Option 1: CalOES Fire Damage Debris Clearance Program (State Program) Due January 22, 2018

Property Owner Checklist for Residential Debris Removal Right-of-Entry Permit

Ventura County Environmental Health is working with CalOES and other federal and state partners in a program to facilitate safe removal and handling of burn debris and ash. To obtain this service a homeowner must complete the proper paperwork to allow these agencies to clean up their property.

Documents needed for submittal of the Debris Removal Right-of-Entry Permit:

• Residential Debris Removal Right-of-Entry Permit form
• Government Issued ID (Driver’s license, passport, etc)(copies sent if submitted electronically)
• Insurance Policy
  • Declaration page
  • Debris Removal Coverage page
• Assessor’s Parcel Number (APN)
• Signatures of All Owners, Trustees or Power of Attorney
• Trust or LLC Documents (If applicable)
  • 1st page of Trust, LLC etc.
  • Signature Authorization page
  • Power of Attorney signature page
  • Any other relevant pages
• Signed and notarized document for authorized agent

Home owned by 1 or More People

All owners listed on the title of the home must:

• Sign the Residential Debris Removal Right-of-Entry Permit form
• Show government issued ID

Home owned by a Trust, LLC or other Legal Entity

If a home is owned by a trust, LLC or other legal entity, please bring:

• The first page of the trust, LLC or other agreement
• The Signature Authorization page
• The power of Attorney Signature page
• Any other relevant pages

All trustees or signatories must sign the Residential Debris Removal Right-of-Entry Permit form.

SUBMITTAL CAN BE MADE AT THE ENVIRONMENTAL HEALTH DIVISION, ADMINISTRATION BUILDING, 3RD FLOOR, VENTURA COUNTY GOVERNMENT CENTER, 800 S. VICTORIA AVE, VENTURA.
DEADLINE FOR SUBMITTAL IS JANUARY 22, 2018

Email: EHDThomasfire@ventura.org

It is recommended that forms be submitted in person.