PROJECT 10073 RECORD 1. DAT! ": OME OfcOUP 2. LOCATION J. :\ .. 1UF~C"E 10. CONCLUSION , INSUFFICIKNT DATA FOR EVALUATION NlU~S!R OF OBJECTS .'i. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS t.. lYPE OF OBSERVATION A second hand siGhting was called into Aerial Phenomena Office. He was told that the observers would have to report the sighting tbemselvea. Thia baa not been received as of tbia date. 8. PttOTOS 9. PHYSICAL EVIDENCE FTD SEP 63 0329 (TOE) Pr .. loua edltlona of thh to,. aar be uaed, lA. NOW IMAOINR YOU ARIE AT THIE CENTIA 0' TMI COM~AII ROSI. ~LACI AN A ON TMI COM~ASS TO INOICATI TMI DIRICTION TO THIE ~HENOMIENON WHEN "RIT IIEEN. ~LACI A ON THE COM~AII TO INOICATI THIE OIAICTION TO THR ~HENOMENON WHEN LAIT IEIEN. 7. IN THE SKETCH BELOW, PLACE AN A AT THE POSITION OF THE PHENOMENON WHEN FIRST SEEN, AND A a AT THE POSITION OF TH~ PHENOMENON WHEN LAST SE~N. CONNECT THE A AND a WITH A LINE TO APPROXIMATE THE MOVEMENT OF THE PHENOMENON BETWE~N A AND a. THAT IS, SCHEMATICALLY SHOW WHETHER THE MOVEMENT APPEARED TO BE STRAIGHT, CURVED OR ZIG-ZAG. REFER TO SMALLER SKETCH AS AN EXAMPLE OF HOW TO COMPLETE THE LARGER SKE-TCH. PAGE 2 OF 9 PAGES BOB Nr 21-R258 SIGHTING OF UNIDENTIFIED PIENOMENA QUESTIONNAIRE THIS QUESTIONNAIRE HAS BEEN PREPARED 80 niAT YOU CAN GIVE THR U.S. AIR FORCE AS MUCH INFORMATION AI POSSIBL CONCERNING THE UNIDENTIFIED PHENOMENON THAT YOU HAVE OBSERVED. PLEASE TRY TO ANSWitR ALL OF THE QUESTIONS. THE INFORMATION YOU GIVE WILL RE USED FOR RESEARCH PURPOSES. YOUR NAME WILL NOT DE USED IN CONNECJ'ION WITH ANY OF YOUR STATEMENTS OR CONCLUSIONS WITHOUT YOUR P RETURN TO AIR FORCE BASE INVESTIGATOR FOR FORWARDtNO TO FTD (TDE'I'R), WRIGHT- PATTER&ON AFB, OHIO 45433, lAW 10-17. (IF ADDinONAL SHBBTS ARB NBBDBD FOR NARRATIVE OR SICTCHBS ATTACH SBCURBLI' TO THIS I"'RM OR ANNOTATB WITH YOUR NAMB I'OR IDENTIFICATION.) 'WHEN 010 VOU lEE THE PHENOMENONt I. WHAT TIME DID VOU I'I .. IT liGHT THIE PHENOMI:NONt I. WHAT TIME DID VOU LAST liGHT THE PHENOMENON? 4. TIME/ZONE 0 DAYLIGHT SAVINGS D CENTRAL 0 MOUNTAIN 0 A.M. OP.M. 0 A.M. OP.M. 0 STANDARD 0 PACIFIC 0 OTHER S. WHERE WERE VOU WHEN YOU SAW THE PHENOMENON? IF' IN CITY, GIVE THE NEAREST STRE!T ADDRESS AND INDICATE ON A HAND DRAWN MAP WHERE YOU W!RE STANDING WITH REF!RENCE TO THE ADDRESS. IF IN THE COUNTRY, IDENTIFY THE HIGHWAY YOU WERE ON OR NEAR AND TRV TO triX A DISTANCE AND DIRECTION tr"OM SOME RECOGNIZABLE LANDMARK. I. IMAGINE YO!J ARE AT THE POI"'T SHOWN IN THE SKETCH, PLACE AN A ON THE CURVED LINE TO SHOW HOW HIGH THE PHENOMENON WAS ABOVE THE HORIZON, OR SKYLINE, WHEN FIRST SEEN. PLACE A a ON THE SAME CURVED LINE TO SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN. OBSERVER --- tO. " TMI"I Wl"l 110"1 THAN ONI ~HINOMINON, MOW MANY WERI TMI"It O"AW A ~ICTU"I TO SHOW HOW TMIY Wl"l A""ANGIO. DID THIS A""ANGIMINT CHANGI DU"INO TMISIGHTINOt CONDIT IONS ( C llee f1Ppropr,ace .loe .) CUMULUICLOUDI(LowPffrl fi'OG OR MilT MIAVY "AIN cu"ul CLOUDI (H,IIlfleeey or Herre,..- LIGHT RAIN OR DRIZZLE NIM.UI CLOUOI (lt .. Jt) MAIL PARTLY CLOUDY CUMULONIM.UI CLOUDS SNOW OR SLEET COM .. LETILY OVERCAST (TAuderatotru} -al .. MAZE OR IMOG NONE Ofl' THE ABOVE C. lfl' THI SIGHTiNG WAS AT TWILIGHT OR NIGHT, WHAT DID YOU NOTICE ABOUT THE STARS AND MOON? BRIGHT MOONLIGHT NO MOONLIGHT MOON WITH HALO MOON HIDDEN BY CLOUDS PARTIAL (Nnu or qiMJI'Cer) D. lfl' SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLif lfl' yEs, WHIRl WAI THI SUN AS YOU fi'ACED THE PHENOMENON? IN fi'RONT Ofl' YOU TO YOUR RIGHT OVERHEAD(NeMo~ IN BACK Ofl' YOU TO YOUR LEFT SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR STREET LAMP, lTC. fi'OR TERRESTRIAL ILLUMINATION, SPECifi'Y DISTANCE TO LIGHT SOURCE tZ. GIVE A BRIEF DESCRIPTION OF THE PHENOMENON, INDICATING WHETHER IT APPEARED DARK OR LIGHT, WHETHER IT REFLECTED LIGHT OR WAS SELfi'-LUMINOUS AND WHAT COLORS YOU NOTICED. DESCRIBE YOUR IMP .. ESSION OF WHETH ER IT WAS SOLID OR TRANSPARENT, WHETHER EDGES WERE SHARP OR fi'UZZY. DESCRIBE THE SHAPE OR INDICATE IF IT APPEARED AS A POINT Ofl' LIGHT. INDICATE COMPARISONS WITH OTHER OBSERVED OBJECTS, LIKE STARS, A LIGHT OR OTHER OBJECT IN YOUR P'IELD Ofl' VIEW. PAGE 4 OF I PAGES WHa .. K WK .. a YOU WHKN YOU lAW THK ~HKNOMKNON1 (Cle~ _,,ro,rfate .. oe.e.) IN .UIINIII IICTION 0' CITY IN .UILDINO IN "lltDENTIAL IICTION 0' CITY 0 AI DRIVIR 0 AI ~AUINOIR IN O~IN COUNTRYiiDI MIA" AU,,.ILO IN AIR~LANI l J AI ~ILOT AI ~AIIINOI" 'LYING OVI .. CITY OTHI", 'LYING OVI" O~IN COUNT"Y ur YOU WE .. K IN A VEHICLE, COMPLETE THE ffOLLOWING: WHAT DI .. ICTION Wl"l YOU MOVIN01 MOW ,AIT Wl"l YOU MOVING' DID YOU.!'!.! -ANYTIMI WMILI osi .. VINCI TMI NO .. TMIAIT ~HINO .. INON' NO .. TMWIIT IXftLAIN WMITMI .. SUCH MOVIMINT .,,ICTI YOU .. IICITCHII IN ITIMI I AND 1 . DISC"II TYPI OF' VIMICLE YOU WE"E IN AND TYPI OF' .. OAD, TE .... AIN o-. BODY 0, WATI-. YOU T-.AVE .. SIO OU .. ING TMI liGHTING. ITATI WHETHI" WINDOWI 0 .. CONVI .. TI.LI TOP WI"E UP 0" DOWN. HOW MUCH OTHE .. T_.A,F'IC WAS THE"E' DID YOU NOTICE ANY AIRPLANES' ~YES ~NO. "vas, DESCRIBE WHEN THEY WERE IN SIGHT "ELATIVE TO THE TIME 0, SIGHTING THE PHENOMENON AND HERE EY WEM IN THE SKY RELATIVE TO THE POSITION 0, THE PHENOMENON HOW LONG WAS THE PHENOMENON IN SIGHT? LENGTH 0, TIME CERTAIN OF TIME NOT VERY SURE 'AIRLY CERTAIN JUST A GUESS HOW WAS TIME DETERMINED? WAS THE,PHENOMENON IN SIGHT CONTINUOUSLY? p YES J;! NO. IF No, INDICATE WHETHE-. THIS IS DUE TO YOUR MOVEMENT OR THE BEHAVIOR OF THE PHENOMENO , AND 0 RIBE SUCH MOVEMENT OR .EHAVIOR. INDICATE OISAP- PEARANCES ON P"EVIOUS SKETCHES. PAGE J OF I PAGES ATIOM ICM YOU traaL II ~aRTIMaMT uT WMICM II MOT ADIQUATILY COvtRID IN TMtl QUaTIOMMAIRa, ALTaRMATIYIL't ~ROYIH A MARRATIYI IJC~AM 0, TMI IIOMTIMO. PAGE e Of' e PAGES