Below are the most commonly requested forms from Shareholder Services. Print the form, fill in all information and then sign, date, and provide a daytime telephone number and e-mail address, if applicable.
For shareholders who have signed up to access their Dominion shareholder account online, many of these transactions can be completed and submitted online. Click here to access your account online.
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Use this Address Change Form to change the address on your Dominion shareholder account.
Our Bank Draft Authorization Form allows you to set up a bank draft to purchase additional stock without having to mail a check or money order.
If you are receiving your dividend by check, you may elect to have your dividends deposited directly into your bank account.
The Dividend Authorization Form is used to change your dividend option.
Use this form to open the following accounts:
|- Individual Account (adults only)||- Trust Account|
|- Joint Account (adults only)||- Transfer on Death (TOD) Account|
|- Custodial Account (adult cust., minor)||- Corporation, Partnership or other type
of Entity Account
Print the form, fill out all pertinent information, and mail to Shareholder Services. Include a check or money order for your investment or complete a Bank Draft Authorization Form.
You are also able to set up an account online. The following types of accounts may be set up online: a single, joint tenant, tenants by the entirety, and tenants in common.
Print the investment coupon, complete the form and send in with your investment. You may also set up a bank draft on your shareholder online account instead of using this form.
The Letter of Transmittal Form is used if you hold stock certificate(s) and would like Dominion to hold your shares in safekeeping (book entry form). The stock certificate(s) must be mailed with the form. A photocopy of the certificate is not acceptable. Do not sign or write on the back of your stock certificate(s). Sign your form and mail to Dominion. Certified or registered mail is recommended. Insure your mailing for 2% of the value of your stock certificate(s). This is the cost to replace the certificate(s) if they are lost. If you are unable to locate your stock certificate(s), contact Shareholder Services for replacement paperwork.
Use this Power of Attorney Certification form when the attorney-in-fact is transacting business on behalf of the shareholder.
The Sale Request Form is used to sell Dominion Resources common stock. Complete the form, sign (all owners must sign), provide a daytime telephone number and e-mail address (optional). If you are selling book-entry shares only, you can e-mail, fax, or mail your completed form to Dominion Resources, Inc.
If you own stock certificates and would like to sell your certificate shares, you must mail your completed form and certificate(s) to Dominion. Do not sign or write on the back of your stock certificate(s). Sign your form and mail to Dominion. Certified or registered mail is recommended. Insure your mailing for 2% of the value of your stock certificate(s). This is the cost to replace the certificate(s) if they are lost. If you are unable to locate your stock certificate(s), contact Shareholder Services for replacement paperwork.
Use this Substitute W-9 Form to provide your correct Taxpayer Identification Number (TIN) and required certification for your Dominion Resources, Inc. shareholder account.
View our Frequently Asked Questions.