-2. LCCA TIO~ I::. . "'.llf.ioCt 10. CONCLUSION .t, NUMBER OF OBJECTS !1. LcNCiH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS 1 0 iiiou tes 6. TYPE OF OBSERVATION Ground-Visnol 'lb e obsarv~r s1goted ~reo and \.C.~te l.linkinc; licnt in the sky. He didn' t think it wu s &. plcoe b:::cause h; .r~lt ;; pl..:.:::.. ' would h ave a r.cre definit e outli ne. The observer soic tr9~ I before the object disappeared b e s~w ~ btlrs t cf fire ~rom~:_; {10 ~itc:.~cft obs~rvatlOO. nO\\CVcr t:::e fir..! Cv:::.:::. from the rcor ~ouod sorr.e-\o~i:it like a ho~ o1:-b~ll.;, . .. The ob ;rver i5 only 10 yeors old c:1c i!:n ' t sure o.i.' the d:~tc cf the observc~lon. ~or this rec.son the r.:: ciehtine is bcl~S filed as SUFFICI~\~ DA7A 9. PHYSICAL EVIDENCE 27. INFORMATION WHICH YOU FEEL IS PERTINENT DUT 'WHICH 13 HOT AOI!:QU ATI!LY COVER E D IN THIS QUESTIONNAIRE, ALTEFHI.\TIVELY PROVIDE A NA~RATIVI!: EXPLANATIO N OF THE SIGHTING. PAGE 9 OF 9 PAGES 'I'DPT (UFO) DEPARTMENT O F THE AIR FORC E HEAOOUARTE R S FOREIGN TECHNOL.OGY 01\/ISI O N I AFSC) WRIGHT.PATTERSON AIR F O RCE BASE OHIO 4!!433 UFO Ooservation Haver town, Pennsylvania 19083 RefC'renc;c your recent unidentified flying object sighti ng Hhich you reported to the Air For ce. The information which we ha ve eceived is not sufficient f or P. scientific investigetion. Request you complet e the attnched AF' Form 117 and return it in the self- addressed envelope. Thank you f o r reporting your observation to the l~ir Force. C~JINTANILLA, Jr Lt Colonel, US/\F !Chief, Aerial Phe nomena Office \e~ospocr. Tr.chnolo8ies Division Pro::iw t Lon Dlre~torn tc AF Form 117 w/envelope ane dn.:;r ~t n.bout ten ? .;1. I s~w a. UFO wit!l -::ry sister .. 'l'llis UFO looked like a. blinicing li3ht. It wo.s flying across the sky blinJdng . 'hen i t suddenl y "ent u p in the sT~y. 1 t t!le11 seeoeil to ca. tell on fire 1 ike a. burs t of J:'ite shooting out of ita rea r . Tbtin it seeoed to g o so f a.st into the s J<y t :ta.t i t finnlly left r.ty Vl.S10lle I kno t!lis sounds like a.n optiica.l illusion, but. I "'oul d l ile to know if a.n:;rone els e ltn s seeu this stra.n~e UF O (or tilin:;) . I c.c only ~ l O,but I do Immr ,;ha.t I sa;r . Plca.se a. nsucr o y ba.fflin~ letter soon .. Sincerely, SIGHTI~G OF UMIDEHTIFIED PHEHO~EH~ QUESTIOHNAIRE BUDGeT DU2EAU AP OYJL NUVBE!l 2 t . ?2JI THIS QUESTIO~NAlRE HAS OEEN PREPARED SO THAT YOU CAN GIVE THE U.S. AIR FORCE AS ~IUCII INFOR.\IATION AS POSS!ElLE CO:-ICERNlNG THE U~IDENTIFIED PHE:-i0\1E NON THAT YOU HAVE C>8SERVF.O. PLEASE TRY TO ANSWER ALU Ofo' THE QUESTIONS. THE INF'OR~IATIO~ YOU GIVE WILL JF. U SED F O R RESEARCH PURPOSES YOUR NAME V.'lq. NOT OE USED IN CONNECTION WITII ANY OF YOUR STATEMENTS OR CONCLUSIONS WITHOUT YOUR PERMISS!dN. RETUR!'l TO AlR FORCE BASE INVESTIGATOR FOR FORWARDING TO FTD (TDt::TR), WRIGHT- PATTERSON AFB,OHI045433,1AW AFR80-f7. (IF ADDITIONAl. SHEE TS AI NE~DF.:D FOR NARRATIVF. OR SKETCHES A TTI\Cf( SF.CURF.L Y TO THIS FORM OR ANNOTATE IHTH YOUR NI\Mr: FOR lDENTIFlCA TIO:V.) I. WHE N DID YOU SEE THE PHEN O MENON > AT TIME DID YOU FIRST SIGHl THE PHENO M ENON? J . WHAT TIME DID YOU LAST SIGHT THE PHENOM ENON> 4 . T I M E ZON E EJ EASTERN 0 DAYLIGHT SAVING S 0 CENTRAL [J MOUNTAIN 0 PACIFIC 0 01 Ht:R S WHERE WERE YOU WHE N YOU SAW THE PHENO M ENON> IF IN CITY. GIVE THE N E AREST STREET ADDRESS AND IND I CATE ON A HAND DqAWN MAP WHEqE YOU 'HERE STANDING WIT H REFERENCE TO THE ADDRESS. I F I N THE '=OUNTRY, IDENTIFY THE HIGHWAY YOU W E R E O N OR NEAR ANO TRY T O FIX;.. DISTANCE AND DIRECTION FROM SOM E RECOGNIZABLE LANDMARK. o oM\,:;IIIi': YOU A~F Ar rrlE .:>OIN T SrlOW"' Ill 7nE SKETCH, PL;.CE .<.N 'A" O N T HC: CURVED LINE TO SHOW H O W HIGH THE o"''='"OY"''Ir ~l.i''i !-' 0VE "HE HORI0M, 0<> :>><YLINE WHE N Fl~57 S E E N PLACE A 9 " ON THE So\M E CURVED LINE TO ShO w HO"' ~IICH ;..,QVE' Tt1E ~CRI;:ON T.,E PHEN O"'E N O N WAS '"'4!;;N LA:iT SEE'I. GA. NOW IMAGINE YOU ARE AT THE CENTER OF THE COMPASS ROSE. PLACE A N 'A ON THE COMPASS TO INDICATE THE DIRECTION TO THE PHENOME~10N WH E N FIRST SEEN . PLACE A a ON THE COMPASS TO IND I CATE THE DIRECTION TO THE PHENOMEN O N WHEN L A ST SEEN . THE SKETCH BELOW, PLACE AN "A" AT THE POSITION OF THE P H E N O M E N O N WH E N FIRST SEEN , AND A " B " AT THE OSITIO"f OF T~E ?,;ENOM E N O N WHEN L A ST SEEN . CONNECT T H E "A" A N D a WITH A L I N E TO APPROXIMATE THE , MO I/E'14E N T OF 7HE PHE N O ME N O N BETWEEN "A" A N D a . THA T IS, SCHEMATICALLY SHOW WHETHER THE MOVEMEN T APPEARED TO BE STRAIGHT, CURI/ED OR 210-IAG. R EFER TO SMALLER SKETCH A S A N EXAMPLE OF HOW TO COMPLETE THE LARGE~ 'IKETCH. PAGE 2 OF 9 PAGES WHERE WERE YOU WHE N YOU S~W THE PHENOMENON? (Ch.-ck approprintf!" lolorks) I N BUSINESS SE:TION OF CITY ;._/ IN BUILOINO / IN RESIOC::NTIAL SECTION OF CITY IN CAR A S DRIVER 0 A S PASSENOER IN OPEN COUI'ITRYSIDE I N B OAT N EAR All'lFIELO IN AIRPLANE 0 A S PILOT A S PASSENGER FLYING OV:i:R CITY FLYING OVER OPEN COUNTRY I F YOU WERE IN A VEHICLE. COM?LETE THE FOLLOWING WHAT OIRECTION WERE YOU MOVING' HOW F A ST WERE YOcJ MOl/INC' SOUTH WEST DID Y O U STOP ANYTIME WHILE OBSERVIN G THE NORTHEAST SOUTHEAST NORTHWEST SOUTHWEST EXPLAIN WHETHER SUCH MOVEMENT AFFECTS YOUR SKET CHES IN ITEMS 5 ANO 6 DESCRIBE TYPE OF VEHICLE YOU WERE IN AND TYPE O F I'IOAD. TEqRAIN OR BODY OF WATER YOU TRAVERSED DURING THE SIGHTING. STATE WHETHER WINDOWS O R CONVERTIBLE TOP WERE UP OR OO'IN . HOW MUCH OHlER TRAFFI C WAS THERE> DID YOU NOTICE ANY AIRPLANES? 0 YES (_j NO. IF " YES. DESCRIBE WHEN THEY WERE I N SIGHT RELATIVE TO THE TI).4E OF SIGHTIN G THE PHEI~O ME NON A N D WHF.RE THEY WE RE. I N THE SKY R ELATIVE TO THE POSITION OF THE PHEN O M:::NON. ( 9 . !'lOW LON G WAS THE PHENOMENON IN SIGHT ? LE'lGTH OF Ta\t E CE~TAIN OF TIME ~....::_ NOT VERY SURE H OW "'"S Tl"'t:. l)f:Tt:~MIHEQt WAS T ME p .;,.~ .... !!NON IN SIGHT C01'1TINUOUS~'I'? 0 YES L<i "lO. IF "NO. " INDICATE 'tlrHETHER THIS IS OUE TO YOUR i ).o0'1Eio.EN ~OR r111!. SEH 'VIOR OF THE P ... E-.O""ENON, ANO OESCqlaE SIJ:'"I MOVEMENT O R BEHAVIOR. INDIC ATE OISA"' PE"-RA."4C!:<, O N ,_,f.feVIOIJS SK!'.:TCHES. ORA A PICTURE TO SHOW H O H THEY WERE 10. 1,. TU~il'l W!" NORE THA N ONI[ PH!:NO~C:HON. ~0 .... ~ANY w.:.:RE THeqE> AfUVoNOEO. OlD THIS """AioiG:'l,..I'!NT CHA~G! DUHING i'HI! SIGHTING' CONDITIONS (Cht!ck appropriate blor-ks.) 51( v a. Vfi!ATHER CUMULUS CLOUDS (Low fluffy) FOG OA t AIST CII'IRUS CLOUDS (HiKh fl~l!cy llf Hurin,r H EAI/Y RAIN LIGHT RAIN OR DRIZZLE tiiMBUS CLOUDS (Rain) HAIL P Mt T L Y CLOUDY CUMULONIMBUS SNOW OR SLEET CONr>LET!:LY OVERCAST (T hW\d.,rJCor....:s) HA'ZE OR SMOG NO"'E OF THE C. IF TH!: SIGHTING WAS A T TWILIGHT OR NIGHT. WHAT 010 YOU NOTICE THE STARS ANO MOON> STA RS 121 BRIGHT MOON LIGHT N O MOONLIGHT ~OON WITH HALO MANY NOON IIIO O E H BY CLOUDS P ARTIAL (New o r QUilrter} IF SIGHTIN G WAS IN DAYLIGHT , WAS THE SUN VISIBL!!:l Yl!S. " WHERE WAS THE SUN A S YOU FACED T W!' PHI!:HO!o4:::NOH7 I I H FPOHT 0,. YOU TO YOUR RIGHT OVERHEAO(Ncw~o~ ji N 9 ACK 0' 'I'OU TO YOu~ LEF T UHKN O 'NN SPECIFV T~F. '"AJ(')~ <:C"HIIII"I!: 0 1' ILLU,..IHATIO H P<!ESe"l r OU~ING THE SIGHTING. SUCH A S THE SUN. HEADLIGHTS OR STRI!I!T LAWP. ETC. F O n ri'!~RESTRIAL ILLUMINATION. SPECIFY OISTANC!: T O L IGHT SOURCE. !'ARE::> CARl< OR LIGHT, WHETHER IT =>!:ii'LCTI!:O t_IGI1-O ~4S '\I!LI'l.' J"'' "0US A H O ,. .. '. r CO~o.ORS YOU HOTICEO. O!:SCAIBE YOUR INPRESSION OF WHETHER 17 WAS SOLI O CR T::U.N!IP41tl':t T *""ETHER EDGES '*E ~!: SHA R P O R ,.ut=Y. ::zsC~oaE THE SHAPE OR INDIC ATE IF' IT NOICATE COMP.AR SONS WITH OTHEP 09'\EOVEO 09JECT S. LII(C: STARS, A LIGHT OR P AGE 4 OF 9 P AGES UH)(NO\~N , MOVZ 114 A !!iTf'AIOHT LIHET STA>IO STILL AT ANYTIM!::f SUOOF.:NLY SPZ~O UP ANO R U N BH!:AI< Ulll I N PARTS ANO EXPLODE ! C lo1ANGC: COLOR' GIVl!: OFF SUOKE7 CHANGE: Bf'IGHTNE$$ 1 CHANGE SHAPEf I"LA SH OR FLICKER! OISA?PEAR AND REAPPEAR? SPIN LIKE A TOP! MAKE A NOISE? FLUTTER O R 'WOBIILE7 14. 'IIHAT DREW YOU R ATTENTION TO T H E P HENONNO N 7 A . H O"f OlD IT FINALLY DISAPPEAR! 8 . 01'0 TH!:. p_,e;)oiO"oEHOI'I MOVE 8EhiH O o .-I N l"l'tONT O F SO IIIIE':'HI"G, LIK~ A CLOUD, TREE, OR BUILDIN G A T ANY TIM E ! IF vEs, OESCR19E. AFR 8~17(Cl) 15. OI'IAW A I"ICTU":!: THAT WILL. liHOW TH!: SHA .. I: 0' THE PHHOioi!:MOH. IHCLUOI A N O L.A:i!C:L ANY OETAIL5 THA T MIGHT HAV!: APP!:A RI!:O A S WIHCS O R PRO'rR\JSIO"'S, AHD INDICATE E xHAU:lT OR VAPOR TRAILS. INDICATE BY A N ARROW THE DIRECTION THE PHE N O MENON WAS MOVING. 16 . WHAT w"S THE AMGULAR SIZC:r 110LO A MATCH A T ARM'S LENGT H IN F~OHT OF A I<H O WH OBJECT , SUCH A S A STREET LA)oiP OR T..,E ... OON . HOT >-40111 U UCH OF THE OBJECT IS COVERI!:O BY T11E HI!:AD OF THE MATC H . NOW IF YOU HAD BE!:N ASLE TO ?Ei\i"Oqol THIS eXPERIMENT AT THE T I M E O F THE SIGHT IHG, ESTIMATE WHAT FRACTION OF THE PHENO MENOH WOULD HAVE BEEN COVERED BY THE MATC H HEAD. PAG!::: 6 OF 9 PACES AFll S0-17(Cl) 0 1!:> YOU O:JSERVE THE PHEHO~EHO"I THROUGH ANY OF THE FOLLO WI N G INC~IJI')C:: 1:-lfO ATIO'I O'i '-'OOEL . L E N S PRESCRIPT I O N PPLIC AOLE OA"'!'A. EYEGLA S:;ES C AMERA VIEI'ICR I SUN G L ASSES OIIIOCULA~S WI N DSHIELD TELESCO P E SlOE WINDOW OF V EHIC L E -....r'wiNOO'NPANE O THER A . 0 0 YOU OROIN ARIL Y WEAR GLASSES' QY E S 8 . 00 YOU USE REJ\Oit~G G L ASSES' HAT WAS Y OUR I MPRESSIO N O F THE SP E 0 0F T'iE 19 WHAT NAS YOUR I ' I P RESSION O F THe 013TANCE OF THE PHENOMENO N ' G IVE E ST I.,.AT E O F SPEED - ! S , P HENO M E N OII' GIVE ESTIM A TE: OF DISTANCE) 20 . 1t1 ORDER THAT WE MAY OBTAI N A S CLEA R A PICTU~E A:; P OSSIBLE OF WHAT YOU SAW, O E St':RI!:JE 1' 1 YOUR OWN WORDS A COM\40"1 OBJECT OR OBJECTS WHICH, WHEN P LACED I N THE SK Y , SI~ ILAR TO WHI;;FIE YOU NOTED THE PHEh O M E N O N . ULO B F AR SOM E R ESEMBLANC E T O WHAT YOU SA W. DESCR I B E SIMILA RITIES A'IO DIF FERC::N::ES BETWEEN THE CO"!'~ON 09J ECT AND WHAT YOU SA W. O R ANY E FFEC T O N YOURSELF, P AG~ 7 OF 9 PAGES ~a. HAVI'C 'r?V li!V"!~ ::S:C:H T:otiJ OR A SI"ILMI P HF.HO"'i!,.OH ]~1'0ll!l[7 LOCA'Tt~N. 2) t.&.$ ANYOH!': ~ITH YOU A T THI! TIM~ YOU SAW T .. PHEri\>tll:!o40tH A. Ll!iT TH~IR NAiiii[S AH!) ADO.ctEG';'!S IK>. li' y~s. CIVE D ATE A I O Yt:S 0 HO. IF yr:s. 010 THEY SEE IT TOO> GIVE THE FOLLOWING INFORMATION AOOU'l" YOURSELF IHOIC.\TE AOOITIOHAL IHFORioiA ION IHCLUOING OCCUPATION AND AHY EXPC:i'IIZNCE WHICH MAY BE PERTINE'IT. :!5. WHEN ANO TO WHOM 010 YOU REPORT THAT YOU HAD :OICHTEO THIS PHENDMENONl 26 DATE YOU C D\4PLET!:O THI:. OUe:STIO:'l~AIRE.