CWMS Home Ignition Zone Assessment Form Certified Wildfire Mitigation Specialist Home Ignition Zone Assessment Date of Assessment: Property Address: Owner: Resident: Surrounding Environment Local climate conditions: Environmental conditions within 1-mile radius: Mitigation Recommendations: On-Site Conditions Property environmental conditions: Nearby structures (distances, construction): Neighboring properties that impact fire risk: Mitigation Recommendations: Structure-Specific Observations Roof materials & condition: Skylights, vents, penetrations: Roof gutters & intersections: Exterior wall materials: Gutter downspouts & wall connections: Windows & other vertical openings: Ventilation openings & screening: Zones of Defensible Space Combustible materials stored under/around structure: Attached structures & projections: Immediate Zone (0–5 feet) vegetation & combustibles: Heat/flame sources within Immediate Zone: Intermediate Zone (5–30 feet) trees & fuel breaks: Detached structures & storage (Intermediate Zone): Extended Zone (30–100 feet) vegetation: Other risk factors (structure ignition zone): Final Mitigation Recommendations: