Online Form - BlazeAid and Seroja Response Information The Shire of Chapman Valley is welcoming Blaze Aid to our region. Blaze Aid is a volunteer-based organisation that works with families and individuals in rural Australia after natural disasters such as fires and floods. Working alongside the rural families, these volunteers help to rebuild fences and other structures that have been damaged or destroyed. A basecamp of volunteers will be established at the Yuna Community Centre. We need you to register your cyclone affected property. Information will be collated for areas across the region and while treated in confidence, will be passed onto BlazeAid for jobs to be completed. Blaze Aid volunteers will be based at Yuna and commence work on 1 May 2020. From this base camp, the volunteers then travel in teams of 4-5 with a trailer each day to local farms and assist with fencing and structure rebuilds. Work is prioritised in order of urgency, such as stock security, boundary fencing ect. Work is undertaken seven days a week from 8.30am – 2.30/4.30pm. Donations of funding to assist with BlazeAid’s daily catering requirements for volunteers can be made directly to BlazeAid. Requests to participate as a volunteer can also be made directly to BlazeAid. Contact Judy at blazeaid.yuna@gmail.com or 0427 614 546. Contact the Solataire Cameron, Community Development Officer, Shire of Chapman Valley if you have any questions. Mobile: 0447 389 851 or community@chapmanvalley.wa.gov.au. Your name: Farm name: Shire: Street address: Street Address:* City:* State: Post Code: Country: Select Country >> AUSTRALIA -------- AFGANISTAN ALBANIA ALGERIA AMERICAN SAMOA ANDORRA ANGOLA ANGUILLA ANTIGUA & BARBUDA ARGENTINA ARMENIA ARUBA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BONAIRE BOSNIA & HERZEGOVINA BOTSWANA BRAZIL BRITISH INDIAN OCEAN TER BRUNEI BULGARIA BURKINA FASO BURUNDI CAMBODIA CAMEROON CANADA CANARY ISLANDS CAPE VERDE CAYMAN ISLANDS CENTRAL AFRICAN REPUBLIC CHAD CHANNEL ISLANDS CHILE CHINA CHRISTMAS ISLAND COCOS ISLAND COLOMBIA COMOROS CONGO COOK ISLANDS COSTA RICA COTE DIVOIRE CROATIA CUBA CURACO CYPRUS CZECH REPUBLIC DENMARK DJIBOUTI DOMINICA DOMINICAN REPUBLIC EAST TIMOR ECUADOR EGYPT EL SALVADOR EQUATORIAL GUINEA ERITREA ESTONIA ETHIOPIA FALKLAND ISLANDS FAROE ISLANDS FIJI FINLAND FRANCE FRENCH GUIANA FRENCH POLYNESIA FRENCH SOUTHERN TER GABON GAMBIA GEORGIA GERMANY GHANA GIBRALTAR GREAT BRITAIN GREECE GREENLAND GRENADA GUADELOUPE GUAM GUATEMALA GUINEA GUYANA HAITI HAWAII HONDURAS HONG KONG HUNGARY ICELAND INDIA INDONESIA IRAN IRAQ IRELAND ISLE OF MAN ISRAEL ITALY JAMAICA JAPAN JORDAN KAZAKHSTAN KENYA KIRIBATI KOREA NORTH KOREA SOUT KUWAIT KYRGYZSTAN LAOS LATVIA LEBANON LESOTHO LIBERIA LIBYA LIECHTENSTEIN LITHUANIA LUXEMBOURG MACAU MACEDONIA MADAGASCAR MALAYSIA MALAWI MALDIVES MALI MALTA MARSHALL ISLANDS MARTINIQUE MAURITANIA MAURITIUS MAYOTTE MEXICO MIDWAY ISLANDS MOLDOVA MONACO MONGOLIA MONTSERRAT MOROCCO MOZAMBIQUE MYANMAR NAMBIA NAURU NEPAL NETHERLAND ANTILLES NETHERLANDS NEVIS NEW CALEDONIA NEW ZEALAND NICARAGUA NIGER NIGERIA NIUE NORFOLK ISLAND NORWAY OMAN PAKISTAN PALAU ISLAND PALESTINE PANAMA PAPUA NEW GUINEA PARAGUAY PERU PHILLIPINES PITCAIRN ISLAND POLAND PORTUGAL PUERTO RICO QATAR REPUBLIC OF MONTENEGRO REPUBLIC OF SERBIA REUNION ROMANIA RUSSIA RWANDA ST BARTHELEMY ST EUSTATIUS ST HELENA ST KITTS-NEVIS ST LUCIA ST MAARTEN ST PIERRE & MIQUELON ST VINCENT & GRENADINES SAIPAN SAMOA SAMOA AMERICAN SAN MARINO SAO TOME & PRINCIPE SAUDI ARABIA SENEGAL SERBIA SEYCHELLES SIERRA LEONE SINGAPORE SLOVAKIA SLOVENIA SOLOMON ISLANDS SOMALIA SOUTH AFRICA SPAIN SRI LANKA SUDAN SURINAME SWAZILAND SWEDEN SWITZERLAND SYRIA TAHITI TAIWAN TAJIKISTAN TANZANIA THAILAND TOGO TOKELAU TONGA TRINIDAD & TOBAGO TUNISIA TURKEY TURKMENISTAN TURKS & CAICOS IS TUVALU UGANDA UKRAINE UNITED ARAB ERIMATES UNITED KINGDOM UNITED STATES OF AMERICA URAGUAY UZBEKISTAN VANUATU VATICAN CITY STATE VENEZUELA VIETNAM VIRGIN ISLANDS (BRIT) VIRGIN ISLANDS (USA) WAKE ISLAND WALLIS & FUTANA IS YEMEN ZAIRE ZAMBIA ZIMBABWE Landline telephone number: Is the landline currently working? YesNoN/A Mobile telephone number Is the mobile telephone currently working? YesNoN/A Email address: Mains Power YesNo Is Genset power availbale? YesNo Are power lines down in paddocks? (include appx number) What is the condition of the house/s Is asbestos an issue? Y/N Do you need living accommodation? Y/N Do you have access to water for personal use? Y/N Do you need a super-lift to free machinery from sheds? Y/N Do you have livestock? Y/N (Sheep, cows, ect) Do you have livestock containment issues currently? Y/N What is the number of kilometres of fencing needing replacing? What is the number of kilometres of fencing needing clearing? Is general clean-up required (loose tin ect)? Y/N If you don't have livestock, are you able to provide agistment? Y/N Do you have on farm accommodation to spare? Y/N, include details Are you looking for staff? Y/N, if no are you prepared to let people use the accommodation? 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