1. OA TE TIM~ u~OUP 3. SuUf:CE 4. NUMBER OF OBJECTS Not .He or-:ed S. LENGTH OF 03SEAVATION Not .Rep:>rted 6. TYPE OF OBSERVATION C:-ou~.:!-Vis..lal 9. PHYSICAL EY,ENCE PROJECT 10073 RECORD l-lemphis, 10. CONCLUSION INS"'uFFIClENI' DATA FOR EV ALUA'l"ION server was sent a fo~ 117 but it was returned because it was 11. BRIEF SUMMARY AND ANALYSIS Observer called duty officer,but sufficient info~ation was not received. FTO SEP 63 032~ (TOE) P,.loua cUt!~ of Wa fo,. .. , be uaed. 34. Date you comp!ted this questionnaire: 35. Information w~i:~ you feel pertinent and which is not adequat~ly covered in the specific points of the questionnoir -:>r a narrative explanation of your sighting. DEPARTMENT OF THE AIR FORCE HIEADQUANTERS FOREIGN TECHNOLOGY DIVISION ( AF9C) WftiGHTPATTERSON AIR FO~CE DA5:S:. OHIO A!t.33 rr-~. Qh ti 17 ltlarch 1968 P:~erence your recent unidentified flying object sighting ~hich y~a reported to the Air Force. 'nle information ":hich "'e have re~eived is not sufficient for a scientific investigation. Request you complete the attached AF Form 117 and r eturn it in the self- addressed envelope. Thank you for reporting your observation to t~e Air Force. of Production AF Form 117 FTO (TO.PT /UFO ) WRIGHT-PATTERSON AFB, OHIO UNITED STATES AIR FORCE OFFICIAL BUSINESS <"---- ... :t:; POS7AGE AND FEES PAID ~ r~'~TUnN TO -FTD JUL 61 3fl1 Thte feea apereectea ATtC Pm Mr. lll. dated Dec so. wbJeh ta "oJ.,t4. ~7l r. flrt rr1 . f: fun(J rrar Hnt l ~t U.S. AIR FORCE TECHNICAL IH FORMATION T~. ~ ~uestionnaire has been prepared so that you can give the U.S. Air Force as much in for as possible concerning the unidentified oerio I phenomenon that you hov& observ~d. Pi a:: .se ~t to answer as many quest ions as you possibly can. The information that you give wi II be u s eo for research purposes. Your name wi II not be used in connection with any statements, ccnc h;s; ~ns, or publications without your permission. We request this personal information so that if i~ i s deemed necessary, we may contact you for further d etails. 1. .Vhe:n did yo..: ... e e the object? Month Ye!'r ( Circle One): a_._ tost~rn c. Mountain d. Pacifi c 2. T i r.,e of day: Ht>ur Mi nvte s (Circle One): (Circle One): a. Daylight Saving b. Standard 4. Where were y ou when you sow the object? NecreJ~ ?:)stol Address City or Tuwn Stote or County 5. how lor.g wos .:;S;~ct in sight? ( T o o l Our a t i o n ) 5.1 How we~ -,- e , , sightdetermii~:f? 6. Wha t was the c:>r-d :t ton oF t he sky? Hours Minutes c. Not very sure d. Just a guess 7. IF you saw tho object during DAYLIGHT, where was th~ SUN located as you looked at the object? (Circle Oner): a. In front of you d. To your left b. In bock of you e. Overheod c. To your right f. Don't remember Thle form upereector:s FTI> 164, jul 61, w h rc h ia obs olet e . ~. IF you s a w the o b ject at NIGHT, what d id you n o tice concerning the ~ T AJ~ S o nd MOON? 8.1 STARS (Ci:-cle One): 8.2 MOON (C~tcle One ): a. Bright moo n I ight b. Du II moon I i gh t d. Don ' t reniember _ _ d. C:-, "t remember 9. Wha t were t~e weather conditions a t the time you saw th~ object? CLOUDS ( C ircle One): WEATHEr~ (Circle One ): <:~--b.-Fog; mi st, o r li ght ra in c . Sc-attered clouds c. ,v;oderate or heavy rain d. Thick c r heavy clouds e. Don't reme mbe r 10. Th~ obiect appeared: (Circle One): d. A s a l igh t e. Don't remembe r 11. If it o~p ecr~d os a light, was it bri ter than the brightest stars? (Circle One): c . Srighter b. J ~mer c-c:A~aut ;~-same _ _; d. Don't know 11. 1 Ccii'pc~e brightness to some c o-,-non object : 12. The ec s o :,ject were: ;),-[itce a 6ri~l, t stcr : . Shar:'IY out~ r~-: .:.. Don't reme:s!:>er 13. D id the obj~=t: (Circle One for eoch question} Ar.~eor ~o s~.:::"td still at a ny time? Don't kn ow S -!ci" n :y s:..eed up and ru s h away at any t ime? Yes No Don't know C .. eak UP InfO ports or explode ? Don't know d. Give off s m:lke? Ye s Chonge br ig,t,ess? f. Change shapt'? Don't know g. Flash or fl icker? on't kno w h. Disappear and reappear? Don't know 14. Did the object disaDpear while you were watching it? If so, how? 15. Did th~ obieet move b-thind somttthing at any time, porticularly a cloud? No Don't Know. IF you answered YES, then tell what 16. Did the o b Ject move in front of something at any time, particularly a cloud? (Circle Ot~e}: No Don't Know. IF you nnsw~tred YES, then tell what 17. T.,l! in a few words the following things about the object: 18. We wish to know the angular size. Hold a match stick at arm's length in line with a known obiect and note how mu~h of the obiect is covered by the head of the match. If you hod performed this ex~riment at the time of the sighting, how much of the object would have been covered by the match head? 19. Drew o p i=rv~ ~at wi II show the shape of the obiect or objects. Lobel and include in your sketch any detoi Is of the o::,ject ~hat you saw such os w ings, protrusions, etc., and especially exhaust trails or vapor trails. Plac$ c:n "ew ~side the drawing t o show the direction the obiect was moving. 20. Do you think y~>u con estimoh' the sp.,!td C\f the o~jnc:t? IF you on,..,., .. ,~d YES, then what speed would you utimato? ------- - 21. Do yoo t:li rl< .1vu can estimate how for away from you the-object was? IF you 'l~ S .,ed YES, then how far owe1y would you soy it was? ------ Wh"ro wer'! ~ou locat~d when you saw tha obj.,ct? (C ire le o~e ,: a. Ins id., " =u ilding b. In a c:.r c. 0lJtcl~u s d. In on o !r":>lcne (type) 23. Were you (Circle On~) o. In rhe busin<-ss s"ction of a cit-1? b. In th'l rosict,ntiol :.ection of o dty? c. In open coun1rysid~? d. Neor 'lfl oi t iu tld? ~. Flying <:)'t.' t a ci~;? f. Flyiug ove; o p:tl" c ou;,t"Y? 2.d. 1 ~not d. ,.~ction were you mo.,.ing? (Cird>J One) b. t-. ~t~east d. s~uth~o~t f. Southwelt h. Northw,-s t 24.2 How 7-;l~ were you moving? _ _ . _.mifes p~r hour. 2~.3 D j.j y c u s t op at any time whi le you w~rG looking at the object? 26. In ord8r t~::~ / ; u ccn give os clear a picture os possible of whut yo.J saw, dctscri~ in your own word:a a common obj4Jct or c" : &-: : j wi-d:h, wh~n pfac"'d up in tha sky, \lfould give th~ scme app41tmonce os the obi~ct which you sow. 27. In the following sketch, imngire thot y ou c.tt: at th~ point shown. Pl1ce or . ,," o .. !1,~ r'.lrv-r:l lir.:. t o show h~w high the object was above the h orizon (skyline) whftr'l you first sow it. ~lt~(.n o "t\' c'i th't S('lm "urvf!cf lin~ t o show how hi~n the obiect was obovtt the horizon (skyline) when you lost saw it. Ploce an "A" o., the comp.J~s when you firs~ sow it. Place a "B" on the compass where yol lo s t sow the c.bject . 28. tJraw :t picture thtJt will show the motion that the object or objects mode . Place 0:1 "A" at the beginning . ..,f t he . po~h, a "B , , ot the end of the path, and sho w any chongas in direction during tht. c ourse. 29. IF there wcs MORE THAN ONE obi~ct, then how many were there? --~-- -_ ------ ?:c:J of how they were orro.,ged, on.:l put on arrow to show the direction t hat th.-.y were traveling. 30. HovG you .,v_,r 1~en this, oro similur obj~ct b~for~. If uo giv~ Ja'i'-tt or dr;.!\,~ ( ;:lt. ~c,catiore. 31. Was ony .:>l"'e ' . sa with you at tha time you sow the obi act? (Circle On\t) 31.1 t:= y~u !lnlwerd YES, did th~y see th., ohiect too? (Circl~ OntJ) 31.2 P le~s~ I ist th-.tir names and addres5~s: on about yourself: Firat Name ion obout ourself, including any special exprienc,, which mi~Jht b.-: p~rtin~;-,"'. 33. Whan and to whom did you repOtt that you had seen thb obi..,ct? Day '(ou r