Your Name ________________________________________________ Your Email Address ________________________________________________ Your Phone Number ________________________________________________ Your Affiliation < > general public < > Skywarn spotter (check one) < > ham radio < > coop observer < > law enforcement < > news media < > other Date of Event __________________ (local time) Time of Event __________________ (local time) Event County __________________ Event Location ________________________________________________ ________________________________________________ ________________________________________________ Type of Event Tornadic activity Hail diameter (check one or more < > Funnel cloud < > smaller than dimes total) < > Tornado < > penny size < > Waterspout < > nickel size < > quarter size Other weather < > half dollar size < > Flooding < > walnut size < > Other damage (specify) < > egg size or bigger Estimated wind speed (and effects/damage) < > 39-57 mph (twigs & small limbs broken off) < > 58-72 mph (trees uprooted or snapped) < > 73-112 mph (roofing material blown off buildings) < > 113+ mph (roofs blown off/mobile homes rolled) Description of Event __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ Spotter/Coop Observer Measured wind gust Storm total rainfall Additional Info ____________ mph ____________ inches began at ____________ ended at ____________ Please only fill out observable data or data which you can estimate with reasonable accuracy. Thanks for your report! Fax to the National Weather Service in Miami at (305) 229-4553. If severe weather is happening now, try calling (305) 229-4528 (ext. 1) FORECASTER: Please place in statements clipboard in operations area.