Street Naming & Addressing

E911 New Physical Address Request Form

The E911 New Physical Address Request Form is essential for establishing a precise physical address that emergency services will use to locate you quickly in case of an emergency. E911 Addressing assigns a unique address to homes, businesses, and other locations, ensuring accurate mapping within emergency response systems. What is the difference between a E911 address and a mailing address?  Unless you have a post office box, then nothing.  Your E911 address and your mailing address should be the same address.  Even if you do not receive mail at your home (such as a seasonal home), it’s still important to know your E911 address.

Name(*)

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Email(*)

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Phone Number(*)

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Mailing Address

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City

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State

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Zip

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Select

Person requesting address IS NOT property owner Invalid Input

Name, title and contact information of person requesting address(*)

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Reason for Address Request(*)

Utility Hook-up

New Construction

Establish Mail Delivery

Listing/Selling Property

Owner Builder Card

Other

Please select at least one

Please Explain(*)

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Physical Address Site Identification

Parcel Identification Number (8 digits)(*)

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Street Name Providing Access(*)

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Are there or will there be structures on this property within the next year?

YesNo Invalid Input

Please select which best describes development(*)

Single Family Residence

Cabin/Seasonal Home

Multi-Family Residence

Mobile Home

Commercial

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Is there LANDLINE telephone service at this property?(*)

Yes

No

I don't know

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Who is the service provider?(*)

ACS

GCI

TelAlaska

MTA

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Please list all landline telephone numbers associated with this property(*)

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A notification letter will be sent to the property owner of record when address is assigned.

Please click the Submit button ONLY ONCE. It can take up to 30 seconds for the form to be submitted.

You will be redirected to the KPB Addressing Home Page once the form has been submitted.

Captcha(*)

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