1. Sender: 

2. Report Date/Time (local): 

3. Report Version: 1st Report2nd Report Updated ReportFinal Report


4. Reporting Party Name: 

5. Reporting Party Phone Number: 

6. Reporting Party Email Address: 

EVENT AREA

7. City: 

8. State/Province/Region: 

9. County: 

10. Other: 
 
11. Reporting Grid Square: 

OBSERVED EVENT CONDITIONS

12. Flood: ChooseUnknown NoneMinor Street FloodingLow Water Crossing FloodedWide Spread Flooding Home/BusinessFlooded Creek/Stream out of banksRiver out of BanksOther (please elaborate below

13. Hail size: ChooseNone(penny) 0.88" | 22.352 mm(nickel) 1.00" | 25.4 mm(quarter) 1.25" | 31.75 mm(half dollar) 1.50" | 38.1 mm(walnut) 1.75" | 44.45 mm(golfball) 2.00" | 50.8 mm(hens egg) 2.50" | 69.85 mm(tennisball) 2.75" | 76.2 mm(baseball) 3.00" | 76.2 mm(teacup) 4.00" | 101.6 mm(grapefruit) 4.50" | 114.3 mm

14. High Wind Speed:  MPH

15. Tornado / Funnel Cloud: ChooseUnknownNoneFunnel CloudTornadoWall Cloud

16. Wind Damage: ChooseUnknownNoneSmall Tree Limbs DownLarge Tree Limbs/Branches DownTrees Snapped or UprootedPower Lines DownRoof or Structural DamageOther (please elaborate below)

17. Winter Precipitation: ChooseUnknownNoneSnowSleetFreezingRain Mixture

18. Snow:  inches

19. Freezing Rain:  inches 

20. Heavy Rain:  inches

21. Time period:  hours (Report 1" or greater in an hour and every inch thereafter). 

22.Additional Information or Damage Descriptions(Be Brief):