EXHIBIT D LANDOWNER CONTACT FORM.pdf
PDF 127 KB Posted
- Attached to
- West Montana FIA Plots
- Solicitation number
- 1240BG23Q0018
- Issued by
-
Department of Agriculture Forest Service
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Text version
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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