Agricultural post-burn report blue card entry form

Use this form to electronically submit your Agricultural Post-Burn Report.

* required field

Permit information

Grower's name: *

as written on your permit

Permit number: *

Area information

Region where your burn is located: *

Central Region includes: Chelan, Douglas, Kittitas, Klickitat, and Okanogan counties.
Eastern Region includes: Adams, Asotin, Columbia, Ferry, Franklin, Garfield, Grant, Lincoln, Pend Oreille, Stevens, Walla Walla, and Whitman counties

Burn information

Burn date: *

Today

Legal description: *

List the section, township, and range.

Field name: *

List the common name of the field
(as written on your permit) where burning occurred.

Time the burn started: *

example: 12:40 PM

Time the burn ended: *

example: 1:40 PM

Wind speed and direction: *

Total acres or tons of
orchard tear-out burned: *

Add another burn: *

YesNo

Burn for this permit complete: *

YesNo

List additional information about
your burn:

Date form submitted: *

Today

Email: *

Enter your email to receive confirmation.

Re-enter your email. *

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