ADDRESS REQUEST FORM

Columbia County 911

85 Industrial Tract
Hudson, NY 12534
Phone: 518-828-1263   

Fax: 518-828-9088

Columbia County 911 is the agency responsible for issuing all addresses within Columbia County. To request a 911 address for your new home or business, please fill out the form below.  Once completed, press the Submit button to send the request form to the Columbia County 911 Center.  If you prefer you can also download a printable version of this form and mail, fax or hand deliver it to the Columbia County 911 Center at the address/number(s) listed above.  Click here for a Microsoft Word version.

So you understand how we come up with your address, here is a brief explanation. Starting at the beginning of every road in Columbia County, a number is assigned to every fifty feet of road frontage. Your address will be determined by the placement of your driveway, not where your house sits on the property nor the direction your house faces.

After you submit your form, you will receive notice of your assigned address by telephone.  If requested, a confirmation letter can be mailed to you at the current mailing address you provided on this form.
Applicant Name:
 Date:  
Daytime Phone:
Evening Phone:

Email Address:

   Name of property owner (if you are a renter):

Phone number to call to provide your assigned address:

Current mailing address:

Name of the road you need an address for:

 Name of the City/Town/Village the address is needed in:

Is this new construction or an existing structure:

 

 If this is an existing structure, who was the previous owner or resident (if known):  

Are there any deeded rights of ways  on your property (Does someone else have property behind you?):

 Will the driveway be solely yours and not shared by anyone else?
 

In the next part of this form you will be asked to enter the measurements needed for us to come up with your address. We will need to know, in exact footage, the measurement from the CENTER OF YOUR DRIVEWAY to the CENTER OF YOUR CLOSEST NEIGHBORS DRIVEWAY that is on the same side of the road. It is also preferable that we get measurements from BOTH directions to reduce the possibility of errors. If you are the first house on the road then you may make the measurement to the corner of the intersecting road.

In some cases, the closest neighbor on the same side of the road may be an extreme distance from you and a neighbor on the opposite side of the road may be closer. We will handle this on a case by case basis, but generally we prefer the measurement from the same side of the road.

*As a reminder, this must be an Exact Measurement in feet. We cannot except  approximate measurements or measurements from a vehicle odometer. If you are unable to make these measurements then you must contact us directly to make arrangements for Columbia County 911 to do these measurements for you at our convenience. If the information you provide is inaccurate, then we will contact you to verify the information given or we will make arrangements to verify the measurements ourselves. Any inaccurate or incomplete information given will only delay the process of assigning your new address.

Closest Neighbors Address or Closest Intersecting Road

Measurement to Closest Neighbors Driveway or Closest Intersecting Road

From your property, this neighbors driveway/ intersecting road is in what direction.
Feet
Feet

Structure Information: 
Is the structure a: If apartment, number of units:
If none of the above please specify:
Is the structure visible from the road?
Is the Structure:

In the box below, please provide any additional information that will help us locate the structure to be addressed.  Please be as descriptive as possible. In our efforts to make sure we provide you with the correct address, please also provide the address of any neighbors across  the street from your property, if you know  them.   Also, please advise if there will be future plans to build more houses on your same driveway.


NOTE: When clicking on the SUBMIT button, your computer will attempt to open your POP email program (i.e. Outlook, Outlook Express) to send the information to Columbia County 911. If you do not use a POP email and instead use a web based email such as Hotmail or Yahoo then you must complete the printable form above and send that to Columbia County 911. Or you may contact us via phone at the number listed above.

 

Now that you have your new address:


Please post your 9-1-1 address clearly and visibly.
Your address can be displayed in different ways.
You can purchase reflective numbers from your local hardware store
or you can purchase the 9-1-1 address signs designed by the county.


You can purchase the 9-1-1 address signs from the following vendors (prices vary with each vendor):

SIGNS BY DESIGN 434 Route 23B - Claverack, NY 518-851-6040
MATTHEW SIGNS 1233 Route 9 - Columbiaville, NY 518-828-0613 or
888-SIGNS-56
 

Residence Identification
is one of the most important aspects
of a successful 9-1-1 system!