Forms
Completed forms can be emailed, or printed, signed, and mailed. Obtain paper copies of forms from your local Virginia Department of Forestry office.
Forms by Category:
Fire | Part-Time Firefighter | Fiscal | Forest Management | General Services | Human Resources | Seedlings | Urban and Community Forestry | Water Quality
Part-Time Firefighter Hiring Package
Statewide Part-Time Firefighter Training and Qualification Requirements (English; Excel format)
Send the following to Central Office - Fiscal Payroll:
- Form I-9, Employment Eligibility Verification.
- Form 95 Application For Wage Employment (English; Word format)
- Form 177 Emergency Work Disclosure (English; Word format)
- Direct Deposit Authorization (DOA), Employee (English; PDF format)
- Form State VA-4 Virginia Tax Withholding (English; PDF format)
- Form Federal W-4 Employee's Withholding Allowance Certificate (English; PDF format)
- Photocopy of Driver's License
- Photocopy of Social Security Card or Birth Certificate
These documents need to be sent to your Regional Office for Incident Qualification System (IQS):
- Form 10 IQS Data Collection Form | Instructions (English; Word format)
- Work Capacity Readiness Information Sheet.
- Form 110 Informed Consent for Work Capacity Tests (must be completed prior to testing): (English; Word format)
- Form 100 IQS Data Update Form (submit for updates on existing employees) (English; Word format)
General Services
Request for Proposals (RFP) and Invitation to Bid (IFB)
137 - Use Permit Application
- (English; PDF
format)
Allows public organizations to install radio equipment on fire lookout towers.
(Submit three copies, all original ink, to General Services)
150 - Natural Resources Building Training Room Reservation Form
- (English; PDF
format)
Reserve the Central Office Largest Training room.
(Submit one copy, all original ink, to VDOF Receptionist.)
172 - Individual Services Contract
- (English; PDF
format)
This form shows an agreement between VDOF and a vendor providing nonprofessional services. (Submit three copies; all original ink to General Services)
Fire Protection and Suppression Forms
5 - Cooperative Equipment Loan Agreement
- (English; PDF
format)
Fire Departments must sign prior to the awarding of the grant.
(Portions must be filled in by VDOF prior to signing by Fire Department representative.)
10 - Incident Qualification System, Data Collection Form
- Used to track personnel and training for fire fighters. Submit one copy to Protection
Division.
(English; Word format)
Instructions
69 - Prescribed Burn
- Used by individual for planning a prescribed burn, minimum requirement as called for in the certification program. (Form is not submitted to VDOF.)
- English; Word format | PDF format |
110 - Informed Consent for Work Capacity Tests
- (English; Word format)
180 - Certified Prescribed Burn Manager Exemption to the 4 p.m. Burning Law
- Deadline: February 1.
- English; Word format
For use by Certified Prescribed Burn Managers only to apply for an exemption to the 4 p.m. Burning Law.
(Submit one copy to Regional Office).
623 - Application for Volunteer Fire Assistance Program Equipment
- (English; PDF
format l Word Format)
Instructions
Filled out by Fire Department and used as an evaluation for the grant program.
(Submit three copies; all original ink, to Regional Office)
Fiscal
W4 - Employee's Withholding
- (submit one copy; all original ink, Fiscal Division)
(English; PDF format).
W9 - Request for Taxpayer Identification Number(s) and Certification
- (English; PDF
format)
(submit one copy to Fiscal Division)
VA-4, Virginia Income Tax Withholding Exemption
- (submit one copy to Fiscal Division) - Virginia Department of Taxation
147 - Employee Reimbursement Form
- (English; Word format)
Used by VDOF employees for reimbursement of expenses on official business. (Submit one copy; to Fiscal Division)
Forest Management
RT1 - Reforestation of Timberlands Project Report
- English; Word format
Use to Apply for RT cost share. (Submit four copies; all original ink, to the Area Forester.)
RT6 - Landowner/Contractor Contract
- (English; PDF
format)
Used as a contract between the Landowner and Contractor for forestry operations. (Form is not submitted to VDOF)
RT8 - Agreement for the Loan of Tree Planting Equipment
- (English; PDF
format)
Use this form to borrow a planting planting bars and bags. They must be picked up at a VDOF office.
(One copy is given to local VDOF representative.)
11 - Prescribed Burning Agreement
- (English; PDF
format)
Agreement to pay for VDOF services related to prescribed burning (submit three copies; all original ink, to Area Forester)
21 - Service Agreement
- (English; PDF
format)
Agreement to pay VDOF for specified services rendered.
(Submit three copies; all original ink, to Area Forester)
61 - Consulting Forester Questionnaire
- (English; PDF
format)
Use this form to be added to the List of Private Forestry Service Providers. (Submit one copy to Forest Resource Management Division at VDOF's Headquarters in Charlottesville.
74A - Alternate Management Plan
Use this form to agree to reforest areas which come under the Seed Tree Law. Submit three copies; all original ink to Area Forester)
- Alternate Management Plan (English; Word format)
- Alternate Management Plan (English; PDF format)
74B - Alternate Management Plan (AMP) Supplement (Transfer)
Use this form to transfer the obligation of an Alternate Management Plan. Submit three copies; all original ink to Area Forester.
- (English; PDF
format)
- Alternate Management Plan (AMP) Supplement (Transfer) (English; Word format)
- Alternate Management Plan (AMP) Supplement (Transfer) (English; PDF format)
83 - Hardwood Planting Quality
- Form (English; Word format)
- Instructions (Submit three copies; all original ink to Area Forester)
84 - Hardwood Reinspection Field Tally Sheet
- Form (English; Word format | PDF format).
(Submit three copies; all original ink to Area Forester)
127 - Forest Stewardship Program Application
- (English; Word format)
Use by landowner to apply for a Forest Stewardship Plan for their property. (Submit one copy to the Area Forester)
179 - Riparian Buffer Tax Credit Application
- (English; Word
Format; Instructions)
Used to apply for the tax credit and certification. (Submit one copy to Area Forester)
182 - Multiple Landowners (Supplement)
- (English; PDF
format l Word
format)
For multiple landowners of a tract when using VDOF services for their property. (Submit one copy to the Area Forester)
185 - Application For Riparian Buffer Tax Credit:
S-Corporation /Partnership Landowner Information
- (English; PDF format l Word format; Instructions)
Human Resources
Comm. of VA Employment Application, Supplement
- Complete and mail to Human Resources,
at Central Office.
Department of Personnel and Training http://www.dpt.state.va.us/statefrm.htm
95 - Application for Hourly/Wage Employment
Submit one copy to the Fiscal Division
- English; PDF format.
96 - Volunteer Information and Time Sheet
Submit one copy to the Human Resources Division.
- English; PDF format.
Seedlings
2010-2011 Seedling Price List (English; Word format; PDF format)
30A, Seedling Order Form - for more than 1000 seedlings
Submit one copy to the Augusta Forestry Center. English; Word format; PDF format
30C, Seedling Order Form - for less than 1000 seedlings, shipped by UPS
Submit one copy to the Augusta Forestry Center. English; Word format.
40, Credit Reference
Allows the VDOF to obtain credit references. English; Word format.
85, Tree Seedling Credit Application
Use this form to request credit for the purchase of tree seedlings from VDOF. English; Word format.
Urban and Community Forestry
Application for Federal Assistance (Federal Form SF 424)
For Localities or associations to apply for an Urban Grant. Submit to the Urban Forest Coordinator at the Headquarters.
- English; Word format.
32 - Assurances - Non-Construction Programs
Used with Urban Grant Application.
- English; PDF format.
36 - USDA Certification Reguarding Debarment, Suspension, Ineligibility & Voluntary Exclusion - Lower Tier Covered Transactions
Used with Urban Grant Application.
- English; PDF format.
37 - USDA Certification Regarding Drug-free Workplace Requirements (Grants) - Alternative 1- For grantees other than Individuals
Used with Urban Grant Application.
- English; PDF format.
42 - Grant Program: Request For Reimbursement
Send a copy to Urban Forest Coordinator at the VDOF Headquarters upon completion.
- English; Word format.
43 - Grant Program: Time and Activity Log for Staff and Volunteers
Used to document volunteer assistance. Send a copy to the Urban Forest Coordinator at the VDOF Headquarters upon completion.)
- English; PDF format.
Water Quality
25 - Water Quality Complaint Investigation
Use to submit a water quality complaint associated with timber harvesting. Submit one copy to the Area Forester for the county.
- 25 - Water Quality Complaint Investigation (English; Word format)
30 - Harvest Inspection Form
Used to inspect timber harvesting operations. Submit one copy to Area Forester.
- English; Word format.
151 - Notification of Logging Operation
Used to notify the VDOF of timber harvesting. Submit one copy to the Regional Office.
- English; Word format.
Last modified: Tuesday, 17-Jan-2012 11:27:40 EST

