Palestine, TX · Anderson County
Request for New 9-1-1 Address or Change to Existing Address
Property owners or authorized applicants use this request to ask the City of Palestine for a new 9-1-1 address or a change to an existing address.
What this form is
This form asks the City of Palestine to assign a new 9-1-1 address, change an existing address, or add an address to a single property. It requests the reason for the request, applicant and property owner details, property location and type, and whether improvements exist. The Development Services Department reviews the completed form and may contact the applicant for additional information.
Who needs it
Property owners or people authorized to act for them use this form to request a new address, an address change, or an additional address on a property.
How to submit it
Return the completed form by mail, in person, or by email to Development Services Department, 504 N. Queen Street, Palestine, Texas 75801; email [email protected].
About notarization
This document is signed without a notary; it has no sworn or notarized attachment, so the applicant or property owner just signs the request.
How to submit this form
- 1
Download the Form
Download the 9-1-1 address request form.
- 2
Complete the Request
Select the request type and reason, then enter applicant, property owner, and property details.
- 3
Sign the Form
The applicant or property owner signs the request; no notary is required.
- 4
Submit to the City
Mail, deliver in person, or email the completed form to the Development Services Department.
Frequently asked questions
- Do I need a notary for the 9-1-1 address request?
- No. This form is signed without a notary, and it lists no sworn or notarized attachment; the applicant or property owner just signs the request.
- How do I submit the 9-1-1 address request?
- Return the completed form by mail, in person, or by email to the Development Services Department. The form lists its street address and email.
- What kinds of address requests can I make?
- The form allows requests for a new address, a change to an existing address, or an additional address on a single property.
- What information does the form ask for?
- It asks for applicant and property owner details, the reason for the request, property location and type, and whether the property has existing improvements.
Need something notarized?
This Request for New 9-1-1 Address or Change to Existing Address doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.