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: *
Secondary Phone Number:
Email Address:
someone@example.com
Preferred Method of Contact:

Phone Email
Will you also be the resident of this property? *

Yes No
Resident Contact Information
Full Name: *

First Name Last Name
Primary Phone Number: *
Secondary 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: *
Would you like to provide GPS coordinates for the structure location? (NOTE: This will generally speed up the process of obtaining a new address.) *

Yes No
For information on how to use our public web map to obtain GPS coordinates, click here.
Please provide valid GPS coordinates for the structure location:
How is the structure location marked (corners of structure staked off, marker in center of structure location, etc.)? NOTE: Since we only assign addresses for structures - not properties - the structure location must be marked, and easily identified, before we are able to provide an address. *
Should be Empty:

Requestor Contact Information