North Dakota Rural Fire Department Wildland Fire Report

North Dakota Rural Fire Department Wildland Fire Report

* denotes required fields

*Local Incident ID

*Incident Name

*Fire Discovery Date

*Fire Discovery Time

:

*Fire Containment Date

*Fire Containment Time

:

*Fire size

*Fire Location

*County

*Latitude

*Longitude

*#Injuries

*#Fatalities

*Submitted by

*Work Phone

Cell Phone

*Fire Cause

*Ownership

Fedaral

State

County

City/Municipality

Private

Industrial

Other

*Vegetation Burned

Grass

Cropland

Pine Forest

Hardwood Forest

Brush

Other

*Structures Lost: #

*Structures threatened: #

*Residences Threatened:

*Residences Destroyed:

*Other Structures Threatened:

*Other Structures Destroyed: