13. SOURCe ' F MSER OF OBJECTS !>. LENGTH OF OBSERVATION FIVS 1-:INS 2. LOCA TIC~ P: .eJeCT 10073 R::co~o 10. COI'o:CLUSION PR03A3IE /,IRC~.~'I' 11. BRIEF SUMMARY AND A~ALYSIS The observer sighted an egg chapeG Object that had a blue ---------------------~light on it and also four red lights that foru:ed a squar e . ! 6. TYPE OF OBSERVATION ~he witness, but he has tr.e Sco::-:-c) ~a. ?rlOTOS ;1.;1. ~AVI ~ lo:V\!" Cit nus 0 .. A llllltLAJII ,_,.!:"Oillt:'lltO,. li&II'Ol'Ml? Yc!l> L OCATION. 23. WAS ANYOH!l WITH YOU AT THE TilliE YOU SAW THE PHf:NOIIIir\ltOH1 m YIU ffi VIES 0 NO. A. LIST THI!:I,. HAIII'lS AND AOOIU:SSI!S IIKJ, Ill' Y!.$ , " GIVE OA T E ANO >40. IF "'YES, 010 TH!OY S E E IT T OO' GIV~ THE FOLLOWING INFOI't TION ABOUT YOU~SIELF ,.. I,.ST NAill!:, NIOOI.Il INOICATI!: AOOITIOHAL IH"O"IIIATION INCLUOitoiG OCCUPATIO)ol AND AHY l!XPE .. IIINC!l WHICH NAY BE P ERTI N E NT. () ccv('A!!GIV 2!1. WHEN AHO T O '-'HOjll 010 YOU Rf:PO"T THAT YOU H A O SIGH TEO THIS PH!!:HONI!NON1 ( Z6. O AT!: YOU COiolPLETi!O THIS QU!:STIONN41Af:. P A G E 8 O F 9 PAGES S U 8 J ICT D EPARTME N T O F THE AIR FORCE HEADQUARTER S FOR EIGN TEC HNOLOGY DIVISIO N I AFSC I WRIGHT -PATTERSO N A I R F O R C E B A SE: O HIO 4~433 TD?I' (UFO) UFO Observatio~ 28 J une 1968 Reference your r e cent unidentified flying object s ighting which reported to the Air Force. The information whic h we have ecei ved i s not suffi c i ent for e. scientifi c investigation. Request you complete the nttoched AF Form 117 and return it in the self- ressed envelop e . Thank you f o r r eporting your observation to the Air Force. , r, Lt Colonel, USAF hief, eria l Phe nomena Office Aerospace Tec hnologies Divisi on Production Dir ector ate fu.. T..~otO_ ~Ou. llGi.x: AF Form 117 w/envelope DEPARTMENT OF THE AIR FORCE HEADQUARTERS FOREIGN TECHNOLOGY DIVISION I AFSC I WRIGHT-PATTERSON A I R F O R C E BASE OHI O <65<633 TD?I' (UFO) UFO Observation, 28 June 1968 Dayton, Ohio 45432 'JUL 3 ij b:J Reference your r e ce nt unidentified flyin g object s i ghtiug \-lhich you reported to the Air Force. The information which we have r eceived i s not suffi cient for e. scientific investigction. Request you complet e the nttnched AF Form 117 and return it in the self- ressed e nvelope. Thank you f or reporting your observHtion to the Air Force. CTOR QUINTANILLA, Jr, Lt Colonel, USAF hief, Aerial Phenomena Office Aerospace Technologies Division Production Dir e ctorate AF Form 117 w/envelope SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE BUDGET BUI~AU ~f.OV~ NUJIBEI liUII THIS QUESTIONNAIRE liAS OEEN P REPARED SO TIIAT YOU C AN GIVE THF U. S. AIR FORCE AS MUCII INFORMATIO N IBLE CONCERNING THE UNIDENTIFIED PHEN OMENON TIIAT YOU HAVE OOSERVED. PLEASE TRY T O ANSWER ALU OF TilE QUESTIONS. T H E INFORMATION YOU GIVE WILL OE USED FOR RESEAR C H PURPOSES. YOUR NAME WlLJ,. NOT BE USED IN CONNECTION WITH ANY OF YOUR STATEMENTS OR CONCLUSI ONS WITHOUT YOUR PERMISSidN. RETURN TO AIR FORC E BASE INVESTIGATOR FOR FORWARDING TO FTD (TDETR), WRI GHT- PATTERspN AFB,OIII 0 45433,1AW AFR80-i7. (IF ADDITIONA L SHEF.TS A RF. NEEDF.D FOR NARRATIVE OR SKETCHES ATTACH SECURELY TO THIS FORM OR ANNOTATE WITH YOUR NAMF. FOR IDF.NTI F ICA TION. ) 1. WHE N OlD YOU SEE THE PHEN O M E N O N ? 2 . WH-'T TIM E 010 YOU FIRST SIGHT THE PHENO M E N O N > 3 WH-'T TIME 010 YOU L AST SIGHT THE PHENOM E N ON> 4 . TIM E ' ZONE DAYLIGHT SAVINGS []CENTRAL 0 MOUN T A I N MONTH , /v ,./ C []STANDARD D PACIFIC [1 OTHER 5 . WHERE WERE YOU WHEN YOU SAW THE PHENOMEN O N > IF I N CITY GIVE THE NEAREST STREET ADDHESS AND INDICATE O N A HAND oqAWN MAP WHEqE YOU WERE STANDIN G WITH REFERE NCE TO THE ADDRESS. IF IN THE O::OUNTRY, IDENTIFY TH!: HIGHWAY YOU WERE O N O R NEAR AND TRY T O FIX A DISTANCE AND DIRECTI O N FROM SOM E RECOGNIZABLE LANDMARK. 6 . IMAGIN E YOU ARE AT THE POINT SHOWN IN THE SKETCH, PLACE AN ' A ON THE CURVED LINE TO SHOW HOW HIGH THE PHEN O MENON W AS ABOVE THE HORIZON , OR SKYLIN E WHEN F IRST SEEN. PLACE A 9" O N THE SAME CURVED LINE TO SHOW HOW HIGH ABOVE THE HORIZO N THE PHEN O M E NO N WAS WHE N L AST SEEN . OBSERVER .. tA. N OW IMAGINE YOU Al'll! A TH!: CENT! .. OF THE COMPASS R09!!. P l ACE AN "A" O N TH[ COMPASS TO INOICATE THE DI .. !CTION TO TH! PHEN OMENO N WHEN FIRST SE!N. PLACE,. tr ON TI-lE COMPASS T O INDICATE THE OIAI!:C TION TO THE PHENOM!HON WHN LAST S!:EN. 7 . IN THE SKETCH BELO W, PLACE AN "A" AT THE POSITION OF' THE PHEN O MENON WHEN FIRST SEEN , ANO A a AT THE POSITION OF' Ttl PHENOMENON WHEN LAST SEEN. CONNECT THE A ANO a WITH A LINE TO APPROXIMATE THE MOVEMENT O F THE PHENOMENON BETWE!:N A ANO a . THAT I S, SCHEMATICALLY SHOW WHETHER THE MOVEMENT APP!:ARED TO BE STRAIGHT, CU .. VED OR ZIG-ZAG. REFER TO SMALLER SKETCH AS AN EXAMPLE OF HOW TO COMPLETE THE LARGER SKETCH. PAGE 2 O F 9 PAGES AFR R0-17(Cl) WHERE WERE YOU WHEN YOU SAW THE PHENOMENON' blnrk ,<.} USI N ESS SECTIO N OF' CITY R E SIDEN TIAL SECTI O N OF' CIT Y IN C A R 0 A S DRIVER 0 A S P ASSEN GER IN O P E N COUNTRYSI D E N E A R AIRFIELD IN A IRPLANE 0 A S PILOT 0 A S PASSENGER FLYIN G OVER CIT Y F' LVI N G OVER OPEN COt.:NT R V A . IF Y O U WERE I N A VEHI CLE, PLET E THE F O LLOWI N G Wt-4 A T DIR E CTION WERE YOU MOVIN G ' HOW F A S T WE R E Y O U MOVING? SOUTH WEST DID YOU ST O P ANYTIM E WHILE O BSER V I N G THE PHEN O M E N O N ? N ORTH WEST EXPL A I N WHETHER SUCH MO V E MENT AFFECTS YOUR SKETCHES I N IT E MS S AND 6 . DESCRIBE TYPE OF' VEHICLE YOU WERE I N A N D TYPE OF' R O AD, TERRAIN OR BODY OF WATE R YOU TRAVERSED DURIN G T H E SIGHTIN G . STATE WHETHER WI NDOWS O R CONVERTIBLE T O P WE R E UP OR DOWN . UCH O T HER TRAFFIC WAS THERE' 010 YOU NOTICE ANY AIRPLANES! ~YES 6.N O . I F "YES, " DESCRIBE WHEN THEY WERE I N SIGHT RELATIVE TO T H E TIM E SIGHTING T H E P H E N O M E NO N AND HERE THEY WE RE"-I N THE SK Y RELATIVE T O THE POSITION OF' THE PHEN O M E N O N HOW LON G WAS THE PHEN O ME N O N I N S I GHT' LEN G T H OF' TIME CERTAI N OF' T I ME VERY SUR E F AIRLY CERTAI N JUST A GUESS H O W WAS TIME DET ERMINED> WAS THE PHE N O M E N O N I N SIGHT CONTI NUOUSLY' [:I YES 0 N O . IF " NO." I N D I C ATE WHETHER T HIS IS DUE TO YOUR OVEMENT OR THE B E H A V I O R OF THE P H EN O M E NO N , AND DESCRIBE SUCH MOVEME N T O R BEHAVIOR. I NDICATE DISAc:>. PEARANCES O N P REVIOU S SKETCHES. PAG E 3 OF 9 P A G E S 10 . 1F THERE W!:~ E MORE TIHN ON!:. PH~N~Holf.1'40N, UOW MANY WE~f. TIIC.R E ? QR,,W A PICTURE TO SHO W H O W THEY WERE A~ .. ANQI!:D. DID THI S A ANGf:MI!NT CHANGt: DURING THE SIGHTING 11. CONDITION S (Cileck appro p r i rHt: hlorlts. J 11">A Y CUMULUS C LOUDS (l.nw fluffy) FOG O R MIST V TWILIGHT CIRRUS CLOUDS(I/illl/leuy or llt:trin1 HE.-V Y R I<IN ---------------j NIGHT bone) L IGHT RAI N OR DRIZZLE ./ C LEAR NIMBUS CLOUDS (Roi" ) HI<IL PARTLY CLOUDY CUMULOtHMBUS CLOUDS 5 N O W O R SLEET COM P LETELY OVERCAST (ThWiderstorrn.s) HAZE OR SMOG N O N E O F THE ABO '/E C . IF THE SIGHTING WAS AT TWILIGHT O R NIGHT, WHAT DID YOU NOTIC E ABOUT THE ST A R S AND MOON> ../ UNKN OWN BRIGHT MOONLIGHT MOON WITH HALO MOON H IDDE.N B Y CLOUDS PARTIAL (New or quarter) U N K N OWN D. IF SIGHTING "AS I N DAYLIGHT, WAS THE SUN VISIBLE! 0 YES 0 NO. I F vEs, WHERE WAS THE SUN A S YOU F ACED THE PHENOM E N O N > IN FRONT O F YOU TO YOUR RIGHT OVERHEAD (Near noon) IN B A C K 01" YOll T O YOUR LEFT E . SPECIFY THE MAJOR SOURCE O F ILLUMINATION PRESENT CURING THE SIGHTING, SUCH A S THE SUN, HEADLIGHTS O R ST"EET LAMP, t!:TC. F O R TE .. RESTRIAL ILLUMINATION, SPECIFY DISTANCE T O LIGHT SOURCE. 12. GIVE A BRIEF DESCRIPTION O F THE PHEN OMENO N , INDICATING WHETHER IT APPEARED D ARK OR LIGHT, WHETHER IT REFLECTE D L I GHT O R WAS SELF - L U MI NOUS AND WHAT COLORS YOU NOTICED. DESC RIBE YOUR I MPRESSION OF WHETHER IT WAS SOLID O R TRANSPARENT, WHETHE"l EDGES WERE SHARP O R FUZZY. DESCRIBE THE SHAPE O R I NDICATE IF' IT APPEARED t.S A P OINT OF LIGHT. I NDICATE COMPARI SONS WITH OTHER OBSERVED OBJECTS, LIKE STARS, A LIGHT O R OTHER OBJECT I N YOUR FIELD O F VIEW. PAGE 4 O F 9 PAGES DID THf: PHENOMENON MOVI!: IN A STRAIGHT LINE? STANO STILL AT ANYTI ME SUDDENLY SPEED UP AND RUN IIRAK U~ IN PARTS AND EXPLODE? CHANGE COLOR? GIV OFF SMOKE? CHANGE l!IRIGHTN ESS? CHANGE SHAPE? FLASH OR FLICKER? DISAPPEAR ANO REAPPEAR? SPIN LIKE A TOP? MAKE A NOISE? FLUTTER OR WOBBLE? 14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON? A . HOW DID IT FINALLY DISAPPEAR? ?el-st; e L YES N O UNKNOWN 8. DID THE ~OMENON MOVE BEHIND O R IN I'"RONT 01'" SOMETHING, LIKE A CLOUD, TREE, O R BUILDIN G AT ANY T IME 0 YES O. IF vEs, DESCRIBE PAGE 5 OF 9 PAGES 15. DRAW A PICTURE THAT WILL SHOW THE SHAPE OF THE PHENO MENON. I N CLUDE AND LABEL ANY DETAILS THAT MIGHT HAVE APPEARED A S WINGS O R PROTRUSIONS, A N D INDICATE E.JtHAUST O R VAPOR TRAILS. INDICATE BY AN ARROW THE DIRECTION THE PHEN O MENON WAS MOVING. 16. WHAT WAS THE ANGULAR SIZE? HOLD A MAT C H AT A R M' S LENGTH IN FRONT O F A KNOWN O BJECT, SUCH A S A STREET LAMP OR THE MOON . N OTE HOW MUCH OF THE O BJECT IS COVERED BY THE HEAD OF THE MATCH. N O W IF YOU HAD BEEN ABLE TO PERFORM THIS EXPERIMENT AT THE TIM E OF THE SIGHTING, ESTIMATE WHAT FRACTION O F THE PHENOMENON WOULD H AVE B EEN COVERED BY THE MATCH HEAD. PA G E 6 O F 9 PAGES AFR H0-17(Ct ) 17. DID VOU OBSERVE THE PHEN O M E N O N THROUGH ANV OF THE FOLLOWIN(P INCLUDE INFORMATION O N MOOEL, TYPE, FIL TEA, LtNS PRESCRIPTION OR OTHER APPLICABLE DATA. C AMERA VIEWE R BINOCULARS EYEGLASSES SUNGLASSES WINDSHIELD SIDE WINDOW O F VEHICLE THEODOLITE WINDOWPANE A . Do vo u oR D_I_N_A_ R_ I L_ v_w_e:_A_R_G_L_A_s_s_E_s-,---=o=-_v_E_s-=r.a::. 7'N'-o--t-B-. _D_.o_ v_D_u_u_s_E-;-E AD 1 N G GLAssEs;----[] y E:s ~ o WHAT WAS YOUR IMPRESSION OF THE SPEED O!THE~ 19 WHAT WAS YOUR I MPRESSION OF THE DISTANC E {f'!J,H&:, PHEN O MENON' GIVE ESTIMATE O F DISTANCE L~t 'C! PHEN O ME N O N ' GIVE ESTIMATE O F SPEED {-"" S T 20. IN ORDER THAT WE MAV OBTAIN A S C L EAR A PICTURE A S POSSIBLE OF WH A T YOU S A W. D E SCRIBE IN YOUR OWN WORDS A COMMON OBJECT OR OBJECTS WHICH, WHEN PLACED IN THE SKV, SIMIL A R TO WHERE YOU NOTED THE P H E N O M E N O N , OULD OEAR SOM E RESEMBLANCE TO WHAT YOU SAW. DESCRIBE SIMILARITIES AND Dl FFERENCES BETWEEN T H E COMMO N OBJECT AND WHAT YOU SAW. 21. DIOVOU NOTICE ANV ODOR , NOISE , OR HEA T EMANATING FROM THE PHE N O MENON O R ANY EFFECT ON YOURSELF, ANIMALS OR MACHI NERY I N TH:;' VICINITV1 g'VES 0 NO . IF "YES, ' DESCRIBE. A , DID THE PHENOM E N O N DISTURB THE GROUN D OR LEAVE ANV PHYSICAL EVIDENCE. Ll YES UNO. IF yEs, DESCRIBE. P AGE 7 OF 9 P A GES 22. HAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENON BEI"O,.E? YIU NO. "YES, " GIVE DATE AHO Zl. ~ANYONE WITH YOU AT THE TIME YOU SAW THE PHENOMENON? EJ"YES 0 NO. IF YES, " 010 THEY SEE IT T001 ~YES 0 NO. 24. G I V E THE FOLLOWING INFORMATION ABOUT YOURSELF NCLUOING OCCUPATION AND ANY EXPERIENC E WHIC H MAY BE PERTINENT. 15. WHEN AND TO WHO M DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON? DAY M ONTH 26. DATE YOU COMPLETED THIS QUESTIONNAIRE. DAY MONTH YEAR PAGE 8 OF 9 PAGES 27. INFO~MATIOH WHICH YOU FEE L I S PERTIHI:HT BUT WHICH I I NOT AO~QUATLY COV E I'IEO I N THIS QUESTIONNAIRE, AL TEI'IHATIV!:LY PROVIOE A NAI'II'IATIV!! I!:XII"LANATIO H 0, THI!: :OIOHTIH O . /-jJII !J !-1 /f fJ A cA fV/5" 10 o vvtV V\J 1 YV I HJoi-!FR uf)~/Gh~ /JtV/J 1/~Ei'- f;J !IJ F-'S C< l .: Y o v co JL f) PAGE 9 OF 9 P A C E S ,.E,.LY TO I U 8 J I C T r DEPARTMENT OF THE AIR FORCE HEADQUARTEIItS F OREIGN TECHNOLOGY DIVISION CAF"SCI WRIGHTPATTERSON AIR F O R C E BAS