Cochise County, AZ · Cochise County
Application and Affidavit for Uniform Video Service License
Video service providers use this application to request a uniform video service license from Cochise County and provide applicant and service area information.
At a glance
- Issued by
- City of Cochise County · Cochise County, Cochise County, Arizona
- Notarization
- Not required: file this form without a notary.
- Official source
- cochise.az.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This application requests a uniform video service license from Cochise County. It asks for the applicant’s business and contact information, executive officers or general partners, authorized representatives, expected service start date, and license term. Applicants must also attach an exact description of the service area as Exhibit A and complete the verification section.
Who needs it
A video service provider seeking a uniform video service license from Cochise County should complete this application and attach its service area description.
How to submit it
Submit it to the county office named on the form; check the county website for current contact details.
About notarization
The form has no notary block; its verification says the signer is duly sworn, but gives no notary instructions, and Exhibit A is an attachment.
How to submit this form
- 1
Download the Application
Download the Application and Affidavit for Uniform Video Service License PDF.
- 2
Complete the Applicant Information
Enter the applicant’s business details, representatives, operator status, expected service date, and requested license term.
- 3
Attach the Service Area Description
Prepare the exact service area description as a geographic information system digital boundary and attach it as Exhibit A.
- 4
Sign and Submit to the County
Complete the applicant verification, sign and date the form, and submit it to the county office named on the form.
Frequently asked questions
- What is the Uniform Video Service License application for?
- It is an application for video service providers seeking a uniform video service license from Cochise County. It collects applicant details and information about the proposed service area.
- What should I attach to the application?
- Attach Exhibit A, an exact description of the service area identified by a geographic information system digital boundary that meets or exceeds national map accuracy standards.
- Do I need a notary for the Uniform Video Service License application?
- No notary block appears on this form. Its verification uses the words “duly sworn,” but gives no notary instructions; Exhibit A is an attachment.
- How do I submit the Uniform Video Service License application?
- Submit it to the county office named on the form; check the county website for current contact details.