VFA Application Form
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FFY2025
County *
Department *
Contact *
Physical and mailing address *
City/Town *
Zip Code *
Contact Phone Number *
Email address *
Do You Have a State Of Wyoming Vendor Code? *
Required
1.  Is requesting community population under 10,000? *
Required
If over 10,000, please describe *
2. Project is for? Equipment *
(check all that apply)
Required
3. Has your department implemented the National Incident Management System (NIMS)? *
Required
4. Does your community have a Community Wildfire Protection Plan (CWPP) or equivalent? *
Required
If yes, what is your department's involvement and objectives within the CWPP?    *
5. What is your current Insurance Rating Number (ISO)? *
Highest rating
Lowest rating
6. Will this project reduce your Insurance Rating Number? *
Required
7. How many members of your department have basic wildland firefighter training? *
(S-130,S-190)
8. How many members of your department meet advance wildland firefighter qualifications? *
(ENGB,STEN, ICT3, etc)
9. Numbers of acres or square miles protected *
(specify your number with acres or square miles)
10. Numbers of Wildland Urban Interface (WUI) acres protected *
11. Total number of Wildfire responses and number of acres burned *
#Fires
#Acres
12. Total number of all Fire Department responses *
(wildfire, structure,EMS,all risks)
13. Did you report your wildland fires? *
Required
14. Project has been approved by which responsible authority? *
(County Fire Warden, District Board, Fire Chief, County Commissioner, etc)
15. Give a brief description of the project *
*Click Submit* Don't forget Step 2 - I will send the excel spreadsheet for the Project Breakdown to the applicant that fills out this form.
Submit
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