Weather Modification Incident Report Form
This form is for all New Zealand incidents. This page is owned by Nigel Gray, Weather Modification Watch New Zealand
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Full Name of Reporter
(your name will be kept confidential)
Your answer
Your e-mail Address if we need to contact you regarding this report.
Your answer
Location (Town, City, Region)
Your answer
Is this a Single Report or Multiple Reports?
If Multiple Reports, how many reports are being filed here?
Your answer
Time of Incident
Your answer
Date (dd/mm/year)
Your answer
What type of incident?
If the incident was "Other" above, please explain here:
Your answer
Have you taken photos of this?
Please state image (photo) numbers
eg. images# 4341, 4342, 4350 Send accompanying images to
Your answer
Have you experienced any health-related problems that you associate with this incident?
If you answered "Other" then what did you experience?
Your answer
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