domain name transfer. Doing so will only extend the amount of time that it takes to complete the dispute processing. If you wish to file a followup dispute claim you must include the original tracking number that we provided you in the space provided below.

Dispute Claim Form

Domain Name:
Your Name:
Your Email Address:
Your Address:
City:
State/Province:
Daytime telephone number:

Is this an update to a prior Dispute Claim? Yes No
Date you originally filed your transfer request with Tucows:

Network Solutions Tracking Number:
(If Network Solutions provided you with a tracking number and you have retained record of this number, please complete this field.)

Did you provide Tucows or one of its official agents with appropriate authorization to conduct this transfer? Yes No

Reason for Dispute Claim:

Denied Transfer
Lost Transfer
Outstanding Transfer
Other

If other, please provide a one or two word summary:

Specific Problems - Please check all applicable problems that you encountered with your transfer.

NSI never sent me the authorization form
I provided NSI with their authorization form
NSI claimed that the domain had already expired
NSI claimed that the transfer was not authorized in time
The transfer authorization that I sent NSI bounced back to me
NSI claimed that I owed them money.

Comments: Please provide a succinct overview of the nature of the problem and any details that you feel may assist us in resolving this complaint in a timely and effective manner. Email and other correspondance between you and Network Solutions would be useful.

Privacy
As part of our resolution efforts, it may be necessary to provide Network Solutions with further information concerning this Dispute Claim. In order to release your contact information to Network Solutions, we require your permission prior to filing this Dispute Claim with them. If you do not authorize the release of this data, your Dispute Claim will still be filed and actioned based on the information contained in the Whois record based on the domain name in question. I authorize Tucows Inc., to release my contact information to Network Solutions for the sole purpose of resolving this particular Dispute Claim. I do not authorize the release of this data for any other purpose. I do not authorize either party to utilize this data for any purpose other than resolving this particular Dispute Claim.

Agree Disagree

Relationship
I certify that I am the:

Registrant
Administrative Contact
Technical Contact
Billing Contact
Duly authorized agent of the Registrant

and have full authority required by law to file this claim and complete the domain name transfer on behalf of the domain holder.