North Dakota Rural Fire Department Wildland Fire Report

North Dakota Rural Fire Department Wildland Fire Report

* denotes required fields

*Fire Department Name

*Fire Name

*Date of Fire

*Time

:

*Fire size

*Fire Location

*County

*Latitude

*Longitude

*#Injuries

*#Fatalities

*Submitted by

*Work Phone

Cell Phone

*Fire Cause

*Ownership

Private Land

Federal Land

State Land

Undetermined

Other

*Vegetation Burned

Grass

Cropland

Pine Forest

Hardwood Forest

Brush

Other

*Structures Lost: #

*Structures threatened: #

*Describe