Property InformationHomeowner Name *Street Address *City *State/Province *ZIP / Postal Code *Phone NumberEmail Address *Hours WorkedHome (hours)Examples include: Removing pine needles and leaf litter from roof and gutters, replaced vinyl gutters with metal gutters, ignition-resistant exterior improvements, installing screening on vents, flammable items removed from under decks and porches, inspect roof and replace missing shingles, etc.Landscaping (0—100 ft from base of dwelling unit)Examples include: Installation of hardscaping, replacing combustible mulches with stone/gravel options, tree and shrub removal, raking and removal of pine needles, leaves, ground litter/debris, tree trimming/limbing, moving firewood, lawn and native grass maintenance, etc.Common Area (hours)(HOA or other Homeowner jointly owned property within the site boundary) Activities include: Tree thinning, mastication and brush removal, grass maintenance, fire break construction, etc.Miscellaneous (hours)Meetings, presentations, program administration, home site visits, etc.Money SpentChipper Costs ($)Purchase/rental, fuel & oil, disposal fees, etc.Other Equipment Costs ($)Chain saw purchase/rental, power equip. purchase/rental, hand tools, protective equipment, etc.Contractor Costs ($)Arborists, landscapers, professional forestry services, debris removal, etc.Home Improvement Costs ($)Roofs, decks, windows, vent screening, retrofits, etc.Landscaping/DIY ($)Miscellaneous ($)Vehicle mileage (miles)OtherNotes0 / 180Send MessagePlease do not fill in this field.
