Sign Up for a Firewise Assessment (First Step in Receiving Firewise Assistance)
During a Firewise assessment, a trained staff member will help you identify hazards around your property that increase risk in the event of a wildfire. They will offer suggestions for improvement which are voluntary for the property owner, and may be able to connect you to assistance and resources.
Sign in to Google to save your progress. Learn more
Would you like to sign up for a free Firewise Assessment? *
What services are you interested in receiving? Check all that apply.
What is your name? *
What is the best phone number to reach you at? (We won't share this number with outside agencies without your consent.) *
What is a good email to reach you at?
What is your Address? *
Do you have any comments, questions, or concerns for us?
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Southern Willamette Forest Collaborative.

Does this form look suspicious? Report