You have completed the request form for a New 911 Address. 
We will attempt to contact you by phone if we have any questions about your request or if there are any issues. 

You will receive a text on the number you provided once your new address has been assigned. You will also receive an email containing your address and your verification form. 

Our business line phone number is:
256-357-4894
Please call Monday-Friday, 8am to 4pm if you have any questions.