Report Date:	Report Time:
SECTION 1 – Fire Report Information
General Weather/Drought Conditions:
Fires in the Last 24 Hours:	Number of Fires:	Estimated Acres:
Fires Since :	Number of Fires:	Total Acres:
Structures Since :	Homes Lost or Damaged:
Homes Protected:
Other Buildings Lost or Damaged:
Other Buildings Protected:
Number of Significant Fires at This Time:	100 acres + (include <100 if special):
500 acres +:
Number of Personnel on Significant Fires:	VDOF:
Special Crews, Fire Depts.:
National Guard Units:
Resources on Significant Fires:
Involvement of National Guard, Department of Emergency Management or other State/Federal Agencies:
Progress/Success Stories:
Financial Relief Available/Requested:
Challenges:
Opportunities for the Governor’s Assistance:
Remarks:
SECTION 2 – Submitted By
Contact:	John Miller / john.miller@dof.virginia.gov	Submitted By:
Employee Name (Print)	Employee Name (Print)