FRESNO COUNTY COMMERCIAL AG PRODUCERS
ANIMAL EVACUATION & SHELTER-IN-PLACE CARE
Please complete form. Questions with
*
are required.
Date
*
/
Month
/
Day
Year
Date Picker Icon
Hour Minutes
AM
PM
AM/PM Option
Incident Name:
(Ex. Creek Fire, Fresno Floods)
What are you requesting?
*
Evacuation
Shelter-in-Place Care
Do you have an Fresno County AG ID Number?
*
Yes
No
Ag ID Pass #
First Name
*
Must match name on the Ag ID Pass)
Last Name
*
Business/Ranch Name
(Must be the same as listed on Ag ID)
Mobile Phone Number (24/7)
*
E-mail Address
*
Livestock location where access is being requested
*
(List address or general location)
Type and approximate number of animals being evacuated or provided shelter-in-place care.
(Ex. cattle, goats, poultry, etc.)
Names of People Accessing Property. List their AG ID# if any)
*
(Names of owner, family member, employee)
Number of vehicles to access property
*
Number of stock trailers being requested to access property
*
Length of Time To Complete Evac/SIP
*
(Provide Best Approximate Time)
Additional Information
Submit
Should be Empty: