Jefferson County, GA · Jefferson County
New Address Application
Jefferson County residents or property owners use this application to request a 911 address for a new structure.
At a glance
- Issued by
- City of Jefferson County · Jefferson County, Jefferson County, Georgia
- Notarization
- Not required: file this form without a notary.
- Official source
- jeffersoncountyga.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This application lets a resident or property owner request a 911 address for a new structure in Jefferson County. It asks for contact and mailing information, the road and property details, the structure type, parcel number, and whether the structure is visible from the road or shares a driveway. The form notes that receiving an address may take 3–5 business days and that confirmation is sent by email.
Who needs it
Residents or property owners requesting a 911 address for a new house, mobile home, travel trailer, business, or other structure should complete this application.
How to submit it
Complete the form and return it to Jefferson County E-911, P.O. Box 658, 911 Clarks Mill Road, Louisville, Georgia 30434. The form also lists [email protected] as an email contact.
About notarization
No notary is required; the form mentions no notarized attachment or sworn step, and its text does not specify a signer signature or date.
How to submit this form
- 1
Download the Application
Download the New Address Application PDF.
- 2
Complete the Form
Provide the requested contact, property, structure, and access information, including the required parcel number.
- 3
Gather Attachments
The application text does not list any required attachments.
- 4
Return It to Jefferson County E-911
Return the completed form to the mailing address listed on the application or use its listed email contact.
Frequently asked questions
- Who should complete the New Address Application?
- Residents or property owners requesting a 911 address for a new structure, such as a house, mobile home, travel trailer, or business, can complete the application.
- How do I submit the New Address Application?
- Complete the form and return it to Jefferson County E-911 at the mailing address listed on the application. The form also provides an email contact.
- Do I need a notary for the New Address Application?
- No. The form does not mention a notarized attachment or sworn step, and its text does not specify a signer signature or date.
- What information does the application request?
- It asks for contact details, the road and property information, structure type, parcel number, visibility from the road, and whether the structure shares a driveway.