To apply for a 911 address for your new home
or business, please fill out the e-form below. Once completed,
press the Submit Form button to send the request
form to the 911 Coordinator. If you prefer you can
also download a printable version of this form and
mail, fax or hand deliver it to the 911 Coordinator
at the address listed above. Click
here for a Microsoft Word version of the form and click
here for an Adobe Acrobat PDF version..
Within five (5) working days after you submit
your form, you will receive notice of your assigned address
by telephone. A follow-up confirmation letter will be mailed
to you at the current mailing address you provided
on this form.
If you make a mistake before you send your
address request information, press the Reset Form
button to clear the form and start again.
A 911 address for a new structure should be obtained
before making arrangements for utility services. Utility
companies (telephone, electric, gas, water, and so forth)
will request a 911 address for structures to be served.
An applicant requesting an address in Crawford
County outside of a city must obtain a culvert permit
from the Crawford County Road Department if the structure
to be addressed is accessed off of a county maintained road.
Please call (479) 474-6017 for permit information. A 911
address will not be provided an applicant until the 911
Coordinator has been notified that the applicant has obtained