Free Also, find enclosed our Wildland Fire Report, which we encourage departments to send to our office monthly - Indiana


File Size: 127.9 kB
Pages: 1
Date: July 26, 2001
File Format: PDF
State: Indiana
Category: Government
Author: Default
Word Count: 125 Words, 1,393 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.state.in.us/icpr/webfile/formsdiv/50296.pdf

Download Also, find enclosed our Wildland Fire Report, which we encourage departments to send to our office monthly ( 127.9 kB)


Preview Also, find enclosed our Wildland Fire Report, which we encourage departments to send to our office monthly
WILDFIRE REPORT
Department of Natural Resources / Division of Forestry
State Form 50296 (7-01)

1. 2. 3. 4. 5. 6.

Date _____________________________ Reporting Fire Department _____________________________________________ Department NIFRS Number (Example: 55-015)

Address _______________________________________________________________ City State Zip_________

County____________________________________________

7. Name of Landowner where fire started **************************************************************************** 8. Cause of Fire (Check one) 9. Type of fuel burned (Acres) Lightning _ Hardwoods _______ Campfire Pine Forest _______ Smoking Pasture/Field _______ Debris Burning Crops _______ Arson Strip Mines _______ Equipment Right-of-way _______ Railroads Children Total Acres _______ **************************************************************************** 10. 11. 12. 13. No fires reported for month of ___________________________________________ Signature of person making report ________________________________________ Title of person making report ________________________________________

Check here if you need more forms _______ Fire Control Headquarters 6220 Forest Road Martinsville, IN 46151 (765) 342-4701 (765) 342-4760 Crystal M. Hunt, Program Coordinator Fire Control Headquarters [email protected]

Mail Reports to:

Any questions please contact: