Volunteer Hourly Work Sheet: FIREWISE USA
Residents Reducing Wildfire Risks
Fill out this form to help HFCA's ad hoc Wildland Urban Interface (WUI) Committee collect volunteer hours for our Firewise USA application. Your participation (submitting volunteer hours) may offset our certification costs.
A copy of this application will be sent the the HFCA WUI Committee.
Name
*
First Name
Last Name
Date
*
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date of form submission
Community Name
Preferred Method of Contact
*
Include your email, phone number, etc. here
Hours Worked
Dwelling Unit/Home - Examples include: Removing pine needles and leaf litter from roof and gutters, replaced vinyl gutters with metal gutters, ignition-resistant exterior improvements, installing screening on vents, flammable items removed from under decks and porches, inspect roof and replace missing shingles, etc.
*
Fill in how many hours you spent completing this activity. If none, put 0.
Landscaping (0—100 ft 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.
*
Fill in how many hours you spent completing this activity. If none, put 0.
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.
*
Fill in how many hours you spent completing this activity. If none, put 0.
Miscellaneous - Meetings, presentations, program administration, home site visits, etc.
*
Fill in how many hours you spent completing this activity. If none, put 0.
Money Spent
Chipper Costs: Purchase/rental, fuel & oil, disposal fees, etc.
*
Fill in how much you personally spent on this category. If nothing, put $0.
Other Equipment Costs: Chain saw purchase/rental, power equip. purchase/rental, hand tools, protective equipment, etc.
*
Fill in how much you personally spent on this category. If nothing, put $0.
Contractor Costs: Arborists, landscapers, professional forestry services, debris removal, etc.
*
Fill in how much you personally spent on this category. If nothing, put $0.
Home Improvement Costs: Roofs, decks, windows, vent screening, retrofits, etc.
*
Fill in how much you personally spent on this category. If nothing, put $0.
Landscaping/DIY
*
Fill in how much you personally spent on this category. If nothing, put $0.
Miscellaneous
*
Fill in how much you personally spent on this category. If nothing, put $0.
Vehicle mileage
*
Fill in how much you personally spent on this category. If nothing, put $0.
Additional Notes:
Preview PDF
Submit
Should be Empty: