Phoenix, AZ · Maricopa County
Application and Affidavit for Uniform Video Service License
This application is for a business seeking a uniform video service license from the City of Phoenix and includes applicant and service-area information.
What this form is
A business uses this application to seek a uniform video service license from the City of Phoenix. It asks for applicant and business details, executive officers, authorized representatives, license term, and service-area information. The applicant also identifies whether it is an incumbent cable operator and provides a signed certification affirming the information is true and correct; a copy of the applicant’s authorization must be attached.
Who needs it
A business applying to provide video services in a service area identified in its application to the City of Phoenix needs this form.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed and dated without a notary; attach the applicant’s authorization and, if applicable, the described service-area boundary.
How to submit this form
- 1
Download The Application
Download the Application and Affidavit for Uniform Video Service License.
- 2
Complete Applicant Details
Fill in the applicant, business, executive officer, authorized representative, license term, and service-area information.
- 3
Gather Attachments
Attach a copy of the applicant’s authorization and, if applicable, the described service-area boundary.
- 4
Sign And Date
Sign and date the certification affirming the application information is true and correct.
- 5
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Uniform Video Service License Application?
- No. The form provides for a signature and date without a notary. Attach a copy of the applicant’s authorization and, if applicable, the service-area boundary.
- How do I submit the Uniform Video Service License Application?
- Submit it to the city department named on the form; check the city website for current contact details.
- What information does the application request?
- It requests applicant and business details, executive officers, authorized representatives, license term, and service-area information. It also asks whether the applicant is an incumbent cable operator.
- What attachments does the application require?
- The applicant’s certification says a copy of its authorization is attached. If the service area is described separately, the form calls for an attached description and allows additional pages.
Need something notarized?
This Application and Affidavit for Uniform Video Service License doesn’t need a notary — but if you have another Phoenix form that does, a commissioned online notary can help.