Assistance - Template

Site Name:

Address:

City:

County:

State:

Zip:

Directions:

Section:

Tier:

Range:

Long:

Lat:

Assistance ID:

Staff Assisting:

Program Type:

Contact:

Action Date:

Report

Attached Files/Reports

File Name	File Type	File Date	Note

Comments

Date	Comment	Commenter
9/19/2018	Dane called to see if all paperwork was received. I told him that the county verification needed to be signed by the county and that Phyllis had sent him a letter about it. He said he would contact the county and see if they could take care of it via fax or email and get it done and sent to us asap.	DAN BRATRUD

Assistance Details:

Field Office Compliance - Assistance