Request 911 Address Form


To apply for a 911 address for your new home or business, please fill out the e-form below.  Once completed, press the Submit Form button to send the request form to the 911 Program Manager.

Within two (2) working days after you submit your form, you will be contacted by someone in the 911 Department to assist you in obtaining your new address.

If you make a mistake before you send your address request information, press the Clear Form button to clear the form and start again.

IMPORTANT NOTES:
A 911 address for a new structure should be obtained before making arrangements for utility services.  Utility companies (telephone, electric, gas, water, and so forth) will request a 911 address for structures to be served.

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To request a 9-1-1 physical address in an incorporated area (inside a City or Municipality), please contact your City Hall for more information.

New Structure Location Information

Please fill in as much information as possible to aid in assigning your property a correct 9-1-1 address.
Measure from the center line of your driveway to the center line of your neighbors driveway.
Any additional information that will aid in locating the new structure.