Landing Zone Submission Request

Fire & EMS, Remote, Recreational, or Industry

Type of Landing Zone *

What type of Landing Zone is being submitted
Latitude *

GSW 84 datum, Degrees Minutes, Decimal minutes format Example: N44 47.59
Longitude *

GSW 84 datum, Degrees Minutes, Decimal minutes format Example: W68 48.88
Town, or Township *

What Town or Township is this LZ in
Name of person submitting LZ information Name of person submitting LZ information * First Last
Email of person submitting LZ information *
Phone of person submitting LZ information. Phone of person submitting LZ information. * - ### - ### ####
Agency, Company, Group, or Person LZ information is being submitted for. *

Fire Dept. EMS Agency, Company Name, Club, Home Owner Assoc Etc.
Name of Point of Contact if different than submitter. Name of Point of Contact if different than submitter. First Last
Email of Point of Contact if different than submitter.
Phone of Point of Contact if different than submitter. Phone of Point of Contact if different than submitter. - ### - ### ####
Landing Zone pictures or information

Attach Files

If sending pictures of the LZ be sure it is from the center out, N,S,E,W, and including potential hazards.
The information provided here in this form will be cataloged as a Landing Zone Site. It will be evaluated for size & safety, as well as strategic value based on other information already on file. Strategic Value in this regard will be defined as a location that provides access to a large cross section of potential users. A sign for the location is available upon request.

A copy of the Landowner Liability Release can be found on the LifeFlight of Maine Website under the Remote Access Project. Copy this URL into a web browser.

https://lifeflightmaine.org/wp-content/uploads/2023/08/Landing-Zones-Liability-Release-2-16-10.pdf

Use one of the following three methods to provide us with the completed Liability Release Form

- Attach a completed copy to this form

- Send to LifeFlight of Maine, Remote Access Project 189 Odlin Rd. Bangor, ME 04401

- Email kymadigan@lifeflightmaine.org

Feel free to attach photographs or satellite imagery and upload to this form, or send via email.
Photographs should be taken from the center of the landing site to the North, South, East, and West.
Pictures should include any hazards the crew should be aware of (wires, fences, stumps, rocks etc.).

Please use Datum WGS84 formatting when submitting the site's coordinates.

Please contact Kyle Madigan (kymadigan@lifeflightmaine.org) with any questions or to updates to an existing site.