I OP GaJICTI 1. LINOTM OP OIIIIVAT10N TY'I 0' OaiiiVATIOM t. '"YIICAL IYIDIMCI I. LOCATION tl. CONCLUIIOM A .. ANALYitl FTD II P tl 0.012' (TD!) 25. Where were you loeated when you saw the obiec:t? (Circle One}: Inside o building (c) Ovtcloors L In an olrplone ' Other m n 26. Were you (Circle O"eJ a. In the businen section of a city? 1. In the residential section of o city? c. In open countryalde? cl. Flying near Oft airfield? Flying over a city? f. Flylnt over open country? _ 27. Wh.t w you dolnt at the tlnte you taw the oltiect, and how did you happen ta notice It? 28. IF you wtre MOVING IN AN AUTOMOBILE or othef vehicle at the time, then compleh thi following questions: 21.1 What dlrectl were you mavlng? (Circle OrteJ Oo t-fn,th c. East e. South ~. Northeatt d. Southeast f. Southwest h. Northwest 28.2 I low fatt were you rnovl ng? ---------tnlles per hour. 28.3 Dlcl you stop at any time while you were loolcl"l at the obiect? (Circle OrteJ Yet No 29. Whet dlrectl were you lool&lfll when you firat sow the obiect? (Circle OneJ It, Northeast f. Southwest h. Northwest 30. Whot ditectl were you lool&lftl wlten you last saw the oltiect? (Circle Ort.J it. Northeast f. Southwest h. Northwest 31. If you are familiar with iaearino twlltl (angular direction), try to estimate the number of degres the obiect was from true North ancl alao the number of degrees It was upward from the horizon (elevation). 31.1 When It firat appeared: o. From true North - ,....9~Qc degrees. b. From horizon "Q degr .. s. 31.2 When it cliaappeared: From true North ....t./ ..... 1"-ll!O'--degrHI lt. From horizon _ .3'() degrees. 32. In the foltowingslcetch, imagine that you ore at the point shown. Place on "A" on the curved line to show how high the oltiect was above the horizou (slcyline) when you lirst saw it. Plo(;o a "B" on thtt same curved line to ahow how high the obiect was above the horizon (skyline) when you lost sow it. 33. In the following lorger sketch place an A at the position the obiect was when you first aow It, ancl a a ot Its position when you lof aow it. Refer to smaller sketch os on example of how to complete the larger alcetch 34. Whot were th weather conditions at the time you 1aw the oltfect? 34.1 CLOli>S (C lrcle OneJ (!.) Scattered clouds 4. Thiele ar heavy cloud Don't remetner 34.3 WEATHER (Circle Onel 'T."' Fog, Mitt, 011 light rain c. Moclerote or heavy raIn Don't rIMwtlter 34.2 WIND (Cirde One) o. No wind ~ Slight breea.! MOP/i li'hT c. Siong w lncf d. Don't re~"nemt.er 34.4 TEMPERATURE (Circle Onel e. Don't rernemll" 35. When did you report to official that you ha4 '""the oltfect? l6. Woe nyone elae with you at the tlnte you 1aw the oltfect? tCircl Orte} (J;l} He 36.1 IP you on1wered YES, 41cl they aee the oltfect too? {Circle O,.J 0 No 36.2 PIHM llat tltelr ,..., ClfMI d 37. Wos thl1 the flrat time that you hod aNn on oltfect 011 oltfecta lllce thl1? (Circle OJ 37.1 IP you onawiNd NO, th when, where, and uncler what clrcUMstancel dlci you'" other .,.s? 38. In your opinion what do you thlnlc the oltiect waa oncl what might hove cou .. cl it? 39. Do yocr thlnlc you can ottlmata the speeJ of the oblect? (Circle OneJ IF you anawerecl YES, then what 1peed would you eatlmate? 40. Do you thlnlc you can estimate how for away from you the oblect wos? (Circle Ortel Yes @ IF you onswarecl YES, than how for away would you aoy It waa? 41. PIHaa glva the followl"' lnformtiOft al.ut yourself: Zone Stete Ave _.t< s. .~uaJ.E Please lncUcote any apeclal educatlonol tralnlnt that you ha"a hod. tt. Post grocluote Y.'! :> 3.: S 42. Data you completed this questiomolre: U. S. AIR PORCE T ECHHI CAL IH FORMATION SHe ET (SUMM~RY D.\ TJ.) In order that your Information may M flied ancl coded as accurately as poasible, ploose uso th following epace to writ out a ehort description of the event thot you oburvecl. You "'oy re 'eat lnfor"""lon that you have olreacly given In the queetlonnalre, and add ony further comfT'ents, totemente, or elcetchee that r Hllwe ore Important. Try to present th d etails of the ob,ervo tlon In "' order In which they occurred. Additional pages of th same size paper may bt attoch.d II they ate need (Do No' ~1rite In This Spoco) l..tJH-ITe (c~up LEtJC 1-bCi~ Tlefl . ff(')P,i i!JHII-! Fl~/111/~ HEADQUARTFllS S20TH AIR DEFENSE omUP TRUAX ~EID Madi ~on, Wiacon sl. n SUBJECTt Report of Unidentified Object! '.ro I Conu.9Jt!er Air Technical Intelligence Center ~i'right-Patterson AFD, Ohio Reference to inclo!;ure f!l, tor your intomst.i.on Report ot Sighting of Unidentified Objects, Rept of Sightinr, of Un1- dentit1od Obj sets U. I. . A I R F 0 R C I T I C H N I CAL I H F 0 R M A T I 0 N S H E E T This questionnolre hos been prepored 10 that you con glv the U. S. Air Force 01 rnuch lnfermation os pouible concerning the unidentified aerial phenomenon thot you hove o!,aerved. Please try to answer 01 many questlona 01 you poulbly con. The lnformatlcm thot you give will for research purposes, oncl will be regarded at confidential material. Your name will not bt used in connection with ony atatementa, conclualons, cw publications without your petmlulon. We request thft peraonol Information 10 that, If It It deemed "'cenory, we mcy contact you for further detolla. 1. When clid you tee the obiect? 2. Time of doy: 0 9 . (Circle OneJ: ~.M. 3. Time zone: (Circle One}: a. Eottern ~ Central.) c. Moun to In d. Pacific .C. Where were you when you tow the oblect? (Circle OnsJ: o. Day 1i ght Sov i ng EtP~,.,tJNZ- .. WI~CON:SI/J( Neerett Poatel A.14reu '"" er Tow" Stoto or Cevntr1 m e acz.,r ar Additional remorlcs: kJS.S El,;SJIJN6r . CJ ~ T:~, llltZ; 5. Estimate how long you aow th ol.iect. 5.1 Circle one of the followlnt to Indicate haw certoln you ore of your ontwer to Quutlo" 5 6. Whot wot tne condltl an of the 1lcy? (Circle One}: o. (Brl ht dayl*) lh cloyllght c. Bright twilight c. Not very sure fl. Juat o gueu d. Just o trace of do,llght No troc of do,light f. Don't remember 7. IF you sow the obiect during DAYLIGHT, TWILIGHT, or DAWN, where waa th SUN loc:atd at you loo!ced at the object? (Circle One}:~ a) In front of you - In t,oclc of you c. To your right d. To your l"ft ---: Overh jad f. Don't rememhr f6. Tell 1ft few words the followlnt things altout the oltlect. 17. Draw a 'lcture thet wlh thow the ahape of the olttect or oll.cta. Lobel and Include In your slcetch any detoll1 of the oltfect that you sow auch at wfnp, pratrualont, etc., and etpeclolly exhou1t troll or vopor trolls. Place en arrow ... lela the ....... to th.w the tllrectiM the oltfect wea M01nt ..,.4Jt4.tlf C..t.,,. VA Po~ Ol PI-AI~I..Y \11, IWJ.If A-S s L L 11 fJ~ t=ote5 S'}(r {HA'f HAUl BJJL'i 1L The etl .. a of the obfect were: (Cirde One):(;} Fua&y or ltlurretl ~,cuu c. Sharply outllfte4 iJ. j, 19. IF there wet MORI! THAN ONE obfect, then how were there? ~T...,llE;:U:..O.;s.... Draw o ,Ieiwe ef hew the, were 1rronoe4, an4 put .,.., te thew the tllrectlaft that they were travellnt 20. Draw a picture thnt will show the motion that the.object or obfects made. Place on A ot the beglnnl"f of the path, o a ot the end of the path, and show any changes In direction during the course. 21. IF POSSIBLE, try to gueaa or eathMte what the r .. l alae of the Hfect wot In Ita lengest cll tentiM. feet. I D/1-NNDT 22. tlaw cUd the Hlect oltfec:ta P aa c01d with one of the followf"l elttect hlcl lrt tlte ltorNI oncl at aNut or' length? o. Heod of a pin Quarter f Half dollar I Silver dollar h. aa.elall I Grap efruft I . Botlcetltell lc. Other------- (Cirf:le One of the following to Indicate how certain you ore of yow ontwer to Owetl 22. Q C...ta in c. Not very ewe r. Fairly certain 4. Uftcrt.l11 23. l~w clld the oltfect or oltfect dlaapp111 fro111 view? .S IJ OQ 'fNI t' I~ 8 f!L ffllll In .,._ th .. ~u cOR cl plctute peul\le ef whet ~u we weul4 lllle ,_ ~u te I'" th .. '" ewl4 c ... alruct the e\lect thet ,.., aew. Of wh., ,, .... .,, .. weul4 '" .... ltiP New lt wsrsl Itt-,_. wt.et the,. wMII It heef Deacrlt-Itt rew " e t ........ teet w ~feet ... lch wlae11 ,111d .,. '" the alar ul ,,.,. the k A . d tt.~i. clw -L7&. ell w.:t.,Q. ru ~>.