9-1-1 Administration Forms

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Sample Petitions & Instructions

The following sample petitions are available for your use. Please review the requirements and directions before completing your petition to change or create a Benton County public or private road. These petitions are provided as samples. You may use these petitions or create your own, but they must meet the requirements outlined above, mostly notably, that ALL property owners must sign, and the petition must be notarized.

Benton County New Road Sample Petition

Road Name Change Sample Petition

Road Name Change Directions

Road Name Change Requirements

Road Reclassification Sample Petition

Road Reclassification Directions

Road Reclassification Requirements

  • 911 Admin Director

    Judi Frigon


    Administration Building

    215 E. Central Ave.
    Bentonville, AR 72712

    8 a.m. to 4:30 p.m.
    Open through lunch