1. DATE TIME GIOU' 2. LOCATION 10. CONCLUSION Civilicn /\ircraft ( P- h?) ~. NUMBER OF OBJECTS Dencripti.n ('C '\ r(ll' ~; j L:! ,; (! -:;i.:: (I. 5 5. LENGTH OF OISERVATION 6. TYPE OF OBSERVATION r;ronnd-V.isua.l 9. PHYSICAL EVIOENCI! 11. IRIEP IU,_ARY AND ANALYSIS .,..,.,., edltlottt el till a fa: J 1H1 uaad. HaAOOUA,.TC .. S FOREIGN TECHNOLOGY DIVtSJON At,_ ~OIItCIE SYSTEMS COMMAND UNtTD .TAT.I AI" ~O"Ct 'fli'LT TO :i UIIHCT: um '1ightin~) ""leHT .. ATT."80N AI" ~O"C 8AI., OHtO To: Co:n.~:lllde!" Lincoln .A i~ Fore~ B3se, ' ~braska 1. Refe~e~ce the attached FTD Fona 164 reporting an unidentified fly:lr.g object observed 0:1 15 Mar 65, Lincoln, ::ebrasko.. Report indicat~s that object was first reported to Lincoln AFE. rr so, vas a c~nclusion made as to what ~as observed? 2. If ev~luation has not beer-made, requ~st your base check oot:1 .nil! tary an<1 civilian aircraft flights ir-a~ea ~t t:~e tine of s :ightins. .iev~il -.: ~t t':e ~i_:rl..,tinz U.S. AIR FORCE TECHN!CAL IHFORM.t. T101~ This questionnaire has been prep"rttd so thQt ) ''J can 9ive the U.S. A it Fc.:rc o cu '~"-='"' information as po1ible concern;ng the vnde:1tifi~d oerial phenom~11vn ,;H~t }'OJ'' h :"t~ .);.,:,...,.-,~.:L Please try to answer os many questiOllJ os )'C-.1 po~llibf)' r.:an. Tho inforfn\lti:JIJ "h-t tt'Ju j . Je .. di be used for research purposet. Your norr .. will n t)i 1:~ used ir. eo,.,mh.:ti()n w~fl ony Jtc:: .. ~ . .,~nt..;. conclusions, or publications without your permission, We request this persc.nal ir.fcrf'lation ~';') that if it Ia cleemed necessary, we may contact you for ft.~rther details. 1. When cUd you see the obiect? 2. Time of day: J . T ;me Zone: (Circle Onei: ~. Eastern <:::]:) Central c. Mountain d. Pacifie (Circle t)ne): a. Dayiignt S~Jvi.,': (E;) ~tondord ~. Where were you whe, t ou ~ow t'1e object? 5. How long was object in s ight'? {Total Duratiort) a, ~ertcrl" b. Fairly certain c. Not very sure ~Just a guess 5.1 How was time in sight determined? ------------------- 5.2 Was obiect in sight continuously? 6. What was the condition of the sky? 7. IF you saw the ob;ect during DAYLIGHT, where was the SUN ;~Y-o ted a' you looked :Ji' the ~bp.tct? (Circle One): a. In front of you In back of you c. To your ri~t d. To vour !et: e. Overf-te~ f. Don't remember FTO OCT 62 164 8. JF you saw the obiect at NIGHT, what did you notice con~eming the STARS and MOON? 8.1 STARS (Circle One): 8.2 MOON (Circle One): None Bright moonlight Dull moonlight c. No moonlight -pitch darlc Don't reenemt..r d. Don't remember 9. What were the weather conditions at the time you saw the obiect? 10. The oblect appeared: (Cirele One): d. As a light , Tranaparent e. Don't ren1ember c. Vapor - 11. If it appeared as o light, was it brighter than the brightest stars? (Circle One): ,r;;;. Br i ~ ter c. About the same d. Don't lcnow 11.1 Compare brightness to some common object: 12. The edges of the obiect were: (Circle One): a. Fuzzy or blurred b. L i Ice a br;ght star c. Sharply outlined d. Don't remember 13. Did the obiect: a. Appear to stand still at any thiie? b. Suddenly speed up and rush away at any time? c. Brealc up into parts or explode? d. Give off smolce? e. Change brightness? f. Change shape? g. Flash or fl iclcer? h. Disappear and reappear? (Circle One for each question) Don' t lcnow Oan't know Don't know Don't knew Don't lcnow Don't know Don't lmow Oon':t know 14. Dtd the obiect disappear while you wete wotc:hing it? If so, how? 15. Did the object move behind something ot any titne, parric:ularly a cloud? Don't Know. IF you answered YF.S, lhan teH what (Circle One): Y (No 16. Did the oblect move In front of fOfftething ot any time, particul~rly a c:loud? (Circle One): (No M. Don't Know. IF you onswered YES, ~hen t-,lf wh~t 17 . Tell In a few words the following things about the obioet: 18. We wish to lcnow the ongu lar size. Hold a motc:h stick ot orm' s length in I ine w i rh a ~'l~\Jn o;., i!:t -.:rd 'l:i~ h~..-t muc:h of the obiect is covered by the heod of the "'atch. tf yov had perfotmed rhis el\)J . i.t'!M \.it rh~ t '::e ..;f tht I sighting, how much of tne oejec:t would hove been c:o..,ered by the 'notc:h head? . 19. Draw a picture that will show the shape of the obiect or obiects. Label and include in your sketch (Jny ciotQdJ of the obiect that you saw .. uch as wings, protrusions, 'tc., and especially exhaust trails or 'lllpor trails Place an arrow besi~e the drawing to show the direction the obiect was moving. : 20. Do you think you can estimate the sp .. d of the obiect7 (Circle One) IF you answered YES, then what speed would you estimat? ------ - 21. Do you thinlc you can estimate how far away from you th object wos? (Circle One) IF you answered YES, then how far away would you say it was?--------- 22. Where were you located when you saw the ob;ect? ( C ire le One): Ins icle a bui IeUng c7' In an airplane (type) 23. Were you (Circle One) a. In the business aection of ca ciJy? \E) In he residential sect;cn of a city? c. In open countryside? d. Near an airfield? Flying over a city? f. Flying over open count'): 24. IF you were MOVING IN AN AUTOMOBILE or othr vehic:le ~the time; then comple~e the foJiovting l'-'stions: 24.1 Yf1,ot direction wer yow moving? (Circle One) a. North c. East e. Sc-uth b. Nortt,ast d. Southeast f. Southwest h. Nortnwest 24.2 How iast wete yO\J "Tlov :ng? mile"l per hour. 24.3 Did you stoJ) at any ~irne while you were loolcing ~t the object? (Circle One) 25. Did you observe the obiec:t through any of the following? 26. In order that you can give as c:lear a picture as possible of what you saw describe in your own .,.,.,.~! o ttl>9nn~ obiect or objects which, when placed up in the sky, would give the same appeata,cl!t as the lb!ect ~- r,~ y~t. ;.._, v .. In the following alcetch, imcighw that yau ore at the point shown. Ploce a ,') ' 't , u" th e ca.~tved Hno to ahow how high the oblect 1 abo.., the horizon (skyline) whn )'0\.. !ir~t tc..v h . F ahow how high th. olfect was above the horizon (slcylin) wher. )' OU lost . ''H i!. j:r<?c,, c.,' 't . ' ' the compoaa when you llrst saw lt. Place a "B" on the compass whtre you la~r s:sw :he ob jJ':t . 28 . Draw a picture that will show the motion that th objctct or objects maJ=? PI.Jc:e : n "A a at :h bg.nn ; 3 of t ne path, o "8., at th end of the path, and show ony c:h~nges in direct i :m .~,,.. .19 ~he .. a;r:i;t. 29. IF thr was MORE THAN ONE obia~r, then how many were there? - - - ------- - Draw a picture of how they -Nere arronqed, and put on arrow to show the~ J ; .. .,c-'i.:'"' . :,.Jr ~h-~y \.Y:tro :, :: .. tli:- .~. 30. Hove you ever seen thi, or a similar object before. !f so give d12te or date~ one; location. 31. Was anyone else with you at the time you saw the obiect? (Circle One) 31.1 IF you answered YES, did.they see the object too? (Circle Ont!} ~ . 31.2 PleaH list their names and addresses: 32. Please give the following information about yourself: City Z.J"- ... AODR!SS Indicate any additional information about yourself, including any sp'.K:ial e:.pernnc. \vh5ch r.1ight ~ ;'-lfilt~nr 33. When and to whom di~ y~ report that you hod seen the object? ~ ,' ; . (_:. .