Dead, Diseased, Dying Tree Removal Application Dead, Diseased, Dying Tree Removal Application "*" indicates required fields Homeowner Name* First Last Property Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Homeowner Phone*Homeowner Email* Primary Contact or Owners Representative First Last Email for Primary Contact or Owners Representative Phone for Primary Contact or Owners RepresentativeMailing Address for Primary Contact or Owners Representative Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Tree Removal ZoneZone 1 (0 – 5 Feet from house) Zone 1 Number of TreesZone 1 Species of Tree Zone 2 (5 – 30 feet from house) Zone 2 Number of TreesZone 2 Species of Tree Zone 3 (30 – 100 feet from house)Zone 3 Number of TreesZone 3 Species of Tree Upload pictures of trees to be removed for Wildfire Mitigation Drop files here or Select files Accepted file types: jpg, jpeg, png, pdf, Max. file size: 500 MB, Max. files: 10. HiddenUpload proof of neighbor notification (certified mail receipt)Accepted file types: jpg, jpeg, png, pdf, Max. file size: 256 MB.Upload proof of neighbor notification (certified mail receipt) Drop files here or Select files Accepted file types: jpg, jpeg, png, pdf, Max. file size: 500 MB, Max. files: 10. SignatureDo you agree to storage of your data?* Yes By submitting this form, you hereby agree that we may collect, store and process your data that you provided.NameThis field is for validation purposes and should be left unchanged. Δ
