Flathead County
Address Request Form


(fields marked with * are required)

CONTACT INFORMATION
Name of Property Owner:
Phone:
Name of Contact: *
Phone: *
Email Address: *

PROPERTY INFORMATION
Subdivision: (if applicable)
Block:
Lot/Tract: *
Section: *
Township: *
Range: *
Assessor Number: *
Tract ID:
Type of Structure:

REASON FOR ADDRESS REQUEST: *
New Construction
Mobile Home
Additional Address or Units
       # of Units:
Other:
PROPERTY MAP: *
Please attach a map/drawing of your property below, indicating the named road from which you access your property, the approximate location of your driveway, and any nearby addresses that should be considered when assigning your address.

IMPORTANT NOTES

It is the responsibility of Flathead County GIS to evaluate new and existing road names and address numbers throughout the county. There may be future re-naming of roads and re-addressing of structures to comply with Flathead County, State of Montana, and Enhanced 911 National Emergency Numbering Association (NENA) guidelines. These changes facilitate the easy and rapid location of properties by law enforcement, fire protection services, search and rescue, and emergency medical services to protect public health and the safety of all persons living, working, or visiting in Flathead County. This address assignment is based solely upon the location provided by the Resident/Owner at the time of this application. If the structure and/or driveway access is mapped at a later time and found to be significantly different than where reported, the Flathead County GIS Department will issue a new address number for this structure. It shall be the duty of each property owner to post new property numbers in a viewable location, within 30 days following assignment of the address. You may be required to present this form to various agencies as proof of your address.

By checking the box below, I confirm that I am or represent the property owner(s) and am authorized to obtain this address. Further, I understand that GIS staff may make an on-site visit to this property to accurately record the location and description of the structure for the Enhanced 911 database.

I AGREE *