Online Renewal

Ready to renew your Firewise Communities/USA status? Fill out the form below.

GENERAL INFORMATION
Community Name
State
MAINTAINED A FIREWISE BOARD
Board President
Mailing Address (street/p.o. box, city, state & zip)
Phone Number
Email
Board Member
Board Member
Board Member
Board Member
Meeting Date
Meeting Date
Meeting Date
Date Board Established
INVESTED AT LEAST $2/CAPITA IN FIREWISE PROJECTS
Total Firewise Expenditures, including equipment and volunteer hours
Number of Residents in Community
COMPLETED A COMMUNITY ASSESSMENT
Date plan completed
Name and agency/company conducting assessment
Submitted Hard Copy to state Firewise representative?
CREATED A FIREWISE PLAN
Date Plan Completed
Submitted a hard copy of the plan to state Firewise representative
HELD A FIREWISE DAY
Date
Describe Firewise Day including including date, time, number of people attending and location (Provide hard copies of any publicity, programs, news coverage and/or other supporting information to the state Firewise representative.)
Submitted a hard copy of any publicity, programs, news coverage and/or other supporting information to state Firewise representative
PLEASE PROVIDE THE FOLLOWING INFORMATION
Community Fire Chief Name
Title
Address
City
State
Zip
Phone
Email
State Forestry Contact
Title
Address
City
State
Zip
Phone
Email
Submitted By
Email
Date