White County, IL · White County

No notary required

Request for New Address

White County property owners and requestors use this form to provide information needed to request and validate a new property address.

At a glance

Issued by
City of White County · White County, White County, Illinois
Notarization
Not required: file this form without a notary.
Official source
irp-cdn.multiscreensite.com
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

The White County 911 Office uses this form to process a request for a new address and validate the location. It asks for owner and contact details, the property location and parcel or lot number, the closest neighbor, and, for new construction, an approximate completion date. The driveway must be completed before an address will be assigned.

Who needs it

A property owner or other requestor seeking a new address in White County should provide the property and contact information requested on the form.

How to submit it

Return the form to the White County 911 Office by mail to PO Box 339, Carmi, Illinois 62821; by fax to (618) 382-5321; or by email to [email protected].

About notarization

This document is completed without a notary; no notarized or sworn attachment is mentioned, and the form includes a date field.

How to submit this form

  1. 1

    Download the Form

    Download the Request for New Address PDF.

  2. 2

    Complete the Form

    Provide the owner and contact details, property location, parcel or lot number, and other requested information.

  3. 3

    Gather Location Materials

    The form says to staple it with a copy of the customer letter, a map of the location, and the file.

  4. 4

    Return It to the County

    Send the form to the White County 911 Office by mail, fax, or email using the details on the form.

Frequently asked questions

Do I need a notary for the Request for New Address?
No. The form is completed without a notary, and it does not mention a notarized or sworn attachment.
How do I submit the Request for New Address?
Return it to the White County 911 Office by mail, fax, or email using the contact details printed on the form.
What information does the form request?
It asks for owner and contact details, the property location, parcel or lot number, closest neighbor, and an approximate completion date for a new build.
What must be ready before an address is assigned?
The form states that the driveway must be completed before an address will be assigned.

Need something notarized?

This Request for New Address doesn’t need a notary, but Illinois residents can notarize other documents online with a commissioned online notary.