Saturday, May 25, 2013

You are here @ »

In This Section

Verification of Address

Please use the form on the right to submit a request for a 911 verification of address. Please fill out the information and click the submit button.

You can also download the PDF below and email it to:

Verification of Address - Request Form

Will County Emergency Telephone System

Verification of Address Request Form

Date
Applicant's First Name		Middle	Applicant's Last Name
Owner's First Name (if other than applicant)		Middle	Owner's Last Name
Owner's Address	City	State	Postal Code
Owner's Phone Number			Applicant's Phone Number
Address to be Verified	City	State	Postal Code
Preferred Reply	Email to:		Fax to:
Is this verification for replacement of a single family or mobile home?* YesNo			*If No please explain
Is replacement home being set in the same location? If no, attach site plan (required.) YesNo			*Current land use/zoning
File Size: 2000000KB Maximum File Types: .pdf
Driving directions to address/location:			Property Tax Parcel Number: (if known)
Submit