1. , . \: .<" TIME GROUP 2. LOCATION . 10 . CONCLUSION '-1-1\ll'l\ER Of OBJECTS ,o;, L ENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS 8 tr.i.nute 3 ( . 1 l'PE OF OASERVATION jcound V i5na 1 7, C:OURSE !J, F'tiOTOS I?. l~t~;~:ICAL EVIDEt-ICE Ob.::;~rver stat d that t!" t)bj~ct aH' e8r-:ct to be ~ plane. Th . object a"' tt) cli:.ih at a 35 d re-e ongl~. Ob::~rv,..r ::;tl" L thC<.t tr.e obj ~ct ar.: '!llrect to apt' r oac"l a di' !.lt."lr. Ob..o:rvAr st:..:1ted t~.a.t the obj<-c t ,; et:>tj_c ... ary e t ti" I':~ during th~ ob~errr.tion. Th~ :.;h~pc of t he object \;a:; u e lj !~ht ann ~ star. Color \ta:s :'fellov;i~ h r it,... l-b~:orv:: r .: t~ t~n tha ' th<! obj~ct v:as not hlin!<)nr~ or :pcr ling. Objl'!ct !'lad no di<;tbct i.1~ ~ou!'lct of it f T t) S C P 6 3 0329 ( TD E) Provlou edition o f thh form rn)' b o uud, AIR FORCE TECHNICAL INFORMATION This questionnaire has been prepared so that you con give the U.S. Air Force o; much information as possible concerning thu unidentif1ed aerial phenomenon that you ho ve observed. Ploosa try to answer as many questio ns as you possibly con. The in formation that you give will bu used for research purposes. Your nome will not be use d in connection with any 5tatements, conclusions, or p ublications without your permission. Wo th is personal information th a t if it is deemed necessary, we may contact yo u for further d e tails. 1. When did you see th e object? 2. Time o f day: (Circle One): A.M. or P.M. 3. Trme Z<Jne: (Circi>J On.,): o. Eastern J (C,cle One): o. D~lighr Saving b . Central b. Standard_, Whl.'re werll you when you sow the object? Nooreu Pos:ol Addreu City or Town Stot~ or County 5. Ho w long was object in sight? (Tolol Duration) Hours Minutos o. Certain Not very sure If.' Forrly certoar1 d. J usto guess 5.1 How wcs time in sight determined? 5.2 Wrn obt'!cl in s'ght co.,rinJausly? 6. What was ne condihon of the sky? o. Brig h t b . Cloudy I~ p..r sow,;, .. cbjo~cr dunr.g DAYLIGHT, "'h~re "'c; rh! SUN loco ted as you looi(.,d a t tl,e ob;~ct? h lon o you b. fn bee( o ; you e. 01erhecd c To your righr f. !:>on'r rcmembN 8. IF you sow the object ot NIGHT, whet did you notice concerning the STARS end MOON? 3.1 STARS (Circlo One): d. Don't remember 8.2 MOON ( Circ/8 One): b. Dull moonlight c. No moonlight-pitch dark d. Don't remember 9. Whet were the weather conditions ot the time you sow the object? CLOUDS (Circle One): WEATHER (Circle One): o. Clear sky o. Dry h. l-lo zy b. Fog, mist, or light rain c. 'Scattered cloud!/ c. Moderate or heavy rain d Thick or heavy clouds Don't remember I 0. Thu ob1"ct opp .. cred: (Circle One): b. T ronspor~nt e. Dcln' t remember 11. If it appeared os o light, wa s it brighte r than the brightest sta rs? (Circle One): c. Brighte&? About th e some d. Don' t know 11.1 Compere brightness to some common object: 12. The edges of tt,e object were: (Circl9 On'J): a . ~red..., b . Like 0 bright sr~r c. Sharply outlined d. Don' t r!!rrember Dod tho object: One for each question) Appear to s!cnd sllll at any tor-e? Yes No Don't know S .d:lcnly <pt!ed up end rush away o t cny time? Yes No Don' t know Bruck up onto p o rt; or e x plod~? Don' t know d. C'e 'lfl ~moi<l.l? No Don't know Ch-::na: br ghrnf'n? Yes No Don' t know C! (lng>' -.hoo'1? Yes No Don't know No Don' : know h. Do~CiJ?"or nd r~oppeor? No Don' t know 14. Did rhe objecT disappear while you were watching it? If so, how? , 15. Did rhe object move behind something ot ony rime, par ticularly o cloud? (Circle One): Yes Don't know. IF you a nswered YES, rhen t .. ll what 16. Did the object move in front of something ot any time, particularly o cloud? (Circle One}: Yes Don't know. IF you omwered YES, then tell whet 17. Tell in o I e-., words rhe following rhings about th e object: 18. We wish io know the angular size. Hold o match stick a t arm's length in line with a known object ond note how muc'l c' object is covered by the heed of rhe motch. If you hod performed this experiment ot the t ime of the sighine. how ..,. - the o b ject would hove been covered by the match heed? '-. ~ , 19. Draw o picture thot will sl>ow th e shcpe of the object or objects. Lobel and include in your sketch any details cf rh~ c that you sow such os wings, p rotrusions, etc., and e specially e xhovsl trails or vapor I roils. Place on arrow beside the cc- to show rhe direCiion the object was moving. UFO form cont~nued 20. Do you thrnl.. )'OU con estimate the ~pE"ed of the object? IF you a nswered YES, rhen whet speed would you e~timote? _ 21. Do you thin k you con estimate how for o woy from you th e object wos? (Circle One) IF you answered YES, then how for owoy would you soy it wos? _ 22 . Where were you located when you ~ow the object? (Circle One): o . Inside o buildong b. In o cor c. Ourdoors d . In on airplane (t ype) e . At seo 23 Were you (Circle One) o . In the busine~s section of o city? b. tt tne resde,.~icl section c- c In open countryside? d . t-:eor on oirfreld? e. Flying over o city? Flying over open coumry? 2 4. IF you were MOVING IN AN A UTOMOBilE or other vehicle ot the rimt-, then <.omplete the iollowing questions: 2.: I Whet d irection were you moving? (Corcle On..-) Northea st d. Southeast f. Southwe~t orth west 24.2 How fest were you moving? mrle~ per hour. 24.3 Did you stop cl ony time while you were looking o t the object? (Circle One) Did you observe rhe ObJect :hrough any of the following? Eyo:glosst-s c. Binoculars Sun glo!ses Windshield Theodolite Wrndow gloss 26 In order that yoc con give as cleor a prc:.,rc as ponible o f whet you sow, descr.be in your own words a common cl-j"ct or cb. ject whi<.h, when p'owd up in the sky, would give the some opp~:oro~ce os rl-re object which you ~o..,. 27. In tho following sbtch, imagine that you ora at the point ~hown. P!occ on";\" on th~ cvrv .. d lon lo sho,.. now high the cll was above the horizon (sky line) whe n you first sow i:. Ploc~ a "B" o-t the ~Om" curved line 10 show how h'gh the obiect we\ above the horicon (ll<ylon!!) whn you lost sow it. Place on. " A" on the compoH when you first ~ow i:. Plo:~ a "S" on the c.,m. when you lost sow the object. 23. Draw o picture that woll ;how the motion that the object o r ob1ects made. Place o n " A" o t th e beginning of the path, o " 3" ol the end o f the path, and ~how ony changes in direction durinq the course. 29. IF therl!t was MORE THAN ONE object, then how many were there? _ Draw o picture of how they were arranged, end put on arrow to show the direction that they were traveling . ') Hove you e~er sco)n thos, oro simolor obj,.ct before. If so g ;ve dote or do:"s and locotton. t I. Was on yon'.! <!l,o: wtth you a t the lime you sow the object? {Circle One) 31. 1 li' you on,w .. rod YES, did they set: the objecr too? (Cucle One) 3 1.2 Please list theor names and addresses: " P.~ase give :h.) follow ing information about yourself: f1r\t Name TElEPHONE ~ lndicot'.! any additional information about yourself, including any special experr11nce, which might be pertinenr. w ;,en al"d to w'!om dtd you report thor yov hod seen the obtecr? O{f~c1ai U.S. A~r Force 34. Dolt' you completed thi~ questionnaire: 35. Information which you feel pertinent and which is not adequately covered in the specific poi nts of the q uestionnaire or o narrative explanation of your sighting. ~ucu2ter, Pennsylvenia 17601 i.{.~fer-:nce your l etter in ,.;hich you inclosed enl a rs;ements of t .. o ?ol:lroid prints. Your :photographs are be ing r e tu.!":le d ~-i thou~ a n analysis being perf"ormed s i.!lce) you did not for .. iir d t!:.~ additional data \ihich we requested 1::1 our l~!:!tter of l August 1967. EEC'IDR ~JINTAUIIJ.A, Jr, Hajor, USAP' Chie Aeriel Phenomena Office Aerospace Technologies Division Production Di~cctornte Tiro prints UJO Ob3ervation, February 1967 F.e.::"erence your r ecent correspondence in ;hicb you :.~mtioned your uni:ienti.fied observation of February 1967 and sub3equent photographs . ' .. O..:.!ditional information on your sighting a nd yow: o d.gina l negatives 1r e needed to perfor m a scientific investigation. Request you com- plete the attached photographic data sheet and ~TD Form 164 and return 't.he:!t with your origjnal negative. Upon c ompletion of analysis ve will r:.!t.urn your negative along "With our findings MANATI', Colonel, USAF of Technology a n d SUbsystems 2 . Photo rata Sheet AIR fOqcE TECHNICAL INFORMATION This questionnoira hos be<Jn prepared so :hot you con g ove the U.S. Air Force as much inlor:Tlation os pos~ibl~ concerning th" unidentified aerial phenomenon that you hove observed. Please try to answe r os mony questions os you ponibly con. The in formation thot you gi1e will lor ro~eorch purposes. Your nome will n ol be used in connection with ony stotemenh, conclusions, o r publication, without your permiuion. We requ!lst information that if it is deemed necessary, we moy contact yo u for further d etoih. Wher1 did you see the object? Time of day: ~f'\inuto!s (Circle One): A.M. or P.M. 3. Tim.o Zone: (Circle One): o. Eastern (Cuclo On). 0 C' ') l.gnt.Sovong b. Central b. Standard d . Pacific Wlvre W!!r!l you when you sow the object? N~orest Posool Addren City or Town 5:o:e or County 5. How long wos object in sight? (Total Duration) Hours Minutes Second Certain Not very sure .b) Fairly certain Just a guess 5 I How wo s t ime in sight determin'!d? Wl)s objecr in sight continuously? 6. Whor wostho condi:ion of the slty? Bright o. i!r'ght b . Cloudy ou .. o" th" object durin g DA YUGHT, w here wos r!,e S UN loco ted m you loo<ed o r the ob1ect? In front of you d . your 1.-ft b In bcclt of you 0 'erh'.!od your right I FTD O CT 61 164 Tr, !;,riT' .ur.~r ""'"' FTD lll~.J'-1 ol. wnacr. i n'1solt>' ' e. IF you saw tho objrct at NIGHT, what did you notice concerning the STARS and MOON? 8. 1 ST AkS (Circ/a On"): d. Don't remember 8.'2 MOON ( Circle One): a. Bright moonloght Dull moonlight Ci No moonlight-pitch dark d. Don'r remember 9. What we re1 the weolher conditions or the time you saw the object? CLOUDS (Circle One): o. Cloor sky c. Scollered clouds d . Thick or heavy clouds 10. T'lt.1 objt!ct opp~tored: (C ircle One): b. Transparent d. As a light WEATHER (Circle One): b. Fog, mist, or light rain Moderate or heavy rain e. Don't remember c. Don't remember 1 1. II it appeared as o light, was it brighter than the brightest stars? ( Circle One): a. Bnqht.ar b . Dimmer s Aboutth~ ;ome d. Don' t know 11.1 Compom brightness to some common object: 1 ?.. The .adges o f rhe object were: (Circle On'!): a. Fuzzy or blurred b. Like a bright star c. Sharply outlined d. Don't remember Do-:! tl,e ab,etct: One for each question) Apoeor o stand sttll at any rime? Don't know b. Suc.do~nly spe~d up and rush away ol any ime? Yes No Don' t !<now Bro'< up tnto ports or e xplode? Yes Don't know Yes No Don' t know Ch:::ng9 br:ghtnt!n? Yes No Don' t know f. Chango:! shape? Ye s No Don' t know Flash or fl,cl, o~r? Yes No Don't kno'N Q , opp .or and reappear? N o Don' t know Ofrrc~a~ u.s. A[ r t-c 14. Did the object di~oppeor while you were "'etching it? If ~o. how? 15. Did the object move behind ~omething ot any time, particularly a cloud? (Circle One): Don' t know. IF you a nswered YES, then te:l w hat 16. Did the object move in front o f something ot ony time, particularly o cloud? (Circle On"): Don't know. IF you answered YES, then tell what 17 . Tell '" o lew words the following things about the object: 18. We wish to know the angular size. Hold a match stick ot orm\ length in line with a known object ond note how "'ucl object is coered by the l>eod of the match. If you hod performed this experiment o t th e t ime o f the sighting, he. the object would hove beer. covered by the match head? 19. Drew o picture that will show the shape of the object or objects. label ond include in your sketch ony d etails c.! l i'>l that you sow wch o s wngs, protru~ions, etc., ond espe cially exhaust trails o r vapor trails. Place on orr ow b~!ide ,;.,, ' to show the direction the ob:.-ct wcs moving. UFO form cont~nued 20. Do you thonk you con estimate the speed oi the object? (Circle One) IF you answered YES, then who! speed would you estimate? ,.... - 21. Do you th ink you con estimate how lor owoy I rom you the object wos? (Circle One) IF you answered YES, then how lor owoy would you soy it wos?_..l-, ..;... _ 22. Where were you Jocoted when you sow the ob1ect? : (Circle One): 23. Were you (Circle One) o. In the business seC1ion of o city? o. Ins ode o building b. In o ccr (!_:"Outdoors d. In o n a irplane (type) b. In the residential section of o city? In open countrysodt? d No:or on airfield? e. Flying over c city? f Flying over open co.Jnt<y? 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle ol the time, then complete the lollowong qo.iestiom: 2 4. 1 Who: direction were you moving? (Core/!' One) o. N or1h c. Eost South g. West N ortheast d. Southeast f. Southwest h. Nor1hwes1 24. 2 How fosl were you moving? m oles per hour. 24.3 Did you stop ot any time while you were looking ol the objeCI? {Circle One) Dod you observt> 1he objectlhrough ony of the following? Eyegloses Yes r...:o e Binoculors Yes No Sun glosses Telescope Ye s No c Windshield Yes No g . Theodclot.. Windo"' gloss Yes No h. Other "26. In order tho! you con give os clear o pichHe cs possible of whot ycu sow. de~coobe in your own wo:~rd\ o common c!Jj~c cr c:-. "''hoch, whc"l pieced up in the sky, would give the sorre oppeoror.ce o; the object which yo.J >O.V 2:-. : . fh.:l ~oll!lwtng kerch, tmogn.: rhor you ore o t rh: poinl ~hown. PI nee on A' on the curved line ro ho H how high rhe ob, t wns above rhc hllrizon (s~ylmc) when you first ;ow ir. Place n "6" on rh~ wm~ curcd line ro show how high rhe ob;<>ct was above rh~ hort:on (\'<yltne) when you loll sew it. Ploce on " A" on lhe compo,\ whtm you firs# \O'N it. Poc<: o "S'' on If-til com-