3. DATETIME CROUP 7. LENCTH OF OBSERVATION 10. BRIEP" SUMMARY OF SIC,.~UwC ATIC P'O R W l 2 9 (R&V 2 6 SZP 5lJ PROJECT 10073 RECORD CARD 2. LOCATION 4 . TYPE OF OBSERVATION ;rf.GroUftd Vlauol 0 Ground- Rocfor 0 Alr-V .. uol 0 Air-Intercept Rocfor SOURCE I . NUMBER OF OBJECTS CONCLUSIONS Woa Bolloo n Probobly Balloon Po11lbly Bolloon Woa Auc roft Probobly Aircroft Poulbly Aircroh Wos Aatronoml col Probo bl y Aatronoml col Poulbly Ar.ttonomlcol In surf cent Octo for Evoluotion U.S. AIR FORCE TECHNICAL INFORMATION SHEET (SUMMARY DATA) In order that your Information may be filed and coded as accurately as possible, p lease use the following space to write out o short desc r iption of the event that you observed. You may re- peat information that you have already given in the questionnaire, and add any further c omments, statements, or sketches that you believe ore important. Try to present the detoi Is of the observa- tion in the order in which they occurred. Additional pages of the some size paper may be attached if they are nHded. (Piee .. Print) (Do Not Write in This Space ) U. S. AIR FORCE TECHNICAL INFORMATION SHEET This questionnaire has been prepared so that you con give the U.S. Air Force as much information as possible concerning the unidenti f ied aerial phenomenon that you hove observed. Please try to answer as many questions as you possibly c an. The information that you give will be used for research purposes, and will be regarded as confidential material. Your nome will not be used in connection with any statements, conclusions, or publications without your permission. We request this personal information so that, if it 1s deemed necessary, we may contact you for further detoi Is. 1. When d id you see t he object? 2. T ime of day: 3. T ime Zone: (Circle Cne i (o. c. \iountoin d. Pacif i c 4. '''here were you w"-e~ >':>'-sew t he objecr? Hour Mlnutea ( Circle One): (Circle One): a . Daylight Saving (b": Standard Sto or Countr y 5.1 How was n~re .., SIS"'' oetermined? Minute Seconds a . Certoen (0. Foarly cerfoen 6. What was the conditiOn of t he sky? c. Not very s ure d . Just o guess {o; Bright 7. IF you saw the object dur ing DAYLIGHT, where wos the SUN located as you looked at the object? (Cucle One): o . In fr onr of you b . In bock o f you d. To your left e . Overhea d our right f. Don't remembttr v r I B ~0 rn fo rm 'IUJH'f""dc~ "fl( 16 i , I\ Oct ~I. 8. IF you sow the object at NIGHT, what did you notice concerning the STARS and MOON? 8.1 STARS ( Circle One): 8.2 MOON (Circle One): o. Bright moonlight <._'b. Dull moonlight No moonlight-pitch doric d. Don't remember 9. The object a ppeared: (o. As a light (Circle One): (.b,:, Shiny c. Doric d. Don't remember 10. If it appeared as a l ight, was it bt ighter than the brightest stars? Did the ob je c t: ( C ircle One for each question) Appear to stand std l ot any t ime? Don't Know Suddenly speed up and rush away ot any t ime? Don't Know c. Breolc up into ports or explode? Don't Know (N; d. Give off SIT'oke ? Don't Know e. Change br ig._t.,ess? No Don't Know f. C hange sho~? Don't Know Flash or fleclc.,? Don't Know 01 soppear ord r ec;>peor ? Don't Know 12. Did the object l'l"ove be hi nd something ot any time, particularly o cloud? IF you answered YES, then tell whot (C~tcle One ): Don't Know. 13. Old t he object move in front of something at any t ime, porticulorly a cloud? ( Circle One): Yes ~ Don't Know. IF you answered YES, then tell what 14. Old the objec t appeor: (Circle One): ronsporent Don't Know Did you observe the obJect through any of the following? Binoculars b. Sun glosses f. Telescope c. Windshield Theodo lite d. Window g loss Tell in a few words the following things about the object. Draw a p icture that wi ll show the shape of the object or objects. Label and include in your sketch any details of the object that you saw such os wings, protrusions, etc., and especially exhaust trails or vapor trails. Place an arrow beside the drawing to show the direction the object was moving. 19. The edges of the oor ect were: ( C trc:le One ': Futzy or blurred e. Other o. l iice o bright star Sharply outlined d. Don't remember 19. IF there was MORE THAN ONE object, then how many were there? -.. .;; ---------------- Draw o picture of h ow they were arranged, ond put an arrow to sho w the direction that t he y were traveling. 20. Draw o picture that will show the motion that the object or objects mode. Place on "A" at the beginning of the path, a "B" at the end of the path, and show any changes in d irection during the course. 21. How large did the object appear to you as compared to an object with which you ore familiar? 22. We wish to know t he angular size, Hold a match stick at orm's length in line with a known object and note how much of t he object Is covered by the heod of the match. If you had performed this experiment at the time of the sighting, how much of the object would hove been covered by the match heod? 23. Did the object d lsal)oeor while you were watchin g it? If so, how? 24. In order t hat you can give as clear a picture as possible of what you saw, describe in your own words a ob1ect or objects which, when placed up in the slcy, would give the some appearance as the object which you saw. . Where were you located when you sow the object? (Circle One): Inside o building b. In o cor d. In on airplane (type) 26. Were you (Circle One) In the business section ot o city? In the residential section of a city? In open countryside? Near on airfield? 1.. L IV I{(': oJ I : I r Flying over o city? Flying over open country? 27. Whot were you doing at the time you sow the object, and how did you happen to notice it? /VIC I f I 28. IF you were MOVING IN AN AUTOMOBILE or other vehicle ot the t ime, then complete the following questions: 28.1 What direc1on were you moving? (Circ:le One) b. Northeast d. Southeast f. Southwest h. Northwest 28.2 How fast were you moving? miles per hour. 28.3 Did you stoi) c :~ny t ime while you were looking ot the object? ( Cuc:le One ) What dlrect1on were you looking when you first sow the object? (Circle One) h. Northwest b. Northeast f. Southwest 30. Whot direction were you looking when you lost sow the object? (Circle One) ( e. South h. Northwest b. Northeast d. Southeast f. Southwest i. Overhead 31. If you ore familiar w1th bearing terms (angular direction), try to estimate the number of d~rees the object was from true North (thru east) and also the number of degrees it was upward from the horizOf'l (elevation). 31.1 When it first appeared: o. From true North degrees. b. From horizon /-:;-degrees. 31.2 When i t disappeared: o. From true North degrees. b . Fromhorizon / ';'-degrees. 32. In the following sketch, imagine tha t you ore at the point shown, Place on A on the curved I ine to show how the object wos above the horixon (skyline) when you f irst sow it. Place a a on the some curved line to show haw high the object was above t he horixon (skyl ine ) when you lost saw it, 33. In the following lorger sketch place an A" at the posit ion tne object wos when you l irst sow It, ond o s ot Ita position when you las t sow lt. Refer to smaller sketch os an example of how to complete the lorger alcetch. 34. What wefe the weather conditions at the time you saw the object? CLOUDS ( C ircle One) WEATHER (Circle One} & Clear sky b. Fog, mist, or light rain c. Scattered clouds c. Moderate or heavy rain d. Thick or heavy clouds e. Don't remember 35. When and to whom did you report that. you hod seen the object? T c d T I C <)r I I f= ,-: U~ ; '7 0 {'t 1 c rt2 Day Manth Year 36. Was anyone else with you at the time you saw the object? {Circle One) 36.1 IF yo u onsw.,ed YES, did they SM the object too? (Circle One1 36.2 Please l ist tl-et names and addresses: 37. Was this the first t ime hot you hod seen an object or objects like this? ICircle One) 37. i IF you answereci NO, then when, where, and under what c ircumstances did you see other ones? J r l L '/f"O 38. In your opinion what cio you think the object was and what might have caused it? 39. Do you think you con estimate the speed of the object? (Circle One) IF you answered YES, then what speed would you estimate? 40. Do you think you con estimate how for away from you the object was? ( Circle One) IF you answered YES, then how far away would you say It was?_ 41. Please give the following information about yourself: City --z-on-.-- Indicate any add1tionol information about yourself, including any education, which might be pertinenr. 42. Date you completed ,;,., questionnaire: