North Berkeley Hills Firewise Activity Form
This form is used to track home hardening or fuel reduction activities performed.
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Email *
Date
Date activity completed.
MM
/
DD
/
YYYY
Address *
Street address (number and street name) where activity was performed.
Type of activity performed *
Firewise eligible activity includes
  • Home hardening: preventing ember penetration, replacing combustible building materials with non-combustible materials, etc.
  • Yard work:  removing leaves, shrubs, tree limbs, trees; replacing combustible areas with hardscaping (gravel, etc.)
  • Fire education activity
Notes on activity (optional)
Hours worked *
Total number of hours you and/or those you hired worked on this activity.
Firewise related expenditure type

If you spent money on the activity, please note the type of expenditure and the money spent.
Contractors include carpenters, builders, gardeners, tree workers, landscapers, debris removers, etc.
Money spent (USD)
Volume of vegetation debris removed
If the activity involved removing vegetation (i.e. removal of leaves, branches, mulch, etc.), note volume of debris removed in cubic yards.   The green bins provided by the city are 0.5 CY (larger bin) or 0.33 CY (smaller bin).
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