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COMMUNITY
WILDFIRE
DEFENSE GRANT
APPLICATION FORM
CWDG Application Form
Landowner Name
(Required)
First Name
Last Name
Address
(Required)
Street Address
Address Line 2
City
State / Province
State / Province
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Contact Person (if other than landowner)
Email
(Required)
Phone
(Required)
Service Location Address
(Required)
County
(Required)
Number of Acres
(Required)
Approximate Number of Homes within 1000 Feet of Your Property
(Required)
Is there a house on this property?
(Required)
YES
NO
Are you interested in having an assessment of how you could reduce the risk of wild land fire and create defensible space around the residence and other structures on your property?
(Required)
YES
NO
Has this property been awarded any grant funding for hazardous fuel reduction in the last 20 years?
YES
NO
If yes, please list here:
Has this property been burned by wildfire in the last 30 years?
(Required)
YES
NO
Would you like to receive specific information regarding fuels reduction assistance?
(Required)
YES
NO
Are you interested in cost-share assistance for fuels reduction work?
(Required)
YES
NO
We prefer to have the landowner present when the exterior hazardous fuels evaluation is performed. In the event you are unable to be present on site, do you give permission for personnel from the Montana West Economic Development Forestry Assistance Program to access your property and perform the evaluation in your absence?
(Required)
YES
NO
Please provide directions to your property, including any distinguishing features or landmarks we can use to identify the property entrance if it is not clearly signed at the point it joins the public throughway.
I understand that the performance of a Wildfire Risk Assessment does not obligate me to participate in the CWDG program, nor does it guarantee the availability of funds if I elect to participate in the program.
(Required)
I UNDERSTAND
Submit
