Madison County, TX · Madison County
Exemption Agreement to Burn
Madison County residents seeking to burn while a burn ban is in effect use this agreement to request approval and accept listed conditions.
At a glance
- Issued by
- City of Madison County · Madison County, Madison County, Texas
- Notarization
- Not required: file this form without a notary.
- Official source
- co.madison.tx.us
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This agreement requests permission to burn while the Madison County Burn Ban is in effect and states conditions the applicant must follow. It asks for the applicant’s contact details, burn location, date, and reason, and requires the applicant to accept responsibility for damages and costs. The applicant must provide qualifying liability coverage and obtain approval from the Emergency Management Coordinator.
Who needs it
A person seeking an exemption to burn during the Madison County Burn Ban must complete the agreement and follow its listed conditions.
How to submit it
Submit it to the county office named on the form; check the county website for current contact details.
About notarization
This agreement is signed and dated without a notary; the signer just signs and dates it, and no notarized or sworn attachment is specified.
How to submit this form
- 1
Download the Agreement
Download the Madison County Exemption Agreement to Burn.
- 2
Complete the Applicant Details
Enter your name, home address, phone number, burn location, date of burn, and reason for burning.
- 3
Gather Required Insurance
Provide the commercial umbrella liability insurance policy or self-insurance described in the agreement.
- 4
Submit for Approval
Submit the completed agreement to the county office named on the form for approval.
Frequently asked questions
- Do I need a notary for the Exemption Agreement to Burn?
- No. The agreement provides signature and date lines for the applicant and approval signature, but no notary or sworn attachment is specified.
- How do I submit the Exemption Agreement to Burn?
- The document does not give a submission address or method. Submit it to the county office named on the form and check the county website for current contact details.
- What information does the agreement ask for?
- It asks for the applicant’s name, home address, phone number, burn location, date of burn, and reason for burning.
- What must I provide with the agreement?
- The agreement requires a commercial umbrella liability insurance policy or self-insurance of at least $1,000,000, listing Madison County as additional insured and valid until burning ceases.