ANIMAL EVACUATION / SHELTER-IN-PLACE REQUEST
COMMERCIAL PRODUCERS IN FRESNO COUNTY
Date
*
/
Month
/
Day
Year
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Hour Minutes
AM
PM
AM/PM Option
Incident Name:
(Ex. Creek Fire, Fresno Floods)
Are You The Animal Owner?
*
Yes
No
What are you requesting for your animals?
*
Evacuation
Shelter-in-Place Care
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Commercial Producer Information
Please answer the questions to the best of your ability. The fields with the * are required.
Do you have an Fresno County AG ID Pass?
*
Yes
No
Ag ID Pass #
First Name
*
Must match name on the Ag ID Pass)
Last Name
*
Mobile Phone Number (24/7)
*
E-mail Address
Business/Ranch Name
(Must be the same as listed on Ag ID)
Livestock location where access is being requested
*
Type and approximate number of animals being evacuated or provide shelter-in-place care.
Names of People Who Will Be Accessing Property to Evacuate Or Provide SIP Care
Number of vehicles being requested to access property
*
Number of stock trailers being requested to access property
*
Additional Information
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Should be Empty: