GIS Custom Map Request Form

2. Today's Date
   Today's Date

4. Your Name*

5. Email Address*

6. Contact Person

7. Phone #

9. Request Type*
   -- Select One --Digital mapHard copy mapData request

10. Map Extent*

    Provide address, lat/longs or general area description

11. Map Size*
    -- Select One --Letter (8.5 x 11")11 x 17"18 x 24"24 x 36"36 x 42 " (non-photo paper only)Custom (specify in additional info below)N/A (data request)

    Select the paper size

12. Paper Type*
    -- Select One --RegularCoated (photo)N/A (data request)

14. Scale
    -- Select One --1 in = 25 ft1 in = 50 ft1 in = 100 ft1 in = 200 ft1 in = 400 ft1 in = 800 ftcustom (specify in additional info below)

    Lower number is more zoomed in. High number is more zoomed out.

15. Aerial Imagery
    -- Select One --Low-Resolution (9-inch)Hi-Resolution (limited areas ) (4-inch)2016 Statewide OrthosHistoric Aerials (specify date in additional info)

16. Map Layers

    1. Roads (labeled)
    2. Tax Parcels
    3. Parcel dimensions
    4. Waterways
    5. 911 addresses
    6. Building footprints
    7. Contours
    8. City Limits
    9. Townships
    10. Emergency Response Areas (ESNs)
    11. Fire Hydrants
    12. Schools
    13. Flood Zones
    14. Custom (specify in additional info section)

18. Map/Data Format*
    -- Select One --PDFJPEGTIFFShapefileGeodatabaseOther (specify in additional info)

19. Delivery Type*
    -- Select One --EmailMail (DVD)Paper Pickup

21. Additional Layers/Information

    Request custom layers, map size, scale and/or aerial dates here.

22. Date Needed By*
    Date Needed By

Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit Submit and Print

* indicates a required field