Tract No.:
Reforestation of Timberlands Project (RT)	Project/Application No.:
Alternate Management Plan (AMP)	Project/Application No.:
Southern Pine Beetle Prevention Program (SPBPP)	Project/Application No.:
Other	Project/Application No.:
SECTION 1 – Applicant Information
Applicant Name:
Mailing Address:
City:	State:	Zip:
Phone:	Fax:
E-mail:
SECTION 2 – Amendment Request
A need has arisen wherein my forestry project in	County must be amended
according to	, Area Forester.
1) Recommendation Change
Original Recommendation:	Practice # (if applicable):
New Recommendation:	Practice # (if applicable):	Cancel	Extend	Other
Reason for Change:
2) Acreage Change
Original Estimated Acreage Approved:	acres
Actual Land Measurement Indicated that the Project Contains:	acres
SECTION 3 – Applicant Approval
Please amend my cost-share/project accordingly.
Applicant Name (Print)	Applicant Signature	Date
SECTION 4 – VDOF Approvals
I certify that the above statements are correct. I have recommended this change.
Forester Name (Print)	Forester Signature	Date
I approve these changes.
Regional Coordinator/Program Manager Name (Print)	Regional Coordinator/Program Manager Signature	Date