Cook County, IL · Cook County
Address Authorization Form
This form requests approval of a street name and address assignment for a property with a Cook County building permit being processed.
At a glance
- Issued by
- City of Cook County · Cook County, Cook County, Illinois
- Notarization
- Not required: file this form without a notary.
- Official source
- cookcountyil.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The form requests approval of a street name and address assignment for a property with a building permit about to be or being processed by the Cook County Department of Building and Zoning. It asks for the permit number, property PIN, lot number, legal description or attached survey, and applicant contact details. The Emergency Telephone System Board completes the approved assignment section.
Who needs it
An applicant for a property with a Cook County building permit being processed uses this form to request a street name and address assignment.
How to submit it
Submit the completed form to the Emergency Telephone System Board at 9511 W. Harrison, Des Plaines, IL 60016. The document also lists an email address for Cook County Permit Control.
About notarization
This form has no notary block; the Emergency Telephone System Board completes the signature and date fields, and no notarized attachment or sworn step is mentioned.
How to submit this form
- 1
Download the Form
Download the Cook County Address Authorization Form.
- 2
Complete Applicant and Property Details
Enter the permit number, property PIN, lot number, legal description or note the attached survey, and applicant contact details.
- 3
Submit the Completed Form
Send the completed form to the Emergency Telephone System Board at the address printed on the form.
Frequently asked questions
- What does the Cook County Address Authorization Form request?
- It requests approval of a street name and address assignment for a property with a building permit being processed by the Cook County Department of Building and Zoning.
- What information does the form ask for?
- It asks for the permit number, property PIN, lot number, legal description or an attached survey, and the applicant’s name, address, and phone number.
- How do I submit the Cook County Address Authorization Form?
- Submit the completed form to the Emergency Telephone System Board at 9511 W. Harrison, Des Plaines, IL 60016. The form says the board sends the completed form to Cook County Permit Control by email.
- Do I need a notary for the Cook County Address Authorization Form?
- No. The form has no notary block; the Emergency Telephone System Board completes the signature and date fields, and no notarized attachment or sworn step is mentioned.