Utility Address Request – Sumner County 911 Emergency Communications District

Request Utility Address

The Applicant is responsible for complying with all applicable laws and regulations
The utility cannot be accurately addressed unless the utility location is indicated on the plan/plat or image provided. If the utility location is later found to be inaccurate, the utility may require an address change.
Your request MUST include a copy of the site plan/plat or image
The plat/plan must include:
1. Utility location (marked and labeled “Utility”)
2. Nearest address
The utility will be addressed using the utility location, closest address and corresponding street.

If you would like to print out the utility address request form to fill out and submit later, you can download it here

Utility Address Request

Date of Application

Last Name

First Name

Daytime Phone Number

Alternate Phone Number

Utility Company Name

Utility Company Phone Number

Address nearest the utility/meter

Road/street Name

Have you supplied an image showing utility location?

Yes

Description:

Optional information if available:

Tax Map

Group

Parcel

Lot

Total Acres

Property Plat Plan (must be included with the submission of this form)

Maximum upload size: 268.44MB