Rock Island, WA · Douglas County

No notary required

New Address Request Application

Applicants and property owners use this application to request a new address or an address change in Rock Island and provide related property details.

What this form is

Use this application to request a new address or change an existing address in Rock Island. The applicant returns it to the city with a detailed site map. It asks for applicant and property-owner contact information, the request purpose, parcel and subdivision details, access road and nearest intersection, and the address before and after the change.

Who needs it

Applicants or property owners requesting a new address or an address change for a residence, business, recreation use, or other purpose need this application.

How to submit it

Return the completed application and detailed site map to the City of Rock Island at 5 N. Garden Avenue, P.O. Box 99, Rock Island, WA 98850.

About notarization

This application is signed and dated without a notary; the required detailed site map is an attachment, and the form does not say it must be sworn or notarized.

How to submit this form

  1. 1

    Download The Application

    Download the New Address Request Application PDF.

  2. 2

    Complete The Form

    Provide applicant and property-owner information, request purpose, property details, and the address before and after.

  3. 3

    Gather The Site Map

    Prepare the detailed site map the form says to return with the application.

  4. 4

    Sign And Date

    Sign and date the application.

  5. 5

    Return It To The City

    Return the application and detailed site map to the City of Rock Island.

Frequently asked questions

What is the New Address Request Application for?
It is used to request a new address or an address change in Rock Island. The form asks for property, contact, purpose, and address details.
What should I attach to the application?
The form says to return the application with a detailed site map. It does not list any other required attachments.
Do I need a notary for the New Address Request Application?
No. The applicant or owner signs and dates the application without a notary. The form does not say the detailed site map must be sworn or notarized.
How do I submit the New Address Request Application?
Return the completed application and detailed site map to the City of Rock Island at 5 N. Garden Avenue, P.O. Box 99, Rock Island, WA 98850.

Need something notarized?

This New Address Request Application doesn’t need a notary — but if you have another Rock Island form that does, a commissioned online notary can help.