Exhibit D Landowner Contact Form.docx

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FIA Plots for the state of Utah
Solicitation number
1240BG22Q0020
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Solicitation Number: 1240BG22Q0020 Rocky Mountain Research Station FIA Plots for the state of Utah Exhibit D - Land Owner Contact Form

Use this section for access only owner

Plot # ____________________________________________________________________________________________ Name of Person Making Contact: ______________________________________________________________________ Name of Plot Owner (Owner at plot center): ______________________________________________________________ Full Name of Owner Contact: _________________________________________________________________________ Ownership Condition List ____________________________________________________________________________ Contact Type: ☐ Owner; ☐ Owner Relative; ☐ Land Manager; ☐ Legal Representative; ☐ Lessee, ☐ Access Only; ☐ Other – Specify_____________________________________________________________________________________ Company: _____________________________________ Title: ______________________Email:___________________ Street Address: __________________________________________ City: ______________________________________ Zip Code: _____ - _____ Office Hours: _______________________ Best Time to Call: ___________________________ Office Phone: _____ - _____ - _____ Cell Phone: _____ - _____ - _____ Home Phone: ____ - _____ - _____ ☐ Landowner Requests Data?

☐ Contact Requests NO FURTHER Contact.

STATUS (check all that apply):

☐ Access granted; ☐ Access denied; ☐ Pending ☐ Keys/combination required; ☐ Permit required; ☐ Keys returned CONTACT EVENTS (check all that apply):

☐ PHONED: Date: ____/____/______ (mm/dd/yr) Time: ________ am/pm ☐ Spoke w/owner contact; ☐ Spoke w/Family Member; ☐ Spoke with other ☐ No answer ☐ Left message; ☐ Waiting for Callback ☐ VISITED IN-PERSON: Date: ____/____/______ (mm/dd/yr) Time: ________ am/pm ☐ Drove to Residence; ☐ Drove to Plot Area; ☐ Drove to Business ☐ Spoke w/Owner Contact; ☐ Spoke w/Family Member; ☐ Spoke w/Neighbor; ☐ Spoke with Other ☐ Awaiting Reply ☐ EMAILED: Date: ____/____/______ (mm/dd/yr) Time: ________ am/pm ☐ Email sent;

☐ Awaiting Reply; ☐ Reply received;

DETAILED CONTACT INFORMATION [include: next steps; access problems; other contacts; incorrect owner]

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