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Agricultural Damages - Gifford Fire

We want to hear from you!

Please complete this form to report damages you suffered. There is no guarantee that funding will come available, but we need your reports to try and receive funding.

Full Name:

Email Address:

Phone Number:

Affected Property Address:

Were buildings, equipment or machinery damaged?

Yes

Details of damages sustained:

Were crops / grazing land affected?

Yes

Please fill out one row for each crop type damaged. If more than 3 crop types were damaged, please include that information in the large text box provided below. You do not need to differentiate between different varieties of the same crop type (e.g., separate avocados and oranges on different rows, but there is no need to separate Bacon, Hass, and Fuerte avocado varieties)

What type of crop was damaged? Line one:

Acres Damaged and Acres Planted (ex: 10/120):

Acres not able to be planted due to damage:

Estimated loss in yield from average year (in percent):

What type of crop was damaged? Line two:

Acres Damaged and Acres Planted (ex: 10/120):

Acres not able to be planted due to damage:

Estimated loss in yield from average year (in percent):

What type of crop was damaged? Line three:

Acres Damaged and Acres Planted (ex: 10/120):

Acres not able to be planted due to damage:

Estimated loss in yield from average year (in percent):

Did you sustain damage to more than 3 crop types, please include all of those details below in the same format as above: (e.g., Tomato, 10 acres damaged/ 100 acres planted, 0 acres not able to be planted, estimated loss in yield of 10%):

Were livestock lost:

Yes

Details of livestock losses:

I have insurance:

Yes

Estimated Total Cost Loss:

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Agricultural Damages - Gifford Fire

We want to hear from you!

The County Office of Emergency Services (OES)

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