Homeowner's Firewise USA Annual Investment: FIRESafe MARIN

You live in a nationally recognized Firewise USA community (or your neighbors are working to achieve this status)!

Make sure your household and neighborhood gets full credit for annual fire-safety improvements and investment! Responding to this short survey will help you and your neighbors achieve (and keep) Firewise USA recognition, with potential benefits such as reduced insurance premiums, improved insurance retention, and access to grants and neighborhood preparedness funding.

*fields marked with a red asterisk are required

Your Neighborhood Firewise USA Site

Select your Firewise USA Neighborhood ("site") *

Select your neighborhood (for existing Firewise USA sites). For others, or those in-progress, select 'Other-unlisted'

If your neighborhood is NOT LISTED, please enter it here.

Your Household Information

Your information is needed to confirm residency in a recognized Firewise USA site for access to benefits such as reduced insurance premiums and neighborhood grants. Your information is secure, and will not be shared.

Your Name

First Name Last Name

Your Email *

example@example.com

Your Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Did you participate in a free neighborhood CURBSIDE CHIPPER DAY during THIS CALENDAR YEAR?

Yes No

RATE your overall EXPERIENCE with the CURBSIDE CHIPPING service offered this year?

	1	2	3	4	5	6	7	8	9	10

1 is Poor, 10 is Excellent

RATE your experience with the ONLINE REGISTRATION SYSTEM?

	1	2	3	4	5	6	7	8	9	10

1 is Poor, 10 is Excellent

Did you remove MORE VEGETATION this year BECAUSE of the FREE CHIPPER DAY program?

Yes No Unsure

Did you receive a NOTICE OF DEFENSIBLE SPACE INSPECTION from your local fire department in THIS CALENDAR YEAR?

Yes No Unsure

Did you TAKE ACTION to REDUCE the wildfire HAZARD on your property in THIS CALENDAR YEAR?

Yes No Unsure

Did you RECEIVE ASSISTANCE from your neighborhood's Firewise USA organizers or committee members this year?

Yes No Unsure

Did you ATTEND a fire-safety education EVENT this year?

Yes No Unsure

Vegetation Management

Please record any time or expenses you incurred THIS CALENDAR YEAR with the intent of making your property more resistant to wildfires. If you conduct routine maintenance, it's OK to enter this as long as it helped make your home more resilient. We're especially interested, though, in any work you completed with the SOLE INTENT of creating Defensible Space.

Learn more at www.firesafemarin.org/defensible-space

Did you REMOVE or MAINTAIN VEGETATION to improve fire safety THIS CALENDAR YEAR? *

Yes No Unsure

How many HOURS in total did you and/or other household members, spend CLEARING or MAINTAINING VEGETATION on your property to reduce wildfire hazards?

(estimates are OK - this calendar year only)

How many DOLLARS did your household spend on LANDSCAPE MAINTENANCE?

(estimates are OK - this calendar year only)

How many DOLLARS did your household spend on TREE MAINTENANCE or REMOVAL?

(estimates are OK - this calendar year only)

Did you clear vegetation along your property line(s) where it fronts a ROADSIDE or NEIGHBORING PROPERTY?

Yes No Unsure Not Applicable

Vegetation Removed

A major component of wildfire risk reduction is the removal of vegetation (shrubs, brush, limbs, trees, leaves, etc.) from individual properties and common-areas. Tracking vegetation removal provides forestry and fire agencies with information on the quantity of potential wildfire fuel that’s been eliminated from the area(s). Please include work completed THIS CALENDAR YEAR.

Complete these simple entries and we'll estimate the amount of vegetation you removed:

Number of Green Waste Cans

(estimate the number of green waste cans you disposed of this calendar year)

Number of Pickup Truck Loads

(estimate the number of pickup truck loads you disposed of this calendar year)

Number of Dump Truck Loads

(estimate the number of dump truck loads you disposed of this calendar year)

Number of Dumpsters

(enter the number of dumpsters you disposed of this calendar year)

Other vegetation (in cubic yards)

(if you disposed of vegetation in other ways, such as chipper days or composting, and can estimate the amount in cubic yards, you can enter it here to be added to your total)

Total Vegetation Removed (calculated automatically, in cubic yards)

Home Hardening

"Home Hardening" describes the installation of building materials and features intended to make a home or other structure more resistant to igniting from embers, heat, and flames during a wildfire. This might include retrofitting ember resistant vents, installing ignition resistant siding, replacing a roof or deck, or clearing combustibles within 5' of a building.

We need to know what investments you've made to harden your home against wildfires. You can include any work done that will enhnace your home's ability to withstand wildfires. Include work and expenses incurred THIS CALENDAR YEAR.

Learn more at www.firesafemarin.org/home-hardening

Did you invest in any HOME HARDENING upgrades THIS CALENDAR YEAR to make your home more resistant to wildfires? *

Yes No Unsure

Please EXPLAIN what steps you took to harden your home.

EXAMPLES: retrofitting ember resistant vents;, installing ignition resistant siding; replacing a roof or deck; cleared combustibles within 5' of a building; replaced wooden gates with metal; installed hardscaping around home's perimeter; etc. Please include upgrades made this calendar year.

How many DOLLARS did you SPEND on HOME HARDENING UPGRADES?

(estimates are OK - this calendar year only)

Comments

Do you have any QUESTIONS or COMMENTS related to wildfires and community preparedness?

Subscribe to the Marin Wildfire Safety Newsletter? FIRESafe MARIN sends infrequent newsletters with information on fire-safety preparedness, current fire danger, and upcoming classes and seminars. Subscriptions are opt-in only, and you may unsubscribe at any time.

Yes No

Total Dollars Invested (calculated automatically)

Your Household Firewise USA Investment