Owner Name *

Ex. City of Houston or John Doe

First Name

Last Name

Owner Contact: *

First Name

Last Name

Address: *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone:

(###)

###

####

Is the tree owner/contact also the nominator? *

If “yes”, skip nominator section below.

Yes

No

Tree most closely resembles which DBH illustration in the measurement guide? *

Please download and confer the How to Measure a Tree Guide to answer this question:

B

C

D

E

Previous measurement: *

Inches

Feet

Nominator Name

First Name

Last Name

Nominator Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Nominator Phone

(###)

###

####

Tree Address

If different than property owner's address.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

I will grant following any reasonable request, individuals the privilege of entering my property to view the designated tree: *

Yes

No

I wish to have the tree considered as a specimen of its genus and species but do not want its location disclosed: *

Correct, please keep the location private.

The tree's location may be publicly disclosed.

I grant permission for a representative of HAUFC to inspect and measure the tree for the purposes of verification of the characteristics reported in this form: *

Yes

No