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Storm Surges and other Coastal Events
Personal Information
First Name
Last Name
Phone Number
Email
Location and Date of Incident
Date
Latitude
Longitude
Incident Details
What type of coastal event is it?
Storm Surge
Tsunami
Rip Current
Other
Please Specify
Reason for reporting
Harmful to human health
Harmful to marine life
Cause of damage to property
Unpleasant
Potential hazard
Unknown and warrants further investigation
Other
Please Specify
Describe the location the coastal event occurred?(be as descriptive as possible)
Which best describes the area it was sighted?
Land
Sea
River
Pond/Lake
Mangrove
Other
Please Specify
Which activity was associated with the event?
Hurricane
Extreme Rainfall
Adverse Weather Condition
Don't know
Other
Please Specify
Which of the following are you mainly concern about?
Damage to infrastructure
Injury to person
Potential hazard
Other
Please Specify
Photos
General Comments
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