Date(s) Event Occurred:	Beginning Date (mm/dd/yyyy): Ending Date (mm/dd/yyyy):
Time of Event:	Local Time (hh:mm AM or PM)   Is this an exact or estimated time?  Exact     Estimated
Location of Event:	Use the boxes below to describe the location as precisely as possible (i.e. near mile 100 on the Richardson Highway, South Anchorage near Dimond and Old Seward, etc.): Nearest City: Location Description:

Please Check All That Apply: (Click here to learn about hazardous/severe weather criteria) Snow High Wind Heavy Rain Tornado Blowing Snow Blizzard Dense Fog Coastal Flooding Sleet Lightning Flood Funnel Cloud Freezing Rain Hail Flash Flood Wall Cloud Volcanic Ash
Event Details:	Any Damage?   Yes   No   Unsure Please describe clearly what you observed, its movement and any associated damage: Was Anyone Hurt?Yes     No     Unsure Please provide as much detail as possible:
Weather During Event:	Fill in the appropriate categories for your significant weather event: Wind Speed: Measured in mph (if known):       Or Estimated Wind Speed: no report less than 25 mph 25-31 mph (large branches in motion) 32-38 mph (whole trees swaying) 39-54 mph (twigs & small limbs broken off) 55-72 mph (trees uprooted or snapped) 73-112 mph (Peels surfaces off roofs; windows broken) 113+ mph (roofs torn off houses; cars lifted off ground) Select if visibility was reduced to a 1/4 of a mile or less due to: Snow:     Fog: Amount of New Snow:  and/or Total Snow on the Ground:  Amount of Ice Accumulation:  Rainfall:     Measured   Estimated Temperature: Hail Size: 1/4 inch (pea size) 1/2 inch (marble size) 3/4 inch (penny size) SEVERE CRITERIA 7/8 inch (nickel size) 1 inch (quarter size) 1 1/4 inch (half dollar size) 1 1/2 inch (walnut or ping pong ball size) 2 inches+ (egg size or bigger)
Additional Information:	Please provide any other details of this event:
	In your opinion, was this a severe event? Yes     No     Unsure

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