IDMT - Wildfire Safety Visit Request

Wildfire Safety Visit Request Form
The Red Cross wants to help you and your family be prepared for wildfires. Request a free Red Cross wildfire preparedness visit, where a Red Cross team will provide personalized tips and guidance on how you can better protect your home from wildfires and provide steps you can take so everyone in your household can stay safe.

Please note, this form is for residents of Idaho, Montana and for those living in Baker, Malheur, Union and Wallowa in Eastern Oregon ONLY. To learn about Red Cross services in other states, please contact your local chapter.
Name (Nombre)

First NameLast Name
Address (Dirección: Ciudad, Estado / Provincia / Región, Código postal, País)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number (Número de teléfono)
Please enter a valid phone number.Format: (000) 000-0000.
Email (Correo electrónico)
example@example.com
County (condado)
How many people live in the home? (¿Cuántas personas viven en el hogar?)
Language preference (Preferencia de idioma)
Additional Information (Información adicional)
Should be Empty:

Wildfire Safety Visit Request Form