Pike County, IL · Pike County
911 Address Form for New Building
Pike County’s 911 Address Form helps property owners request an address for a new building by providing its location and contact information.
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
Use this form to provide information that helps Pike County place a 911 address where first responders can reach a new building. It asks for the building and driveway location, parcel number or coordinates or township details, the road the building faces, associated names, and contact information. If the parcel is within town boundaries, contact the town directly for an address.
Who needs it
A person seeking a 911 address for a new building in Pike County should provide the location and contact details requested.
How to submit it
Contact Greg Wyatt at 121 E Washington St, Suite 1, Pittsfield, IL 62363, by phone at 217-285-2382 or email at [email protected].
About notarization
No notary is required; the form requests location and contact details but does not ask the signer to sign or date it.
How to submit this form
- 1
Download the Form
Download the 911 Address Form for New Building.
- 2
Provide Building Location Details
Mark the building and driveway on a map if available, and provide the parcel number, coordinates, or township location details.
- 3
Add Road and Contact Information
Enter the road the building faces, associated names, and a phone number or email where you can be contacted.
- 4
Contact Pike County
Contact Greg Wyatt using the address, phone number, or email listed on the form.
Frequently asked questions
- Do I need a notary for the 911 Address Form for New Building?
- No. The form does not require notarization or request a signature or date.
- How do I submit the 911 Address Form for New Building?
- Contact Greg Wyatt at the address, phone number, or email listed on the form: 121 E Washington St, Suite 1, Pittsfield, IL 62363; 217-285-2382; [email protected].
- What location details does the form request?
- It asks where the building and driveway are, the parcel number or coordinates or township details, and the road the building faces.
- What if the parcel is within town boundaries?
- The form says to contact the town directly for an address if the parcel is within town boundary lines.