RX Fire Report

Rx Fire Report
Landowner Name*

First NameLast Name
Email*
example@example.com
Name of PBA*
County of Burn*
Date of Prescribed Burn*

MonthDayYear
Date
Total Acres Burned*
Latitude For Property Burned (Decimal Degrees - Example: 93.45668)
Longitude For Property Burned (Add - symbol in front of this number - Example -94.22232)
Number of PBA Members Present*
Number of Government/NGO/Fire Professionals Present
TrainingForest ManagementHazard ReductionWildlife HabitatGrazing Production
Native Grass/PollinatorNon-Native PastureOld Field HabitatCRP/WetlandHardwood ForestPine StandsGlade
Bare Ground (Handline, Disked, Bladed, Plowed)Mowed/WetlinedNatural BarrierRoads and Trails
Any Issues or Concerns Conducting the Burn?
Take Photo
File Upload for additional pictures

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Should be Empty:

Rx Fire Report