Cascadia Conservation District is partnering with the WA Department of Natural Resources to bring FREE chipping to your area! Please complete the forms below to get into the program.

Forms 1 and 2 are required to get you on board. Submit them once only. Please submit them by Nov 1.

Forms 3 and 4 are to claim your expenses. Use them repeatedly if necessary. Please submit them by Nov 30.


Please note: All Fields are required.

query($wpdb->prepare(
“INSERT INTO `wp_wpdatatable_1` (`area`,`name`,`email`, `address`, `city`, `county`, `state`, `zip`, `phone`, `acres`, `p_2015`, `c_2015`, `date_added`)
values (‘”.$area.”‘, ‘”.$name.”‘, ‘”.$contact_email.”‘, ‘”.$Address.”‘, ‘”.$City.”‘, ‘”.$County.”‘, ‘”.$State.”‘, ‘”.$ZIP.”‘, ‘”.$phone.”‘, ‘”.$acres.”‘, ‘”.$pP2015.”‘, ‘”.$pC2015.”‘, now() )”, ”
))){
echo “Data Recorded … “;
} else {echo “
Database error-
Please Resubmit. It the problem persists, please contact admin@lakewentcheeinfo.com”; }

$subject = ‘Firewise Form Submission’;
$body= “Data Submitted:\nName: ” .$name. “\nAddress: “.$Address. “\nCity: “.$City. “\nCounty: “.$County. “\nState: “.$State. “\nZIP: “.$ZIP. “\nEmail: “.$contact_email . “\nPhone: “.$phone . “\nAcres: “.$acres. “\n2015 Participation: “.$pP2015. “\nCurrent Participation: “.$pC2015. “\nArea: “.$area;
$headers = ‘From:’.$contact_email;
/*$header.= “MIME-Version: 1.0\r\n”;
$header .= ‘Content-type: text/html; charset=iso-8859-1’ . “\r\n”;*/
$areas = $wpdb->get_results(
$wpdb->prepare(“SELECT * FROM Chipper_Leaders WHERE area = ‘”.$area.”‘ “, ”)
);

if(!empty($areas)){
foreach($areas as $lemail){
$to = $lemail->email;
$header;
if (wp_mail( $to, $subject, $body, $headers)) {
echo $msg = “Form Submitted… “;
} else {
echo “wp_mail Send Error
Please Resubmit. It the problem persists, please contact admin@lakewentcheeinfo.com”;
}
}
} else {
echo “Form not submitted“;
}

}else{
echo $msg = ‘Please fill in all fields‘;
}
}
?>



TO COMPLETE REGISTRATION YOU MUST ALSO SUBMIT FORM #2, LANDOWNER PERMISSION =>>

The Property Owner must give permission for this activity on his property.

[si-contact-form form=’4′]

You can also download the Permission Form and fax or email it to Amanda Levesque as per the contact details on the form.

Download Permission Form

CCD Fuels Reduction & Chipping Program Time, Activity, and Equipment Reporting Form – PAGE 1 of 2

Incidental Expense Record (In Kind Cash Contributions)

Please submit your claim before Nov 30!

Please record the date and a detailed description of the expense and the total amount. Submit all receipts with this record.

Eligible expenses: saw gas, blade sharpening, tool maintenance, equipment rental, contractor expenses, $0.54/mile for vehicle usage.

Ineligible expenses:

Tool/equipment purchase. [si-contact-form form=’2′]

CCD Fuels Reduction & Chipping Program Time, Activity, and Equipment Reporting Form – PAGE 2 of 2

Landowner Time Sheet (In-kind Time Contributions)

Please submit your claim before May 30!

Please record each activity separately. If more than one person is working, place total hours worked in the hours column (example: 2 people pile slash for 3 hours each on 3/10/15, enter 6 hours)

Eligible Activities: project related travel time, planning, thinning, pruning, brush removal, piling Ineligible expenses: Tool/equipment purchase. [si-contact-form form=’3′]