EOTSS-MGIS

This form replaces and is different from the Verizon MSAG update form – it tracks individual address numbers, as well as new or changed ranges and streets. This is needed because the Next Generation system uses individual address locations to route calls. (Form instructions)

This form is strictly for use by public safety personnel and not intended to be used by the general public.

1. Provide your contact information

Your name(Required)

Your email(Required)

Your department

Your phone

Your municipality(Required)

Your PSAP(Required)

2. Tell us what kind of address change this is and provide details (form will update accordingly)

Address change type:(Required)

Add a new number or range on existing street

Add a new number or range on new street

Change the number for an existing address

Change both number and street name at an existing address

Rename a street

Change the community name for an existing address

Delete an address number on existing street

Delete a street name (street no longer drivable)

Do you have additional address detail? (check all that apply)

additional site or building identifiers (e.g. Martin Athletic Complex or Town Library)

additional floor or unit identifers or ranges (e.g. First Floor or Units 1A-1D)

Site Name

Building Identifier (besides address number)

Floor

Unit Identifier or Range

New number/range(Required)

Existing street name(Required)

Between this cross street

and this cross street

Community(Required)

New number/range(Required)

New street name(Required)

Primary entrance to new street is off this street(Required)

Between this cross street

and this cross street

Community(Required)

New number/range(Required)

Existing street name(Required)

Number/range to be deleted(Required)

Community(Required)

New number/range(Required)

Number/range to be deleted(Required)

Current street name(Required)

Change to this street name(Required)

Community(Required)

Current street name(Required)

Change to this street name(Required)

Community(Required)

Existing number/range(Required)

Existing street name(Required)

New community name for this address or range(Required)

Old community name for this address or range(Required)

Existing street name(Required)

Number/range to be deleted(Required)

Community(Required)

Street name to be deleted(Required)

Upload additional documentation

Drop files here or

Max. file size: 50 MB.

(e.g., site plan, screenshot of Google map with location highlighted, etc.)