Douglas, AZ · Cochise County
Application and Affidavit for Uniform Video Service License
Businesses apply to the City of Douglas for a uniform video service license and provide applicant, representative, and service-area information.
What this form is
This application is for an applicant seeking a uniform video service license from the City of Douglas. It requests business and officer details, authorized representatives, the expected service start date, license term, and service-area description. The applicant also makes statements about federal filings, fees, and reporting changes, then verifies the application and attaches a copy of authorization to file it.
Who needs it
A business seeking a uniform video service license from the City of Douglas should complete this application and provide the requested supporting material.
How to submit it
Submit the application to the City Clerk, City of Douglas, 425 10th Street, Douglas, AZ 85607. The form lists phone and fax numbers but does not specify a submission fee.
About notarization
This document is signed and dated without a notary; attach the applicant’s authorization, and attach Exhibit A if the service area is described there.
How to submit this form
- 1
Download The Application
Download the City of Douglas uniform video service license application.
- 2
Complete The Applicant Sections
Enter the applicant’s business details, officers, representatives, expected service date, license term, and service-area information.
- 3
Gather Attachments
Attach a copy of the applicant’s authorization to file and, if applicable, Exhibit A describing the service area.
- 4
Submit To The City Clerk
Submit the completed application to the City Clerk at 425 10th Street, Douglas, AZ 85607.
Frequently asked questions
- Do I need a notary for the Uniform Video Service License application?
- No. The application has a signature and date line but no notary block. Attach a copy of the applicant’s authorization to file; the form does not say that attachment must be notarized.
- How do I submit the video service license application?
- Send the application to the City Clerk, City of Douglas, 425 10th Street, Douglas, AZ 85607. The form also lists phone and fax numbers.
- What information does the application ask for?
- It asks for applicant and business details, officers and authorized representatives, the expected service start date, license term, and a description of the service area.
- What attachments may be needed?
- The application says to attach a copy of authorization for the person filing. If the service area is described on an attached Exhibit A, include that exhibit.
Need something notarized?
This Application and Affidavit for Uniform Video Service License doesn’t need a notary — but if you have another Douglas form that does, a commissioned online notary can help.
