TV License Transfer Form

TV License Transfer Form
Transfer your TV license to a new occupier quickly and securely. Please complete all required fields.
Property Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
TV License Number
Outgoing Occupier's Full Name
First NameLast Name
Outgoing Occupier's Email Address
example@example.com
Outgoing Occupier's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
New Occupier's Full Name
First NameLast Name
New Occupier's Email Address
example@example.com
New Occupier's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Effective Transfer Date
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Additional Notes (optional)
Should be Empty: