Rainbow City Fire Department

Application for Burn Permit

Please complete all applicable fields. Submission of this application does not authorize burning.

1. Applicant Information

Person Making Application *

Address *

City *

State *

ZIP Code *

Phone *

Email Address *

2. Burn Site & Property Owner Information

Burn Site Location / Address *

Property Owner Name *

Property Owner Address *

Property Owner Phone *

Location on Property Where Burning Will Occur *

3. Burning Details & Safety Plan

Description of Material to Be Burned *

Fire Extinguishment Plan *

Fire Containment Plan *

4. Required Certification

REQUIREMENT — CERTIFICATION: I HEREBY CERTIFY that I have read this application and that all information contained herein is true and correct; that I agree to comply with all federal, state, and county laws and ordinances, restrictions, requirements, and policies; and that I am the property owner or authorized to act as the owner's agent for the burning described herein.

Applicant Signature (type full name) *

Date *

Typing your name in the signature field indicates your electronic signature and acceptance of the certification above.

NOTICE After completion of this application, you will be contacted by the Fire Marshal to schedule a burn site inspection. At the completion of the inspection, if the permit is approved, you will receive your burn permit via email.

A permit is not issued until the Fire Marshal completes the inspection and approves the application.