L~UFFICIENT DAT~ FvR EV TIO~ d. :'RlMBt:R OF OBJECTS 5. LENGTH OF OBSERVATION ll. BRIEF S-.IMMARY AND ANALYSIS 75 winute~ . The obsefer called the d\.lty officer to report a UFO. .:>h.:: was t 6. TYPE OF OBSERVATION Ground V J.sual 9. PHYSICAL EVIDENCE requested to canplete a 117 on her sighting but failed to do s o . Although the sighting is very likel y of a star because o the failure to complete the 117 it is being listed as insuff- icient data., 27. INFO~MATIOH WHICH YOU FE~L IS PERTIHHT BUT WHICH 15 HOT ADEQUATELY COVER E D IN THIS QU~STIOHNAIR!:, AL TERHATIVELY PROVIDI! A NARRATIVE EXPLANATION OF THE SIGHTIHG. PAGC: 9 OF :J ~AG!:S RII'\.Y TO a u a.J&C:T: DEPARTMENT OF THE A I R FORCE HEADQUARTERS I"OR1GN TECHNOLOGY DIVISION C AI"SC) WRIGHT.PATTERSON AIR FORCE BASI. O HIO -4eo433 UFO Observation 4 Februar,y l968 Reference your recent unidentified flying object s j ghting "hich you reported to the Air Force. The information which we have received i s not sufficient for a scientific investigation. Request you complete the attached AF Form 117 and return it in the self- addressed envelope. Thank you for reporting your observation to the Air Force. .31fJ'V"u:.S C. MANATr, Colonel, USAF ~irector of Production AF Form 117 BOB Nr 2~-R258 SJGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE THIS QUE~'TIONNAIRE HAS BEEN PREPARED SO THAT YOU CAN GIVE THE U.S. AIR FORCE AS MUCH INFO.R.'d.,TION POSSiBLE CONCERNING THE UNIDENTIFIED PHENOMENON THAT YOU HAVE OBSERVED. PLEASE TRY TO ANSW!::R ALL OF THE QUESTIONS. THE INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES. YOUR NAME WILL NOT BE USED IN CONNECTION WITH ANY OF YOUR ST AT.E.'dENTS OR CONCLUSIONS WITHOUT YOUR PERMISSION. RETURN TO AIR FORCE BASE INVESTIGATOR FOR FORWARDING TO FTD (TDETR), WRIGHT- PATTERSON AFB, OHIO 45433, lAW 80-17. (IF ADDI110NAL SHEETS ARE NEEDED FOR NARRATIVE OR SKETCHES ATTACH SECURELY TO THIS FORM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION.) 1. WHEN 010 YOU SEC: THE PHENOMENON? 2. W~AT TIM'E DID YOU FIRST st(;HT THE PHENOMENON? 3 . WHAT TIME 010 YOU LAST SIGHT THE PHENOMENON? "S.-rt LL "S\::E.Jt-.! s:r \I HOUR I 4. TIME/ZON E 0 DAYLIGHT SAVINGS 0 CENTRAL 0 MOUNTAIN 0 STANDARD 0 PACIFIC 0 OTHER S. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON! I F IN CITY, GIVE THE NEAREST STREET ADDRESS AND INDICATE ON A HAND DRAWN MAP WHERE YOU WERE STANDING WITH REFERENCE TO THE ADDRESS. IF IN THE COUNTRY, IDENTIFY THE HIGHWAY YOU 'HERE ON OR NEAR ANOOTRY TO FIX A DISTA~CE AND OIRECTIOI'f FROM SOM E RECOGNIZABLE LANDMARK. 6. IMAGINE Y 0'-1 ARE AT THE POINT SHOW~ t~ THE 3KETCH, ? L ,, CS: AN A ON THE CURVED LIN::: T O 3HOW H O W HIGH THE PHE N O)oiE NON WAS ABOVE THE HORIZON , OR SKYLINE:, WHEN FIRST SEEN . PLACE A a ON THE SAME CURVED LINE TO SHOW HOW HIGH ABOVE THE HORIZO N THE PHEH0114ENOH WAS WHEN LAST SEEN. OBSERVC:R .:" 6A. NOW IMAGINE YOU ARE AT THE CENTER OF THE COioiPASS ROSE. PLACE AN "A O N THE COMPASS TO INOICAT!: TH!: DIRECTION TO THE PHENOMENON WHEN FIRST SEEN . PLACE A "B" ON THE COMPASS TO INDICATE THE OIR!:CTION TO THE PHENOM ENON WHEN LAST SEEN. 7 . IN THE SKETCH BELOW, PLACE AN "A" AT THE ?OSITION OF THE PHENOMENON WHEN FIRST SEEN, AND A a AT THE POSITION OF THE PHENOMENON WHEN LAST SEEN. CONNECT THE "A" AHO a WITH A LINE TO APPROXIMAT!: THE MOVEMENT OF THE PHENOMENON BETWEEN -A AND a. THAT IS, SCHEMATICALLY SHOW WHETHER THE MOVEMENT APPEARED TO BE STRAIGHT, CURVED OR ZIG-ZAG. REFER TO SMALLER SKETCH AS AH EXAMPLE OF HOW TO COMPLETE THE LARGER SKE:-TCH. PAGE 2 OF 9 P ,i\GES J, 8. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (Checlc approprlo bloch.) OUTDOORS IN BUSINESS SECTION OF CITY X IN BUILDING /1.. .1/)/ ' .L ll X IN RESIDENTIAL SECTION OF CITY IN CA~ 0 AS DRIVER 0 AS PASSENGER ' IN OPEN COUHTRYSIOI! N EAR AIRFIELD IN AIRPLANE 0 AS PILOT 0 AS PASSEHGER FLYING OVEA CITY FLYING OVl!:R OPEN COUNTRY IF YOU WERE I N A VEHICLE, COMPLETE THE FOLLOWING: ~I j A. WHAT DIRECTION WERE YOU MOVIN07 HOW FAST WERE YOU MOVIHG7 NORTH EAST SOUTH WEST DID YOU STOP ANYTIME WHIL E O.Sl!,.VIHO THE NORTH!:AST SOUTHWEST DYES EXPLAIN WHETHE,. SUCH MOV!:MENT EFFECTS YOUR SKETCHES IN ITEMS 5 AND 6 . DESCRIBE TYPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD, TERRAIN OR BODY O F WATER YOU TRAVERSED DURING THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN. HOW MU~H OTHER TRAFFIC WAS THERE? DID YOU NOTICE ANY AIRPLANES? 0 YES [2(HD. IF yEs, DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME OF SIGHTING THE PHENOMENON AND WHER7"TH Y WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON. 9 . HOW LONG WAS THE PHENOMENON IN SIGHT7 LENGTH OF TIME X CERTAIN OF Tliti!E NOT VERY SURE HOW WAS Tliti!E DETER~ INE07 PHENOMl!:HOH IN SIGHT CONTINUOUSLY? ~YES n NO. IF No, INDICATE WHETHI!!:R THIS IS CUI!: TO YOUR MOVEMENT OR TH!: BEHAVIOR OF T11E PHEHOMENO , ~0 Df!rc:RIBI!: SUCH MOVElo4ENT OR BI!HAVIOR. INDICATE DISAP- PEARANCES ON PRI!VIOUS SI<I!:TCHI!:S. PAGE: 3 O F 9 <3.'\GES 10. IF THERI!: WER!: ~ORE THAN ONE PHP:NOMI!:NON, HOW MANY WI!:RI!: THERI!1 DRAW A PICTURE TO SHO._ HOW THI!Y WI!:AI!: RANGED. DID THIS ARRANGEMI!:HT CHANGE DURING THI! SIGHTING? PARTLY CLOUDY COMPLETELY OVERCAST CONDITIONS (Chet:lr appropriate blDclu.) B. WEATHER CUMULUS CLOUDS CIRRUS CLOUDS (Hitla fleeer or Herrll\6" NIMBUS CLOUDS (Roil\) CUMULONIMBUS CLOUDS (Tiuuukrslorm6) HAZE O R SMOG FOG OR MIST HEAVY RAIN LIGHT RAIN O R DRIZZLE SNOW OR SLEET NO N E OF THE ABOVE C . IF THE S I GHTING WAS AT TWILIG H T OR NIGHT, WHAT DID YOU NOTICE ABOUT THE Sl.ARS AND MOON ? (1) STARS (2) MOON BRIGHT MOONLIGHT MOON WITH HALO MOON H IDDE N BY CLOUDS PARTIAL (Nt!W or qtMJiter) D . IF SIGHTING WAS I N DAYLIGHT, WAS THE SUN VISIBLE? THE PHENOMENOIH IN FRONT OF YOU TO YOU R RIGHT I N BACK O F YOU TO YOUR LEFT NO MOONLIGHT NO. I F "YEs, WHERE: WAS THE SUN AS YOU FACED OVERHI!AD (Ne,.-n.oor&) E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTI NG, SUCH A S THE SUN, HEADLIGHTS O R STREET LAMP, ETC. FOR TERRESTRIAL ILLUNINATION, SPECIFY DISTANCE TO LIGHT SOURCE. 12. GIVE A BRII!,.. D~SCRIPTIOH F THE PHEHONENON, INDICATING WHETHER IT A P PEARED DARK OR LIGHT, WHETHER IT REFLECTED LIGHT OR WAS SELF-LUMINOUS AND WHAT COLORS YOU NOTICED. DESCRIBE YOUR IMPRESSION OF WH!:THE~ IT WAS SOLID OR TRANSPARENT, WHETHER EDGES WERI! SHARP OR FUZZY. DESCRIBE: THE SHAPE O R IHDICATE If' IT APPEARED AS A POINT OF LIGHT. INDICATI!: COMPARISONS WITH OTHER OBSERVED OBJECTS, LlKE STAR~, A LIGHT OA OTHER OBJECT IH YOUR FIELD o,-Vti!:W. PAGC: 4 OF 9 ?AGO 13. 010 THE P H ENO ... ENON ~OV~ IN A STRAIGHT L INET STAND STII..L AT ANYTIME7 SUDDENLY SPEED UP AND RUN AWAY? BREAK UP IN PARTS AND EXPLODE? CHANGE COLORT GIVE OFF SMOKE? CHANGE BqiGHTNESSJ CHANGE SHAPE? FLASH OR FLICKER? DISAPPEAR AND REAPPEAR? SPI H LIKE A TOPT MAKE A NOISE? FLUTTEA O R W088LEf 14. WHAT OA!:W YOUR ATTENTION TO THE PHENOMENO~T L. B . DID THE~HOMEHON MOVE B EHIND OR I N FRONT OF SOM~THIHG, LIKE A CLOUO, TREE, OR 9UILDING AT ANY TIME! 0 YES r\0. IF "YES, DESCRIBE. ?AG 3 O F J P 'GES t5. DRAW A PICTURE THAT WILL SHOW TH!: SHAPE OF THE PHI!:HOMEHON. IHCLUOE AHO LABEL AHY DETAILS THAT MIOHT HAVE APPEARED A S WINGS OR PROTRUSIONS, AND IHOICATL! EXHAUST O R VAPO R TRAILS. INDICATE BY AH ARAOW THE DIRECTION THL! PHENOMENON W MOVI G. \6. WHAT WAS THE ANGULAR SIZE? HOLD A MATCH AT A,.MS LENGTH IN FRONT O F A KNOWN OBJEC T , SUCH AS A STREET LAMP O R THE MOON. HOTI! HOW MUCH OF THI! OBJEC T IS COVERED BY THE HEAD OF THE MJ :H. NO'I' I F YOU HAD BEEN ABLE TO PI!R,.ORM THI S EXPERIMENT AT THE Ttlllll! 0,. THE SIGHTING, ESTIMATE WHAT ;:~"CT"'J'( '>F THE PHEfoiOMEHOH WOVL.D HAVE BEI!:H COVERI!D BY THI! MATCH HI!AO ~AGE 6 OF 9 PAGE S 17. DID YOU OBSERVE THE PHENOMENON THROUGH ANY OF THE FO\..LOWINGt INCl.UDI! INFORMATION O N MODEl., TYPE, FILTER, LENS PRESCRIPTION OR OTHER APPLICABLE O.l.TA. EYEGl.ASSES SUNGLASSES BINOCULARS WINDSHIELD SlOE WINDOW OF VEHICLE THEODOl.ITE WINO.)WPANE OTHER A. 00 YOU ORDINARILY WEAR Gl.ASSESf NO B. DO YOU USE READING Gl.ASSESr 18. WHAT WAS YOUR IMPRESSION OF THE SPEED 0 MEN 1 'STI_ TE OF SPEED 19. WHAT WAS YOUR IMPRESSION OF THE DISTANC PHENOMENON? GIVE ESTIMATE OF DISTANCE---- 20. IN ORDER THA WE MAY OBTAIN AS Cl.EAR A PIC URE AS POSSIBLE OF WHAT YOU SAW, DESCRIBE IN YOUR OWN WORDS COMMON OBJECT OR OBJECTS WHICH, WHEN PLACED IN THE SKY, SIMILAR TO WHERE YOU NOTED THE PHENOMENON, WOUl.O BEAR SOME RESEMBl.ANCE TO WHAT YOU SAW. DESCRIBE SIMILARITIES AND DIFFERENCES BETWI!:EN THE COMMON OBJECT AND WHAT YOU SAW. 21. DID YOU NOTICE ANY ODOR, NOISE. OR HEAT EMANA N FROM THE PHENOMt::NOH OR ANY EFFECT ON YOURSEl.F, ANIMALS OR MoiiCHIHERY I N THE VICINITY? 0 YES NO. IF ye:s, DESCRIBE. A . DID THE PHENOMENON DISTURB THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. 0 YES /'--'1. IF ye:s, DESCRIBE. 22. HAVE YOU EVER SEEN THIS OR A SI~ILAR PH EHOMI!:NOH BEFORE? 0 YES NO. IF yEs, GIVE DATE AND 23. WAS ANYONE WITH YOU AT THE TIME YOU SAW THE PHENOMENON? 0 YES NO. IF yEs, DID THEY SEE IT T007 A. LIST THEIR NAMES AND ADDRESSES GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF NFORMATION INCLUDING OCCUPATION AND A EXPERIENCE WHICH MAY BE PER 25. WHEN AND TO WHOM OlD YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON? NAME LT ~ N "-.\ G R MONTH_\'::~ 26. DATE YOU COMP~ETEO THIS QUESTIONNAIRE. YEAR C.,...B ?AGE tt OF 9 """Gl!S