Complete this form once a year for your initial permit. Do not complete this form everyday you wish to burn!After Completion you will be redirected to a page with your permit. Print that permit for your records. 1 Start 2 Complete Owners Name * Email Address * Contact Phone Number * Address where fire will be kindled * Compliance Signature * By entering my name above I agree to abide by the regulations contained in 310 CMR 7.07 (310 CMR 7.00 M,G.L. c 111, s 142B and s 142D) Todays Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20222023202420252026 Leave this field blank