Address Request Form

Address Request Form

Athens-Limestone County 911
In order for a new structure to be addressed in Limestone County (AL), please fill out the following form with as much detail as you can provide.

NOTE: If our GIS Technician has further questions or needs more details, you may be contacted by someone with ALC911 within 3-5 business days after submitting this form.
Requestor Contact Information
Full Name: *

First Name Last Name
Primary Phone Number: *

Area Code Phone Number
Secondary Phone Number:

Area Code Phone Number
Will you also be the resident of this property? *

Yes No
Resident Contact Information
Full Name: *

First Name Last Name
Primary Phone Number: *

Area Code Phone Number
Secondary Phone Number:

Area Code Phone Number

Structure Details
What type of structure will be associated with the new address? Please select one: *
Please elaborate on the structure type/details. Include any relevant details (colors, exterior materials, etc.) *
Address Details
What is the name of the road on which the property is located? *
What is the nearest existing address? *
Please enter Numbers Only.
What direction is your property from the nearest existing address? Please select one: *
If known, please provide valid GPS coordinates for the property:
How is the property marked (corners staked off, marker in center of structure location, etc.)? NOTE: The structure location must be marked, and easily identified, before we are able to provide an address. *
Should be Empty:

Requestor Contact Information