FEDERAL EMERGENCY MANAGEMENT AGECY

PRINCIPAL ADVISOR’S REPORT

Management of Forest and Grassland Fire, Section 420 PL 93-288, as amended

1. NAME OF PRINCIPAL ADVISOR:

2. DATE and Time of State Request:

3. TIME OF REPORT:

4. I HAVE REVIEWED THE OFFICAL STATE REQUEST FOR FIRE MANAGEMENT ASSISTANCE DECLARATION UNDER SECTION 420, PL 93-288

_________________________ ____________________

(Name of Fire) (Date Fire Started)

5. PREVAILING WEATHER CONDITIONS:

TEMPERATURE:_____________ HUMIDITY:____________ WIND:_________

OTHER:

6. DROUGHT INDEX:

NAME OF INEX:____________

NUMBER ON SCALE:______________

7. PREDICTION OF WEATHER AND FIRE CONDITIONS FOR THE NEXT 24 HOURS:

8. WILDFIRES:

a. EXISETNCE OF OTHER FIRES NEARBY THAT MAY RESULT INA CONFLAGRATION:_____________________________

b. NUMBER OF LARGE FIRES BURNING IN THE STATE:__________________________

9. GENERAL THREAT INFORMATION:

a. ASSEMENT:

b. PROXIMITY OF FIRE TO HOMES AND COMMUNITIES

c. NATURAL OR OTHER BARRIERS BETWEEN FIRE AND COMMUNITIES:

10. THIS ASSESSMENT IS BASED ON

ON SITE SURVEY DISCUSSION WITH THE INCIDENT COMMANDER OTHER

11. SIGNATURE OF PRINCIPAL ADVISOR

12. PHONE NUMBER

a. DAY______________

b. NIGHT____________

c. OTHER____________(cell/pager etc.)

13. FEDERAL AGENCY:

14. OFFICE LOCATION (City, State, Zip)