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2. Instructions
   This application is for residents to submit to the Edwardsville Fire Department for their review in order to grant a one-day burn permit. Submitting an application DOES NOT guarantee approval. Please wait for an e-mail or telephone confirmation from the Fire Department.
4. Burn Permit Information
   CLICK HERE

   By completing this form, you are stating that you have reviewed and understand the burn permit information provided by the Edwardsville Fire Department. This information can be accessed by following this link
6. Date of Application*
   Date of Application

   Date of Application
8. First Name*
9. Last Name*
11. Home Address*
    Please input your current residence
13. City
14. State
15. Zip
17. Telephone Number*
18. Cell Phone
    Please input cell phone contact information if different from telephone number provided
19. E-mail Address*
    Please input a valid email address. This will be how staff reaches you with an approval or denial
21. Address*
    Please input the address where the proposed burning is to take place
23. City
24. State
25. Zip
27. Scheduled Date/Time for Proposed Burning*
    Scheduled Date/Time for Proposed Burning

    Scheduled Date/Time for Proposed Burning
    Please input the day and time for your application
29. Description of material to be burned
31. Quantity of material to be burned
33. Is the burn site at least 50 ft. away from any buildings or roadways?*

    1. Yes
    2. No
35. If you answered no to the previous question, how far away is the burning from a building or roadway?
37. Reason why no other method of disposal can be used and why this burn is in the public interest*
Leave This Blank:


39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit Submit and Print

* indicates a required field