Direct Notification Registration Form

FORT ORD BASE REALIGNMENT AND CLOSURE OFFICE (BRAC)
PRESCRIBED BURN PROGRAM

Complete this form to receive direct notification (a phone 
call and/or email message) about when a prescribed burn is 
proposed to be started, as well as a second alert as soon 
as a prescribed burn has been started. The Army will not 
share your personal contact information. Providing your 
address is optional; however, with your address, we can 
mail information to you.

Date:

Name:

Mailing Address:
(include street address or PO Box, City, State and Zipcode)


Phone Number:
Alternate Phone Number:
(If you wish to be notified by phone there must be an 
answering machine or voice mail on the phone, or someone 
must be available to receive the message. Do not provide 
phone numbers that include an extension or that connect to
a voice menu system.)

Email Address:
Alternate Email Address:

I wish to be removed from the Direct Notification Program:
(circle one)
                Yes       No

   Fill out this form and mail or fax to:
	Base Realignment and Closure Field Office
	Fort Ord Prescribed Burn Direct Notification Program
	P.O. Box 5008
	Monterey, CA  93944-5008
    Fax: (831)393-9188

Call (831)393-1284 or toll free at 1-800-852-9699 if you
have any questions, or go to http://www.fortordcleanup.com