TAKE ACTION ON YOUR PROPERTY TO REDUCE WILDFIRE RISKS

FireSmart Property Assessment Application Form

Instructions: Fill out the application form and submit to request an appointment to have your house or property assessed. The assessment will provide you with wildland fire mitigation recommendations. Applicant must either be a resident or owner of the property and must be available to attend the assessment with the assessor.

General Information

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Program Liability Waiver and Applicant Signature(s)

RIGHT OF ENTRY/HOLD HARMLESS AGREEMENT

As an Advanced FireSmart Home Assessment program (‘The Program’) participant, I understand that I am required to permit and participate in a property assessment with a FireSmart Home Ignition Zone Specialist. Based upon the results of the property assessment, the FireSmart Home Ignition Zone Specialist will provide recommendations in the form of a report on steps I can take that may reduce the risk of wildland fire damage to my property. I acknowledge and agree to the following:

RIGHT OF ENTRY: I certify that I am the owner or the resident of the above-described property, and that I have the legal authority to enter into this Agreement. I grant freely and without coercion the right of access and entry onto my property to FireSmart Canada (a unit of the Canadian Interagency Forest Fire Centre) and it’s trained Home Ignition Zone Specialist or authorized contractors at a mutually agreed upon date and time to assess my property for the risk of wildland fire damage, to develop a customized wildland fire mitigation report designed to identify actions that if implemented, may reduce the risk of wildland fire damage, and to potentially mark vegetation for removal with paint.

RELEASE AND HOLD HARMLESS: I understand that this Agreement/Permit is not an obligation or expectation upon FireSmart Canada or the agents of the Program to perform any work on my property. I hereby release, waive, discharge, and hold harmless FireSmart Canada, the Canadian Interagency Forest Fire Centre, the Province or Territory and the participating local governments, its elected and appointed officials, and its employees, agents and representatives, and the FireSmart Home Ignition Zone Specialist, from all claims, liabilities, damages, losses, or expenses on account of damage to property, bodily injury, or death resulting from my participation in the Advanced FireSmart Home Assessment program. By participating in the Program and by executing this Agreement, it is my express intention to consider the wildfire mitigation recommendations that are made and to make every effort to implement them as is reasonable.

DISCLOSURE OF PROPERTY OWNER INFORMATION: I understand that as part of the assessment, data will be collected regarding my property in order to prepare a customized wildland fire mitigation plan. With the exception of specific provincial government or local government or First Nations government responsible for performing these assessments, FireSmart Canada and the Canadian Interagency Forest Fire Centre will not share this data with third parties without the expressed written consent of the property owner - including, except as required by law, any personal information they may collect in connection with my participation in the program. FireSmart Canada will share program participation information with program funders and implementing agencies as part of normal program reporting.

DISCLAIMER: I have read and understand the following disclaimer: While the purpose of the Advanced FireSmart Home Assessment program property assessment is to identify recommendations on actions that if taken, may reduce the risk of wildland fire damage to your home or property, following and implementing the recommendations in the report does not guarantee prevention of such damage. Wildfire mitigation work around your home can give firefighters the best chance to defend and protect your property from wildland fires and can also substantially increase your safety and reduce the risk to life and property. The Advanced FireSmart Home Assessment program makes no warranties, guarantees or representations of any kind with respective to the effectiveness of any mitigation efforts you undertake in connection with your participation in the Program.

Preparing for wildfires is an ongoing, long-term effort that requires maintenance and upkeep and does not guarantee home survival. More information on FireSmart Canada guidelines is available at: www.firesmartcanada.ca.

   
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