JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Marshall County 911 Address Verification Form
Marshall County Emergency Telephone Services, Inc.
655 4th Ave NW Suite 1
P.O. Box 947
Arab, AL 35016
Kvoltz@marshall911.com
256.224.8299
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
What do you need?
*
Address Verification
Address Letter
Full Name
*
Your answer
Phone Number
*
Your answer
Mailing Address
*
Your answer
Preferred Contact
*
Phone
Email
What is the address that needs verified?
Your answer
Property Owner Name/Email/Phone (If different from above)
Your answer
CLICK HERE TO FIND PIN
Parcel or PIN (found on Property Tax)
Your answer
Is the requested address in a subdivision?
*
Yes
No
If you answered yes your requested address is in a subdivision, what is the
name of the subdivision
and
lot number
?
Your answer
House number on each side of property (nearby mailbox numbers)
*
Your answer
Road name
*
Your answer
Property type
*
select all that apply
Residence
Business
Land
Other:
Once you have completed and submitted this form, our next step will be to know where the structure will sit and where the driveway is located. Please text (256)224-8299 or email kvoltz@marshall911.com that information.
You can send a Location Pin from Google or Apple maps for both the structure and the driveway if you are familiar with doing so. Be sure to turn the "Satellite" layer on.
Your answer
Any Additional Notes
Your answer
Need to apply for a new address?
Click Here
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
