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    Earthquake Report

    If you felt an earthquake, or know of an earthquake that occurred recently, please fill in this form. Even if you did not feel the earthquake yourself, the information you provide will assist us.

    Please complete this report and then press the submit button at the bottom of the page.

    Contact Information(optional)
    Your name:
    Contact phone number:
    Contact email address:
    Your location during earthquake
    Date of earthquake:
    Time of earthquake:
    Did you feel the earthquake?
    Your location during earthquake:
    Nearest large town:

    Where were you at the time of the earthquake?

    Inside

    Outside

    You were indoors at the time of the earthquake
    If you were indoors, building construction:
    Quality of construction:
    Number of floors in building:
    Observer's floor:
    Activity when earthquake occurred:
    You, others were:

     

    Effects
    Felt by:
    Awakened:
    Frightened:

     

    Related Sounds
    Rattling of doors, windows, dishes, etc.:
    Creaking of building (describe):
    Earth noises:

     

    Physical effects and damage
    Buildings
    Hanging objects swung:
    Small objects shifted, overturned, fell:
    Chimneys, plaster, windows cracked:
    Any other comments:

    You were outdoors at the time of the earthquake
    Type of ground:

    Activity when earthquake occurred:
    You, others were:

     

    Effects
    Felt by:
    Awakened:
    Frightened:

     

    Related sounds
    Creaking of building (describe):
    Earth noises:

     

    Physical effects and damage
    Outside
    Trees and bushes shaken, vehicles rocked, etc.:
    Ground cracked, landslides, water disturbed, etc.:
    Monuments, elevated water tanks, etc.:
    Other effects:
    Buildings
    Hanging objects swung:
    Small objects shifted, overturned, fell:
    Chimneys, plaster, windows cracked:
    Any other comments:

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