Shelby County, IL · Shelby County
Application for 911 Address
Shelby County property applicants use this form to request a 911 address and provide contact, parcel, and driveway location information.
At a glance
- Issued by
- City of Shelby County · Shelby County, Shelby County, Illinois
- Notarization
- Not required: file this form without a notary.
- Official source
- shelbycounty-il.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This application requests a 911 address for a property in Shelby County and is completed by the applicant. All requested information must be provided before an address can be assigned; the form asks for contact details, the applicant’s relationship to the property, parcel number, and property location, including a map or details pinpointing the driveway. The applicant attests that the information is accurate and signs and dates the form.
Who needs it
A person applying for a Shelby County 911 address for a property should complete this application and provide the requested location information.
How to submit it
Submit it to the county department named on the form; check the county website for current contact details.
About notarization
This application is signed and dated without a notary; the form lists no notarized or sworn attachment.
How to submit this form
- 1
Download the Application
Download the Shelby County Application for 911 Address PDF.
- 2
Complete the Form
Provide all requested contact, relationship-to-property, parcel, and location information.
- 3
Add Driveway Location Details
Provide location information or a map pinpointing where the driveway will be located.
- 4
Sign and Date
Attest that the information is true and accurate to the best of your knowledge, then sign and date the application.
- 5
Submit to the County
Submit it to the county department named on the form; check the county website for current contact details.
Frequently asked questions
- Do I need a notary for the 911 Address Application?
- No. The application is signed and dated without a notary, and the form lists no notarized or sworn attachment.
- How do I submit the 911 Address Application?
- Submit it to the county department named on the form; check the county website for current contact details.
- What information does the application ask for?
- It asks for applicant contact information, relationship to the property, parcel number, and property location. Include location information or a map pinpointing the driveway.
- When can a 911 address be assigned?
- The form states that all requested information must be provided before an address can be assigned. It also notes that it may take up to 14 business days for all entities to recognize the address.