1. DATE TIME CROUP 2. LOCATION R o Pork, ~ew York 10. CONCLUSION Other: (tM"KEU.;..BU: R=.?CRT) 4. NUMBER OF OBJECTS The ob~erver has seen ~ny UFOs before, (Refereoce Lt r of 16 Jo ns is on e ars old. S. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS -t-J.nu tes 6. TYPE OF OBSERVATION 8. PtiOTOS 9. PHY SIC.&.L ~VIDENCE The observer sieht~d a bright orange light that l ooked about the size of a star without biooculers. Through the binoculars the object appaared ~bout the size of a half doll held at arms length. I t appeared similar to ~ s&ucer sha ped object and bad what the observer thoueht could h~ve beao portholes . 27. INFORIIIATION WHICH YOU FEEL IS PERTINNT BUT WI11C H IS NOT AO!OVATELY COVERED IN THI S QUESTIONNAIRE, ALT!:RNATIV!:LY PROVIDE A NARRATIV! EXPLANATIO N OF TH~ SIG HTING. SIGHTING OF UHIOENTIFIEO.PHEHOMEHA QUESTIOMHAIRE DUDGET BUREAU APP~OVAL NUMBER ll-ltl~l THIS QUESTIONNAIRE HAS BEEN PREPARE D SO THAT YOU CAN GIVE THE U.S AIR FORCE AS MUC!-IINFORMATION AS POSSIBLE CONCERNING THE UNIDENTIFIED P HENOMENON THAT YOU HAVE OBSERVED. PLEASE TRY TO ANSWER ALU OF THE QUESTIONS. THE INFORMATION YOU GIVE WILL B E USED FOR RESEARCH PURPOSES. YOUR NAME WlL~ NOT BE USED IN CONNECTION WIT!-1 ANY OF YOUR STATEMENTS OR CONCLUSIONS WITHOUT YOUR PERMISSJdN. RETURN TO AJR FORCE BASE INVESTIGATOR FOR FORWARDING TO FTD (TDETR), WRIGHT- PATTERSON AFB, OHIO 45433, 1/\W AFR 80-17. (IF ADDITIONAL SHEETS ARE NEEDED FOR NARRATIVE OR SKETCHES ATTACH SECURELY TO THIS FORM OR ANNOTATE WITH YOUR NAME FOR I D ENTIFICATION.) 1. WHE N DID YOU SEE THE PHENOMENO N ? 2 . WHAT TIME DID YOU FIRST SIGHT THE P H ENOMENON? 3 . WHAT TIME DID YOU l.AST SIGH T THE PHENOMENON? .4 . TI~/ZONE [5lJ' EASTERN DAYL I GHT SAVING S 0 CENTRAl. 0 MOUNTAIN MONTH YEAR 5 . WHERE WERE YOU WHE N YOU S AW THE PHE N O M E N O N > I F IN CITY. GIVE 'rHE N EAREST STREET ADDRESS AND INDICATE O N 1- c.....roANQ._Q_R WN,.M.AP-WI+E-~E-V~ WE-R'E-STANDING-Wt:rH_RI!FERE N C E TO THE ADDRESS. I F IN THE '=OUNTRY, IDENTifY. THE HIGHWAY YOU WERE O N OR N E.oi~ AND :RY TO FI,X ? D ISTANC E AND DIRECTIO N FRO!" SOM E RECOGNIZABLE C'ANDMARK. 6 . IMAGI N E YOU ARE A T THE POl A-O N THE CURVED LIN E TO SHOW HOW HIGH THE PHENO M E N O N WAS ABOVE THE H O 0,.. O R SJ(YLINE. WHE N FIRST SEEN. PLAC E A " 0 " O N T H E SAME CURVED l.INE TO SH O W H O W HIG H ABOVE TI~E HORI Z O,.. - H E PHE N O M E NON WAS WHEN l.ASf SEE N . 6 A . N O W IMAGIN E YOU ARE AT THE CENTER OF THE COMPASS ROSE. I'LACE AN " A " 0~1 THE COMPASS TO I NDICATE THE DIRECTION TO T H E PHENOMENON WME N FIRST SEEN . PLACE A a O N THE COMPASS TO INDICATE THE DIRECTION TO THE PHE N O MENON WMEN L AST SEEN . 7 . I N THE SKETCII OELO,.,, PLACE AN " A " AT THE POSITION O F THE PHf'NOM E N O N WMEN FIRST SEEN , AND A " 8 " AT T H E POSITIO N O F THE PHEri O M EH O N WMEN L AST SEEN . C0'4NECT THE " A " AND " B " WITH A LINE TO APPROXIMATE THE MOVEME N T OF' THE PHEN O MENON BETirEEN "A" A loi:J a . T H A T I<;, SCHEMATICALLY SHOW WHETHER THE MOVEMENT APPEARF.D TO tJE STRAIGHT, CURVED OR ZIG-ZAG . RFER TO SMALLER SKETCH A S AN EXAMPLE OF H O W TO COMPLETE THE LA!'t R SKI!:TCH . PACC: 2 OF 9 PAGeS a . WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (Check appropri4te block.t.) OUTDOOR S _V IN BUSINESS SECTION O F CITY IN BUILDING IN R ESIDENTIAL SECTION OF CITY \ / IN CAR 0 AS DRIVER Q A S PASSENGER IN OPEN COUNTRYSIDE I N BOAT NEAR AIRFIELD I N AIRPLANE: 0 AS PILOT J AS PASSENGER FLYING OVER CITY F'L YING OVE:R OPI!:N COUNTRY IF YOU WERE IN A VEHICLE. COMPLETE THE FOLLOWI N G : WHAT OIAI!CTION WERI! YOU MOVING? HOW FAST WERE YOU MOVINGr DESCRI !YPI!: Otr VI!:HICLE YOU WERt!: IN AND TYPI!: OF ROAD. TERRAIN O R BODY OF WATE R YOU TRAVERSE0::0U~ING THE SIGHT I N G . STATE WHETHER WINDOWS O R CONVERTIBLE TOP WE R E UP OR DO'IfN . HOW MUC H OTHER TRAFFIC 'r!AS THER~ OlD YOU NOTiCE ANY AIRPLANES? nYES Ll];jNO. I F yEs. DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME OF SIGHTIN G THE PHENOMI!:NO N ANDWH E RE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHCNC'lt.~EilON. ). HOW LONG WAS THE PHEN 0)'4ENON I~ SIGHT? LENGTH OF TIME I \./ CERTAI I'f OF T I ME NOT VERY SUR E JUST A GUESS WAS THE ?HIEN O ... I!:Na.t 1 ... SIGH 7' ,CONTINUOUSLY? iA} YES 0 N O . IF ow 1/'oiOICATE WH!:THER THI S IS OUt!: TO YOUR ~ MOVI!:IOIE:H'!" O R T>te! M"A\IIOA 01 THE PHE:HOI4~0H. llNO OESCRI9E SUCH loiOV!!:ME:N T OR aEHAVIOR. INDICATE DISAP- : P~ARANC>;S O N ?PEVIOUS .3KI!:TCHE:!5. PAGE 3 OF 9 PACES 10. IF T HERE WERE MORE THAN ONE PHENOIIIEN O N , H OW MANY WERE THERE? ORAW A PICTURE TO SH O W H O W THEY WERE 010 THIS ARRANGEMENT CHANGE DURING THE SIGHTING? CONDITIONS (Chec k appropriate blocks.) CUMULUS CLOU DS ( l..ow fluffy) FOG OR MIST CI"'RUS CLOUDS ( High fleecy or Herring H E AVY RAIN LIGHT RAIN OR DRIZZLE CLEA R NIIIIBUS CLOUDS (Rain) PARTLY CLOUDY CUIIIULONIMBUS CLOUDS SNOW OR SLEET COMPLETI!:LY OVERC4ST (Thunderslorlft.J) HAZE O R SMOG N O N E OF THE ABOVE \( C . I F THE SIGHTING WAS AT TWILIGHT O R N IGHT. WHAT DID YOU NOTICE ABOUT THE STARS ANO MOON 1 BRIGHT MOONLIGHT NO MOONLIGH T MOON WIT H HALO MOON HIDDEN BY CLOUDS lllril11111 PARTIA L (New or quarter) D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE1 QvEs 0 N O . IF yEs, WHERE WAS THE SUN A S YOU FACED THE PHI!:NOMENO N I IN FRONT OF YOU TO YOUR R IGHT OVERHEAO(Ne ON I N BACK CF YOU T O YOUR LEFT E . SPECIFY rHE M A J O A SOURCE OF ILLUMINATI O N PAESENT DURING TH!:: SIGHTING, SUCH AS THE SUN , H EADLIGHTS OR STRI!:E7 LAMP,'!'~. 1"0~ T!!:AR~STRIAL ILLU M INATION, SPECIFY DISTANCE 70 LIGHT SOUR C E . 12. GIVE A I!II'OI!!:F ~!:!CliiDTIOH OF ;:"HE PHe N 0/14!:NON, INDICATING WMETH!::P. !':"APPEARED ARK OR LIGHT, WHETHER I T ~!!FL!:c-eo '.IC H "!' 0~ WAS SELi"LUMt,.OUS ,.NO W~AT COLO R S YOU loiOTICZO.' DESCRIBE YOUR IMPRESSION O F WHETHER IT W"S SOLID 0 ~ T""'1>4'P.AREHT, lNHET-.E R ~OGES WERE SHARD 0~ "'U:!:!Y O l::SCq13E THE SHAPE O R I NDICATE I F IT APP!!:ARf:::l AS A "'OIN T 0 1' LIGMT . DICATE CO,...PARISON S WITH OTH!O~ ::>aSERVED OBJECTS, LIKE STARS, A LIGHT OR OTHER ::ll!IJECT j -. "OUR ,.IELO 01"' VIE ... P.AGE 4 OF 9 PAGES MOVE I N A STRAIGH T L INET STANO STILL AT A NYTIM E ! D I D i H E PHC::N ONIENON SUDDE NLY SPEED UP A N D RUN AWAY' if BRE A K UP I N PARTS AND EXPLODE? C H A NGE COLOR? IVE OFF SMO K E ' C H A N G E BRIGHTN E SS' HANGE SH A P E 1 FLASH O R FLIC K E R 1 ./ DISAPPEA R A N D R E A P P EAR' \/ SPIN L I K E A TOP! V MAKE A N O I SE ! V FLUTTER OR WO BBLE? 14. WHAT DR E W YOU R A T T E NTIO N TO THE PHE NO ME N O N ? B. D I D -'1E pw::~O'-IE~O'-"40VE 3'::'111'10 OR IN FRON 7 O F SOM E T H I NG, - IKE A Ct..':>UO, TREE, OR BUil.DI N G AT ANY TIME? l3 YES 0 t.O. I F "YES, ' D:OSCRIBE. I PAG E S OF 9 PAGES 15. DRAW A PICTUnE THAT WILL SHOW THE SHAPE OF THE PHENOM E N O N . I NCLUDE AND LABEL ANY D ETAILS THAT MIGH T HAVE APPEARED A S WINGS OR PROTRUSIONS, AND I NDICATE E-<HAUST OR' VAPOR TRAILS. INDICATE BY AN ARRO W THE DIRECTION THE P H E N O MENON WAS MOVING. E 6 OF 9 PAGES 17 . 010 YOU OBSERVE THE PHENOMEN O N THROUGH ANY OF THE F0l.l.O'/IINC7 INCLUDE INFORMATION ON MODEl., TYPE, Fll. TER, LENS PRESCRIPTION OR OTHER APPLICABLE DATA. EYEGLASSES CAMERA VIEWER SUNGLASSES BINOCULARS WI NOSHIEl.O SlOE WINDOW OF VEHICLE THEODOLITE WINDOWPANE OTHER A. DO YOU ORDINAR ILY WEAR CLASSES? DYES IEJ NO B. 00 YOU USE READING Gl.ASSES7 18. WHAT WAS YOUR I MPRESSION OF THE SPEED OJ:.-ifHE Bh 19. WHAT WAS YOUR IMPRESSION OF THE OISTANC~ PHEN O ME N O N ? GIVE ESTIMATE OF DISTANCE 0 , PHENOMENON? GIVE ESTIMATE OF SPEED ? ')7] . 20. IN O RDER THAT WE MAY OBTAIN AS CLEAR A PICTURE AS POSSIBLE OF WHAT YOU SAW, DESCRIBE IN YOU R O WN WORDS COMMO N O BJECT O R OBJECTS WHICH , WHE N PLACED IN THE SKY, SIMILAR TO WHE R E YOU NOTED THE P H ENOMENON, OULD BEAR SOME RESEMBLANCE TO WHAT YOU SAW: DESCRIBE SIMILARITIES AND DIFFERENCES BETWEEN THE COMMON OBJECT A N D WHAT YOU SAW . . 21. OIC YOU NOrtCi': \NY ODOR, N O I SE, OR HF.AT '-'MIATIN G FROM T"'E PHENO ~ENON O R ANY AI-41"',0.LS 0~ I1P.'.;Iil t1 EQV IN THE VIC!NtTv EFFECT O N YOURSELF, A . DID THE PHENOM ENON DISTURB THE GROUN D OR LEAVE ANY PHYSICAL EVIDENCE. DYES [ij NO. IF "YEs, DESCRIBE. ? AC.E 7 OF 9 PAGES 23. WAS ANYONE WITH YOU AT e!J YI!:S 0 NO. NO. IF v!!:s,~ Cilllt!: OAT!: AND HI! PHI!:NOMI!:HONf ('] Y!: 0 NO. IF ye:s, 010 THI!:Y Sl!l: IT TOO? GIVE TH!: FOLLOWING INFORMATION A&OUT YOURSf:LF N AND ANY EXPI!RII!NCE WHICH MAY Bl! PI!RTIHI!NT. YOU HAD SIGHTED THIS PHEHOIOII!HON? OAY'..Jf t.:? \) ,..;'LmvNTH COioiPL.ETEO THIS QUI!STIONNAIRI!. llli'I.Y TO DEPARTMENT OF THC: AIR FORCE HEADOUARTER5 FOREIGN TECHNOL.OGY DIVISION I AFSC) WRIGHTPATTERSON AIR FORCE BAS E O HIO 4~433 'I'D PI' ( UFO) UFO Observation Rego Park, Nev York ll379 Reference your recent unidentified flying objec t sighting Yhich you reported to the Air For ce . The information Yhich ,..,e have rcceiv~d is not sufficient fer R scientific investigetion. Request you complete the nttached AF Form 117 and r eturn it in the self- addressed envelope. Tha you for reporting your observation to the Air Force. ~CTOR QUI~ITANILLA, Jr, Lt Colonel, USAF ~Ch1ef, Aerial Pheno~ens Office Aerospace Technologies Division Produ~tion Directorflte AF Form 117 w/envelope AFR ~17(Cl) SIGHTING OF U~IDEIHIFIEO PHE~<4HA QUESTI0)4'lUlRE BUDGET 11/U.AU AP!'!IOYAL NU/IIBE'l 2 l -IJH THI S QUESTIONNA1RE HAS BEEN PREPARED SO THAT YOU CAN GIVE THE U.S. AIR FORCE AS MUCI-! INFORMATI0:-1 POSSIBLE CO!IICERNlNG THE U!IIIDENTIF!ED PHENOMENON THAT YOU HAVE O BSERVED. PLEASE TRY TO ~NSWER ALLJ OF THE QUESTIONS. THE INFORMATION YOU GIVE WJLL AE U SED FOR RESEARCH PURPOSES. YOUR NA.\1E Wlrar NOT BE USED IN CONNECTION WITH ANY OF YOUR STATEMENTS OR CO~CLUS!ONS WITHOUT YOUR PERMlSSI N. RETURN T O AlR FORCE BASE INVESTIGATO~ FOR FORWARDING TO FTD (TDETR), WRIGHT- PATTE RSON AFB, OHIO 45433, I A'N AFR 80-f7. (IF ADDI T I ON!. f.. SHEETS ARF; NEEDED FOR NARRA TIVF. OR 8i<ETCHS A TTIICH SECURELY TO THIS FORM Ot~ ANNOTATE WITH YOUR NAME FOR lDENTIFICA TION.) 1. WHE N DIO YOU SEE THE PHEN O M E NON> CAY MONTH ~ YEAR L~t.tf_ 2 . WHAT TIME DIO YOU FIRST SIGHT THE PHEN0104E NON1 3 . WHAT TIME DIO YOU LAST SIGHT THE PHENOM ENON> r::J DAYLIGHT SAVINGS ' 0STANDARO ID EASTERN 0 CENTRAL 0 MOUNTAIN S. WHERE WERE YOU W~OU SAW THE PHE NOMEN O N > IF IN CITY, GJVC: THE N EAREST STREET A DDRESS A~IO I NDICATE O N HAND DRAWN MAP W E E YOU WERE STANDIN G WITH REFERE NCE TO THE ADDRESS. I F IN THE COUNTRY. IDENTIFY THE4 HIGHW~Y YOU WERE N ~NEAR A N D T R Y TO FIX A DISTANCE AND DIR ECTION FROM SOM E RECOGNIZ ABLE LANDM A R K . . 6 . IM~Cil~tE Y O U 4\HE A r THE POIIoli S-10"NN I N 'TH!:: SKETCH, PLAC E AN " A " O N THE C U R V E D L INE TO SHO W HOW HIGH THE PHENOME I O N WI'S ABOVE THE Y::~IZON, O R S'<YLINE. WHE N FIRS T SEEN . PLACE A a ON THE SAME CURVEO LINE TO SHOW H O N HICH ABOVE THE H.:;., : :'< -'1~ PH::NOM E N O N WAS WHEN LAST SEEN . Rego Park, Y. Dear Ilajor Hector Quintanilla , J r., I am ~rriting you about a U. F . O. incident that happened to me about ~ month ago. It was a cle~r day, bright-and sunney. I was w'3.lking along my !3.lley , wh en my attention w1.s dr~wn to a bright shiney object in the sky. It was about 250 ft. i n the air , and about 100 ft. away f r om me. It couldn' t have been a plane or jet because i t made no sound wh~tsoever. There was one thing v ery str~nge, befor e it dis1.ppe~red i t let out a l'3.rge column of smoke. ~ould you ple~se nrite me ~nd tell me wh~t t his thing is. Th,nk You. SAF-CICC/Miss Turnure/76526/June 27, 1968 Dear Mr. - Without additicmal. information, ve cannot otter an . explanation of what you sav. However, if you Y1lJ. compl.ete the attached questionnaire and maU 1 t in the inclosed. envelope, our techn1 cal. people at Wright-Patt~rson Air Forc e . Base wi..U. be able to investigate fUrther and make a n e"V"alu.ntion. Whould y ou ever sight. soother OJ'O, ple~se report it a s soon as possible to tha nearest Air J'orcfl base.. Eac h base bas a Uiu investigator, vho is in a better po!Ji tion to make an on-the~ epot investigation,. whic:b usually reaulta tn a more accur8t.e. &OPJyai s .. In the. meant1me,.. you. might be abltt to ident.i!':f the s1ghtjn g yourself by looking at the categories of object often reported as UFu' s 1n the Proj ec~ Blue; Book. r ep.)%'t we sent yo u on J\m& 2 0 ~' .1968. gc-Park., New York 11379 ~ ~rd Cy .-SAFOICC" C::ibk Cy :-~SAF-CIC- Activity-CT ~ SAF""-C.I C Reader C)c.-SAF-CI~ SAF=OICC/Miss Turnure/76526/June 25, 1968 This wil.l reply to your letter dated January 22, 1968, in wb:tch you recommended that orders be issued t o shoot dowu any w:dden'cj,j'j ed f l ying object (Uro) that would not communicate. We must decline to follow your reco.rm:oe:.ndai.:ion for a number of reasons. Of all sightings re90rted, the vast majority have beco natural objects such as stars, me-teor s , sa~ellites, and b~lloons; it would be-infeasible t o shoot down the first thlee categories