1.-DATE: TIME GROUP 2. LOCATION --. .-.-.... 3 Apr 66 Union, New Jersey ( 3 vi tncsses) . 10. CONCLUSION Fl'D Fot'm 16J~ sent to wi tncoses, hoveverr-not-returnecl-&rter NUMBER OF OBJECTS Will re-evaluate if further info is receiYed. S. LENGTH OF OBSERVATION 11. BRIEF SU~AR~ND ANALYSIS Witncsl -\Gying down on the grotmd looking throu8h a pair 6. TYPE OF OBSERVATION Ground Visual 9. PHYSICAL EVIDENCE of binoculars when they saw an obj that vas shooring past at about 120 mph. lt wns o brishtly colored obJect with colors green, yellow, and real btrght orange. Five ainutes later witnesses oow on obJ with a bright oranRe outline and a yellow inslde. Informstion in letter quite sketcbJ therefore, fo11wi sent to w1 tneeecs. 27. In the following slcetch, imagine that you are at the point shown. Place an "A" on the curved I ine to show how high the obiect was above the horizon (slcyline) when you first saw it. Place a "B" on the same curved line to show how high the obiect was above the horizon (slcyline) when you last saw it. Place an "A" on the compass when you first saw it. Place a "8 .. on the compass where you last saw the object. Draw a picture that w i i I show the motton that the obiect or obiects made. Place an ., A" at the beginning of ri.~ path, a B" at t he end of tn e path, and s~.u .. ~ny changes in d irec;t ion during the course. . X. 29. IF there was MORE T HAN ONE object, then how many were there?----------- Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling 30. Hove you ever seen this, or a similar object before. If so give date or dates and location. 31. Was anyone else with you at the time you saw the object? (Cirde One) 31.1 IF you answered YES, did they see the object too? (Circle One) Yes 31.2 Please list their names and addresses: 32. Please give the foil owing information about yourself: First Name Middle Name TELEPHONE NUMBE~ tndicate an~ additional information about yourself, includi ng any special experience, which might be pertinent 'Nhen and to whom did you report that you hod seen the object? Ooy Manth Year 3~. Date you completed this questionnaire: 35. Information which you f .. l pertinent and which is not adequately covered in the specific points of the questionnaire or a narrative explanation of your sighting. U.S. AIR FORCE TECHHICAL INFORMATION This questionnaire has been prepared so that you can give the U.S. Air Force as much information as possible concerning the unidentified aerial phenomenon that you have observed Please try to answer as many que~tions as you possibly can. The information that you give wilf be used for research purposes. Your name will DOt be used in connection with any statements, conclusions, or publications without your permission. We request this personal information so that if it is dHmecl necessary, we may contact you for further details. 1. When did you SH the obiect? Hour Minutes (Circ:le One): or r P.M. , Menth Yeor 3. Time Zone: (Circle One): a. (Circle One): 4. Where were you when you saw the object? Nearest Pf)stol C ity or Town 5. How long was object in sight? (Total Duration) Hours Minutes o. C.rtqje e. Not very sure b. .Fairly certain'\ d. Just a guess State or County 5.1 How was t ime in sight determined?---':~.-.--'-.:;--~ ...: 5.2 Wos obiect in sight continuously? 6. Whcrt was the condition of the sky? 7. IF you saw the obiect during DAYLIGHT, where was the SUN located as you looked at the object? (Circle One): a. In front of you b. ack of ou d. To your left e. Overhead f. Don't ren;ember FTD OCT 6f '164 Thla form auperudn F'm 164, J u l ,; 1, whlc~ 18 obolet 8. IF you sow the ob,eet a NIGHT, what did you notice ce- rning the ~TARS and MOO~? 8.1 STARS (Circle Or~J: 8.2 MOO'J tCrrcl~ On~): a. Bright moon I ight Dull moon I ight c. No mof'nlight -pitc~ dark Don't remember d. Don't remember 9. What werP the weeth'!'~ =ortd it ion! at the. time you saw +l,p object? CLOUDS (Circl e o,~ ): NEATHF.~ (Crrcle One): b. o~, ....,;:;t, or light r~in c:. Scattered cloud c c. Moderl"lt"" (')r heavy rain d. Th ic:k or heavy : e. Don~ "Mber The object acoeored: a. Solid _i .. b. T ronsoarent d. A~ o I i gh t t!. Don't remember 11. If it apoeored as~ li~-, wcs i t brt~hter than tht! brightf!>~+-~t~rs? (Circle One): a. Br i ;n!!'r c. About the SO::"""!' b. Oim,.,er d. Don't know 11.1 Compare brigh+:"" ... ~S to so,e common object: 12. The edges of the ob P = t w~re: (Circle One): 13. Did the object: Aooear to stand st;i J ~t nny time? Suddenly soeed uo anr1 rush owoy atony time? Break u::> into oorts ..,,. e xo I ode., Give c-ff s..,oit"'., Change shape? Flash or fliclce~, D i saooeor or.d r--a~oe ... r? (Circle One for ecxh question) Don't know Don't know Don't know DC~n 't know Don't knoY. Don't know o~n't know Don't know 20 . bo you think you can estimate the speed of the object? (Circle One) g No IF you answered YES, then what speed would you estimate? _ _s_l.ee)() t!J.tP, l-f. 21. Do you think you can estimate how far away from you the object was? (C irele One) Yes IF you answered YES, then how far away would you say it was? --------- 22. Where were you located when you saw the object? (Circle One): a. Inside a building b. In a car c. @utdoor;1' d. In an airplane (type) . e. At sea 23. Were you (Circle One) e. In open eountrysidef d. Near an airfield? e. Flying over a city? f. Flying over open country? 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: 24.1 What direction were you moving? (Circle One) c. East e. South g. West b. Northeast d. Southeast f. Southwest h. Northwest 24.2 How fast were you movtng? , i les per hour. 24.3 Did you s top at any t ime while you were looking a t the object? (C ire /e One) Yes No Did you observe the object through any of the following? Eyeglasses Yes Binoculars Sun glasses f. Telescope res Windshield Theodolite Window glass 26. In order that you can give as clear a picture as possible of what you saw, describe in your own words a common object or objects which, when placed up in the sky, would give the same appearance as the object which you saw. 14. Did the object disappear while you were watching it? If so, how? 15. Did the object move beh i"d something ot any ti"'e, particularly a cloud? (Circle One): Don't Know. IF you answered YES, then tell what 16. Oid the obiect move in front of something at any time, particularly a cloud? (Circle One): Yes ~ Don't Know. IF you answered YES, then tell what 17.. Tell in a few words the foil owing things about the object: 18. ,1e wish to knew t'"le ongu lor s 1 ze. Hold o match stick ot arm's length in I ine with a known object and note how much of the object is covered by the head of the match. If you had performed this experiment at the time of the s i.ghting, how ~uch of th e obtect would hove been covered by the match head? 19. Draw a picture that will show the shape of the obiect or objects. Lobel and include in your sketch any details of the obiect that you saw such as wings, protrusions, etc., and especially exhaust trails or vopM trails. Place on arrow beside the drawing to show the direction the obiect was moving. 30. Haye you ever seen this, or a similar object before. If so give date or dates and location. 31. Was anyone else with you at the time you sow the object? (.Circle One) 31.1 IF you answered YES, did they see the obiect too? (Circle One) 31.2 Please list their names and addresses: 32. Please give the following information about yourself: First Name Middle Name TELEPHONE NUMBER Indicate any odd it ionc I inf~rmct ion about yourse If, incl udi ng any spec. ia I experience, which might be pertinent Nhen and t o who~ d i d you report that you hod seen the object? 27. In the following slcetch, imagine that you are at the point shown. Place an "A .. on the curved I ine to show how I high the obiect wos above the horizon (skyline) when you first saw it. Place a "8'' on the same curved line to show how high the obiect was above the horizon (slcyline) when you last saw it. Place an "A" on the compass when you first saw it. Place a "8" on the compass where you last saw the object. Oraw a picture that wi II s how the motion that the object or objects made. Place an "A" at the beginning of t..b4. path, a "B" at the end of the path, and s!u~ wny changes in direction during the course. ,' ' ..... 29. IF there was MORE THAN ONE object, then how many were there?----------- Draw a picture of how t hey were arranged, and put an arrow to show the direction that they were traveling 3.. Date yau completed this questionnaire: 35. Information which you fHI pertinent ond which is not adequately covered in the specific points of the questionnaire or a narrative explanation of your sighting tteraon An, Ohio 45433 )CJIJzt un1c1entU1e4 ob ot 3 April 1966 !be iDfOr..&tion 1D JOUr letter DOt 8Utt1cient for Beque. at JOU the attached i'HJ Foxsna 164. return them in the envelope provided. We Viab.to the M.r Force. you tor reporting your observation to CVINTANII.y.A, Jr, Major, USAF Chief, Plojeet Blue Book U.S. AIR FORCE TECi1NICAL INfORMATION This questionnaire has been prepared so that you can give the U.S. Air Force as much information as possible concerning the unidentified aerial phenomenon that you have observed. Please try to answer as many questions as you possibly can. The information that you give will be used for research purposes. Your will not be used in connection with any statements, conclusions, or publications without your permission. We request this personal information so that if it is deemed necessary, we may contact you for further details. 1. When did you see the obiect? 3. Time Zone: (Circle One): o. 4. Where were you when y o u sow the object? Hour Minutes (Circle One): (Circle One): a. Daylight Saving b. Standard Neorest Postal City Of Town Stote Of County 5. How long was object !n s i ght? (Total Duration) Hours Minutes Seconds o. Certain c. Not very sure b. r=alrly c:ert'O-rn_. d. Just a guess 5.1 How was time in sight determined? -------------------- 5.2 Was object in sight continuously? 6. What was the condition of the sky? b. crciUay 7. IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object? (Circle One): a. In front of you b. In_ back of r.ou c. To your right d. To your left e. Overhead f. Don't remember FTD OCT 62 164 T h i e form super .. ~d,.'l FTO 16 4 , jul r) l, wh1rh '" o b .. nlet~. 8. IF you sow the object at NIGHT, what did you notice concerning the 5TARS and MOON? 8.1 STARS (Circle One): 8.2 MUON (Circle One): a. Br i gh t moon I i gh t A few b. Dull moon I ight Many c. No moonlight -pitch dark Don't remember Don't remember 9. What were the weather conditions at the time you saw the object? CLOUDS (Circle 0,. J: HEATHER (Circ:le One): a. A.~"'lear s~ b. F~g; mist, or light rain c. Scattered c I oud s c. Moderate or heavy rain d. Thick or heavy clouds d. Snow e. Don't remember 10. The object appeared: ( C irt:le One): As a light b. Transparent Don't remember ll. If it apoeared as a ligr"t, wcs it brighter than the brightest stars? (C~rcle One): a. Brighter c. About the sai'T"e d. Don't know 11.1 Compare brightness t~ some common object: 12. The edges of the object -.ere: (Circle One): a. Fuzzy or blurred b. UJte a briyht star c. Sharply outlined': d, &c:m~t rememDer I 13. Did the object: (Circle One for each question) a. Appear to stand sti II at any time? Don't know b. Suddenly speed up and rush away at any time? Don't know c. Break up into ports or explode? Don't know Don't know Don't know d. Give off smoke? e . Cf1~nge bri'ttness'? Don't know Yes f. Change shape? g. Flash or flicker? Yes Don't know h. Disappear and reaopeor? Don't know 20. Do you think you can estimate the speed of the object? ( C i rc le One) IF you answered YES, thttn what speed would you esti mote? 21. Do you think you can estimate how far away from you the object was? (Circle One) IF you answered YES, then how far away would you say it was?---------- 22. Where were you loc:~ted when you saw the object? (C irele One): a. Inside a building