Shareholder Forms

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.

If the form you are seeking is not listed below or if you need information on how to complete the form, please contact Shareholder Services by e-mail, phone or postal mail.

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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Address Change Form

Use this Address Change Form to change the address on your Dominion shareholder account.

Bank Draft Authorization Form

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.

Direct Deposit Form

If you are receiving your dividend by check, you may elect to have your dividends deposited directly into your bank account.

Dividend Authorization Form

The Dividend Authorization Form is used to change your dividend option.

Enrollment Form

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.

Investment Coupon

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.

Letter of Transmittal 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.

Power of Attorney Certification Form

Use this Power of Attorney Certification form when the attorney-in-fact is transacting business on behalf of the shareholder.

Sale Request Form

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.

W-9 Form

The Substitute W-9 Form is used to change or correct the social security number/tax ID number on the Dominion Resources, Inc. shareholder account.

Frequently Asked Questions

View our Frequently Asked Questions.

To contact Dominion Shareholder Services, click here for information.