The nearest cross streets to your location when the earthquake occurred: |
|
Time of earthquake: (Ex: Local time 1/31/2018 @ 9:00 AM, or Relative time 5 minutes ago) |
|
Did you feel it? |
|
What was your situation during the earthquake? |
If 'Other', please describe |
How would you describe the shaking? |
|
Did objects rattle, topple over, or fall off shelves? |
|
Was there any damage to the building? |
|
Have any of your utilities been affected? If so, what? |
|
Additional comments |
|
If you would like to receive an emailed confirmation, please enter your email: |
|