1. DA TE T'lME GROUP 4. NUMBER Or OBJECTS 5. LENGTH OF OBSERVATION Not ?..a~ort.ed 6. TYPE OF OBSERVATION Grollnc.-,;is..:al (BX) 1. CO'JRSE 9. PHYSICAL EVIDENCE PROJECT 10073 RECORD 2. LOCATION (3 \vitnesses) 10. CONCLUSION 11. BRIEF SUMMARY AND ANALYSIS Observers noted object about 1/2 as large as an apartment house with red and blue colors traveling southeast to northvrf st. T:"'lere were negative radar results in area. Contact Hith ~ffUJ A was made and object was C-124 aircraft which landed at RAFB FTD S E? 6 3 0-32? (TD E) Prnloua edl tJona of tllh form may be uaed U.S. AIR FORCE TECHNICAL INFORMATION This questionnaire has been prepared so that you can give the U.S. Air Force as much inform:Jtion as possible concerning the unidentified aerial phenomenon that you have observed. Please try to answer as many. question's as you ,ossibly can. The information that you give will : be used for research purposes. Your name will not be used In conn~ction with any statements, conclu s ions, 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 object? 3. Time Zone : (Circle One): a. Eastern b. Centro! (Circle One): (Circle One): a. Daylight Savi+ b. Standard ~ d. Poe i f i e 4. WhE:re were y ov when you sow t he ob j~ct? Nearest Postal Addreu City or Town State or County 5. How long was object in sight? (Total Duration) Hours Minute a Second a a. Certain c. Not very sure b. Fairly certain d. Just a guess 5.1 How wos t i me in sight determine~? ------------------ 5.2 Was objec t in s ight continuously? 6. What was the c ondition of the sky? a. Bright 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 you c. To your right d. To your left e. Overhead f. Don't remember FTD OCT 62 164 Thle form auperaedee FTD 164. Jul 61. whlch fa obaolete. 8. IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON? STARS (Circle One): 8.2 MOON (Circle One): Bright moonlight Dull moonlight . No moonlight -pitch dark Don't remember d. Don't remember 9. What were the weather conditions at the time you saw the object? CLOUDS (Circle One): WEATHER (Circle One): Fog, mist, or light rain Scattered e louds c. Moderate or heavy rain d. Thick or ..,eavy clouds Don't remember 10. The obiect c~peared: (Circle One): d. As a light b. Tr:nspc~ent e. Don' r remember 11. If it aopear-,~ as a light, was it brighter than the brightest stars? (Circle One): a. Brighter c. About the same b. Dimmer d. Don't know ll.l Compare brightness to some common object: 12. The edges of the object were: (Circle o.~e l: a. Fuzzy or blurred b. Like a briyht star c. Sharply outlined e. Don't remember 13. Did the object: (Circle One for eoeh question) Appear to stand still at any time? Don't know Suddenly speed up and rush away at any time? Don't know c. Break up into parts or explode? Don't know Give off smoke? Yes Don't know Change brightness? Don't know f. Change shape? Don't know Flash or flicker? Don't know h. Disappear and reappear? Don't know 14. Old the object disappear while you were watching it? If so, how? 15. Did the ob;ect move behind something at any time, particularly o cloud? (Circle One): Yes No Don't Know. IF you answered YES, then tell what 16. Did the cbjeet move in front of so,-,ething ot any time, particularly o cloud? (C irc:le One): Yes No Don't Know. IF you answered YES, then tell what in front of: 17. ieil in a few words the followin g ~ings about the object: 18. We wish to know the angular size. Hold a match stick at arm's length in line with a known object and note how the object is covered by the head of the match. If you hod performed this experiment at the time of the j sighting, how much of the objec~ would hove been covered by the match head? 19. Draw o p icture th~t will show the s hape of the object or objects. Lobel and include in your sketch any details of the object rhot you sow such as wings, protrusions, etc:., and especially exhaust trails or vapor trails. Place on arrow beside the drawing to show the direction the object was moving 20. Do you think you can estimate the speed of the object? (Circle One) IF you answered YES, then what speed would you estimate? ------- 21. Do you th ink y:~u con estimate how for away from you the object was? (C itcla One) IF you answe red YES, then how for away would you say it was? ---------- 22. Where were y:)u located when you saw the object? (Circle One): 23. Were you (Circle One) a. In the business section of a city? Inside a b; i!d ing b. In the residential section of a city? b. In a car c. In open countryside? Outdoors d. Near an airfield? In on a irplane (type) e. Flying over a city? e. At s e a f. Flying over open country? 24. IF ) ou w~r& MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: 24.1 What d ir!!ction were you moving? (Circle One) tJ , Nor.l.; b. Nor fh~ost d. Southeast f. Southwest h. Northwest 24.2 How fast were you moving? miles per hour. 24.3 Did you stop at any time while yotJ were looking at the object? (C ircle One) 25. D id you obs e rve t!1e ob ject through a ny of the following? Eyegla sses e. B inoculars Sun glasus Telescope Yes Windshield g. Theodolite Yes Window gl:as 26. In order that you can g ive 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 g ive the same appearance as the object which you saw 27. In the following slcetch, Imagine that you are at the point shown. Place an "A" on the curved line to show how high the object was above the horizon {slcyline) when you lirst saw it. Place o "B" an the some curved line to shaw how high the object was above the horizon {skyline) when you lost sow it. Place on "A" on the compass when you f irst saw it. Place a "B" on the compass where you last sow lho object 28. Draw o pic~vre that will show t he mot ion that the object or objects made. Place on "A" at the beginning of the path, a " B" at the end of the pcth, end show any changes in direction during the course. 29. IF th~re was MORE THAN ONE ob;ect, then how many were there? ---------- Draw o p i:!ure ef how they were crrc nged, and put on arrow to show the direction that they were traveling 30. Have 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? (Circle One) 31.1 IF you answered YES, did they see the object too? (Circle One) 31.2 Please I ist their names and addresses: 32. Please give t he following information about yourself: First Name T2LEPHONE NUMBER----------- Middle Name Indicate any additional information about yourself, including any special experience, which might be pertinent. When and to whom did you report that you had seen the ob~ect? Day Month Yoar (~<or Jo~te.AJ~i'oN) 34. Date you completed this questionnaire: 35. Information. which you fe~l pertinent and which is not adequately covered in the specific points of the quastlonnosre or a narrot1ve explanation of your sighting.