Firewise Voluntary Time and Expense Investment Form
November 1, 2023–October 31, 2024
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Email *
Last name *
Date *
Firewise Community Name *
Street Address *
Number of Hours Dwelling/Unit 
Examples include removing pine needles and leaf litter from roof and gutters, installing screening on vents, flammable items removed from under decks and porches, inspect roof and replace missing shingles, etc. 
Number of Hours Landscaping (0-100ft 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.
Number of Hours Common Area
(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.
Number of Hours Miscellaneous
Meetings, presentations, program administration, home site visits, etc.
Chipper Costs
Purchase/rental, fuel and oil, disposal fees, etc.
Other Equipment Costs
Chain saw purchase/rental, power equip. purchase/rental, hand tools, protective equipment, etc.
Contractor costs
Arborist, Landscapers, professional forestry services, debris removal, etc.
Home Improvement Costs
Roofs, decks, windows, vent screening, retrofits, etc.
Landscaping/DIY Costs
Miscellaneous Costs
Vehicle Mileage
Additional Notes
A copy of your responses will be emailed to the address you provided.
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