City of London - Application for the Tree Canopy Conservation Program

Note: Fields marked with ★ are mandatory.

Applicants must hire a qualified arborist as per the City of London’s Tree Protection By-law to complete all eligible work. The Tree Protection By-law defines an “Arborist” as: “an arborist qualified by the Ontario Ministry of Training, Colleges and Universities; a certified arborist with the International Society of Arboriculture; a consulting arborist registered with the American Society of Consulting Arborists; or a Registered Professional Forester.” Please note that a utility arborist may not be considered a qualified arborist for this program. The City will not award funding if the proposed work is not completed by a qualified arborist.

Application form

We are committed to providing a fully accessible application process. Please let us know if you require any accommodation: accessibility@london.ca.

Please complete all fields in this application. If you have questions, please contact ForestHealth@london.ca.

Section 1 - Contact information

Name:

Mailing address:

Phone number:

E-mail:

How would you like us to contact you?

Phone
Email

Section 2 - What type of work are you proposing?

Definitions of the terms below can be found on the Tree Canopy Conservation Program webpage under 'How to apply'

Proposed work (choose all that apply or describe the work underneath 'Other')

Cable/brace/prop
Pruning
Integrated pest management
Other - please provide description below

If you selected OTHER above, please provide a description of the proposed work

Is the proposed work an injury to a distinctive tree?

Yes - If the proposed work is an injury to a distinctive tree, an Arborist Declaration form will also be required. Please contact trees@london.ca or call 519-661-5783 to receive a copy of the form.
No
I don't know

"Injure" means to harm, damage or impair the natural function or form of a tree, including its roots within the Critical Root Zone, by any means excepting injury by natural causes, and includes but is not limited to carving, drilling, injection, exploding, shattering, improper pruning that fails to meet Good Arboricultural Practices, removal of bark, deliberate introduction of decay fungi, inserting or driving foreign objects into or through the tree or its roots, soil compaction, root excavation, suffocation, drowning, burying or poisoning. The terms "Injury", "Injuring" and "Injured" shall have a corresponding meaning.

Please attach the arborist's quote (Image or PDF only)

Section 3 - Who will be doing the work?

Company name

Arborist's name:

Arborist's phone number:

Arborist's email:

Arborist's certificate number

Section 4 - Location of tree(s) and details

Tree species:

Address (if different from mailing address):

Tree diameter (Diameter at Breast Height) - Please see the Frequently Asked Questions section of the Program's webpage for a definition of Diameter at Breast Height

Is/are the tree(s) a Boundary Tree? (i.e., is it close to the property line?)

Please attach a picture of the tree (Image of PDF only)

Site visit agreement

Agree to site visit.

By submitting this application, you are agreeing to City staff conducting up to two site visits on your property to observe the tree(s). Site visits will be done Monday-Friday during regular business hours.

Submitter E-mail (In case we need to reach you regarding this submission)

The personal information collected on this application form is collected under the authority of the Municipal Act, 2001 and will be used to assist Parks and Forestry in administering the Tree Canopy Conservation Program. Questions about this collection may be referred to the Acting Manager, Urban Forestry, 519-661-2489 ext. 4490.

Note: If the form does not appear to submit, please open each section and confirm that there are no issues or missing required fields.