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 after submitting this form.
Requestor Contact Information
Full Name:

First NameLast Name
Primary Phone Number:
Format: (000) 000-0000.
Secondary Phone Number:
Format: (000) 000-0000.
Email Address:
someone@example.com
Preferred Method of Contact:
Will you also be the resident of this property?
Resident Contact Information
Full Name:

First NameLast Name
Primary Phone Number:
Format: (000) 000-0000.
Secondary Phone Number:
Format: (000) 000-0000.

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.)
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.
Do you have any documentation to upload (plats, maps, etc.) to assist in finding the structure location to be addressed?
Please provide assisting documentation here:

Browse Files
NOTE: Only PDF, PNG, and JPEG files may be uploaded. Cancelof
Should be Empty:

Requestor Contact Information