Home Ignition Zone (HIZ) Pilot Program

FebHIZTraining3

The Home Ignition Zone (HIZ) Pilot Program is provided free of charge from the Fire Safe Council of Santa Cruz County (FSCSCC). Upon request, a volunteer HIZ Assessor will visit the site and conduct a guided walk through with the
resident in order to provide real-time feedback and address any questions or concerns specific to the property. The assessment provides educational information related to Home Hardening and Defensible Space to the resident.

The goal of this assessment is to:

Improve my awareness of existing conditions/and or hazards in and around my home that may be susceptible to wildfire
Receive modification recommendations from the assessor to lessen my home’s (and its occupants’) risk from wildfire
Prevent injuries and loss of life
Prevent property damage and loss

If you are interested in signing up for this program, please complete the form below.

Please note: Due to staffing constraints, we are not currently serving the areas of Bonny Doon, Aptos, Corralitos, or Watsonville. If you live in these areas and wish to have an HIZ assessment done, please check back periodically to see if our current active zone has expanded. If you live in Bonny Doon, you can contact the Bonny Doon Fire Safe Council at http://www.bdfsc.org/ and have an assessment completed through them.

Home Ignition Zone Program Signup Form

First Name(*)

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Email(*)

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Preferred Contact Method(*)

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Last Name(*)

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Phone Number(*)

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Name of your Firewise Community

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Address of Home Being Assessed

Street Address(*)

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State(*)

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Approximately how many acres is your property?(*)

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City(*)

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Zip Code(*)

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Are there any dogs on the property?(*)

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If your home is on a small lot, how close to your house are your nearest neighbor's homes?(*)

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Preferred time(s)(*)

Weekends
Weekdays before 3pm
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Scheduling is subject to assessor availability, but we'll do our best to honor your preferences.

Parking Instructions/Other Information (if any)

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How did you hear about the HIZ Program?

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Release of Liability

In exchange for participation in this assessment, I agree for myself (and if applicable), members of my family, and others residing on my property to the following:

- I understand that the FSCSCC is merely an advisory service, free-of-charge, and not an inspection of applicable code enforcements.
- I understand that the FSCSCC is not responsible for making modifications or changes to the property.
- I recognize that there are certain inherent risks associated with the above described activity and I assume full responsibility for personal injury to myself and (if applicable) to my family or other persons residing in the home and further release and discharge the FSCSCC’s and assessor(s) for injury, loss, or damage, whether caused by the fault of myself, my family, the fire department, or other parties.
- I agree that participation in this assessment will not guarantee that a fire, injury, death, and/or property damage or loss will not occur.
- I understand that modifications I make to my home based on the recommendations of the assessment does not guarantee that a fire, injury, death, and/or property damage or loss will not occur.
- I agree to indemnify and defend FSCSCC and assessor(s) against all claims, causes of action, damages, judgments, costs, or expenses, including attorney fees and other litigation costs, should any arise from this assessment.
- I understand that I am voluntarily participating in this service and that the service is neither required by the city nor the fire department. I will not be reprimanded or prosecuted should I choose not to make the recommended adjustments.

By signing this disclaimer, I agree that members of the household will also be bound by the terms of this disclaimer. In recognition of these facts, I agree to hold harmless the FSCSCC for any negligence in providing this HIZ Pilot Program.

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I Agree(*)

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Signature(*)

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Check Box(*)

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