Pike County, IL · Pike County
911 Address Form for Existing Building
Property owners use this form to request a 911 address for an existing building in Pike County, Illinois, by providing its location and contact details.
At a glance
- Issued by
- City of Pike County · Pike County, Pike County, Illinois
- Notarization
- Not required: file this form without a notary.
- Official source
- pikecountyil.org
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This form provides location and contact information to help the county place a 911 address where first responders can find the building. It asks for a map location, parcel number or coordinates or land description, parcel owner’s name, names associated with the address, and a contact phone number or email. If the parcel is within town boundaries, the form says to contact the town directly for an address.
Who needs it
A person seeking a 911 address for an existing building outside town boundaries should provide the location and contact information requested on the form.
How to submit it
Send it to Greg Wyatt at 121 E Washington St, Suite 1, Pittsfield, IL 62363, call 217-285-2382, or email [email protected]. For a parcel within town boundaries, contact the town directly.
About notarization
This document does not require a notary; it includes no notarized attachment or sworn step.
How to submit this form
- 1
Download the Form
Download the 911 Address Form for Existing Building.
- 2
Complete the Location Details
Mark the building on the map if available; otherwise provide the parcel number, coordinates, or township, section, and quarter section.
- 3
Provide Names and Contact Information
Enter the parcel owner's name, the names associated with the 911 address, and a phone number or email where you can be contacted.
- 4
Submit to the County Contact
Send the form to Greg Wyatt at the address or email listed. If the parcel is within town boundaries, contact the town directly.
Frequently asked questions
- Do I need a notary for the 911 Address Form for Existing Building?
- No. The document does not require a notary and lists no notarized attachment or sworn step.
- How do I submit the 911 Address Form for Existing Building?
- Send it to Greg Wyatt at the address or email listed on the form, or call the listed phone number. If the parcel is within town boundaries, contact the town directly.
- What information does the 911 Address Form request?
- It requests the building’s map location if available, parcel number or coordinates or land description, parcel owner’s name, names associated with the address, and a contact phone number or email.
- Who should use this 911 address form?
- A person seeking a 911 address for an existing building can provide the location and contact information requested. Parcels within town boundaries require contacting the town directly.