ATCOG 9-1-1 Address Request Form

ATCOG 9-1-1 Address Request Form

This form is only for address requests within the following Texas counties: Bowie, Cass, Delta, Franklin, Hopkins, Lamar, Morris, Red River, and Titus.
Welcome to the ATCOG
9-1-1 Address Request Form

This form is only for 9-1-1 address requests within the following Texas counties:
Bowie, Cass, Delta, Franklin, Hopkins, Lamar, Morris, Red River, and Titus.

If you require accessibility accommodations, please call 1-888-373-9028

Map Location

On the map below, click and drag the red pin to the location of your structure's driveway.
An incorrect location will delay the issuance of your address. Please ensure that the selected location is correct
Location permissions must be granted for this step.
Select Structure Driveway Location*
- Due to variations within browsers and devices, we are unable to assist with enabling location permissions on your device.
- For assistance in enabling location permissions in your web browser, see the links below:
  Google Chrome
  Microsoft Edge
  Mozilla Firefox
  Apple Safari
  Samsung Internet
Tips:
1. Click and drag the red pin to the correct location.
2. To view satellite imagery, select the "Satellite" button in the top left corner of the map.
3. Use the scroll wheel on your mouse to zoom or use the + and - buttons on the lower right corner of the map. On a mobile device, you may also use the pinch-to-zoom gesture.
Driveway location must be selected before continuing.

Contact Information
Your Name*

TitleFirst NameLast Name
Are you requesting an address on behalf of an organization?*

YesNo
Organization*
Phone Number*
Enter your contact number.Format: 000-000-0000.
Phone Number Type*
Select phone number type.
Secondary Phone Number
Enter a secondary contact number. (OPTIONAL)Format: 000-000-0000.
Phone Number Type
Select phone number type. (OPTIONAL)
Email Address*

Confirmation Email