Milan, NY · Dutchess County
Department of Emergency Response Address Request Form
This form lets a person or firm request a new 9-1-1 address by providing contact details, parcel information, and a plot plan.
What this form is
Use this form to request a new 9-1-1 address from the Dutchess County Department of Emergency Response. The requester provides contact information, structure type, tax parcel details, and any applicable old address or filed map number. The form also asks the requester to attach a plot plan showing the actual location of the driveway; addressing staff complete the assigned address section.
Who needs it
A person or firm requesting a new 9-1-1 address for a property should provide the requested contact and parcel information.
How to submit it
Send the form and plot plan to the Dutchess County Department of Emergency Response, 392 Creek Road, Poughkeepsie, New York 12601; email [email protected] or fax (845) 486-3998.
About notarization
This form has no notary block; it requests a date and plot plan, and identifies no sworn or notarized attachment or additional notarized step.
How to submit this form
- 1
Download The Form
Download the Department of Emergency Response Address Request Form.
- 2
Complete The Request
Provide requester contact details, structure type, and the requested parcel information.
- 3
Attach A Plot Plan
Include a plot plan showing the actual location of the driveway.
- 4
Submit The Request
Send the form and plot plan to the department by mail, email, or fax using the listed contact details.
Frequently asked questions
- What does the Address Request Form do?
- It lets a person or firm request a new 9-1-1 address and provides space for contact, structure, and parcel information.
- What should I attach to the form?
- Attach a plot plan showing the actual location of the driveway. A filed map number and old parcel address are requested if applicable.
- Do I need a notary for the Address Request Form?
- No. The form has no notary block and identifies no sworn or notarized attachment or step; it asks for a date and plot plan.
- How do I submit the Address Request Form?
- Send it with the plot plan to the Dutchess County Department of Emergency Response at 392 Creek Road, Poughkeepsie, New York 12601; the form also lists email and fax.
Need something notarized?
This Department of Emergency Response Address Request Form doesn’t need a notary — but if you have another Milan form that does, a commissioned online notary can help.