t'r<UJ.::L.I IUU/J t<t:L.Ul<U 1. LOCATION ~ 11. NlhA8E"::\ O F OBJECTS 5 . LENGTH OF OoSERVATION 10, CONCLUSION I!;SUFFICIEKT DATA FOR EVAWAT ION 11. Bi\IEF SUMMARY AND ANALYSIS "server sighted a bright white light about the same brillia nce 6. TY?:: Or OBSERVATION ...J.,.,vU-,:.J-' J.i::l '-'.:SXT3 : A Form 117 was sent to the observer but hasn't been t--------------~-e\::.1:-:-.ed ns of 5 Sept 63. Hm.:eve r it could be eithe r a tellite or an aircraft. (There wa~ an airplane with a at-c.lE:field illum. lightine; syste m in the Dayton area i n r------------------------La":. :.~r July). Ho,ever, because the observer did not ?HOTuS ::~rn the f orm "'i tin 30 days the sighting is being evalua ted 9. ? HYS1::-''-E V IDENCE s insufficie nt data. fTD SE P : 0-229 (TOE) p"" .. '"'u ~cil:.;ooe ot \hh f orm toAY b. u .. d. (]NO. I F "YES.~ GIVE DATE AND 22. HAVE YOU EVER SEEN TI-llS OR A SIMILAR PHENOM E N O N 9EFORE7 23. WAS ANYONE "/liT H YOU AT THE TIME YOU SAW THE PHEN O M E N O N > QYES QYES 0 NO. . I F "YES, DID THEY SEE IT TOO? A. LIST THEI R 'I \>.~::SAND ADDRESSES GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF G OCCUPATION AND ANY EXPERIENCE WHit;H MAY BE PERTINENT. 25. WHE N AND T~ v -;;v 010 YOU REPORT THAT YOU HAD SIGHTED THI S PHEN O M ENON? :!6. DAT E YOv ::;Oir'"'~:TC:::l THIS QUESTIONNAIRE. PAGE 8 OF 9 PAGES DEPARTMENT OF THE AIR FORCE HEADQUARTERS F O REIGN TECHNO LOGY DIVISION I AFSC l WRIGHT.PATTERSON A I R FORCE BASE. OHIO 4!5433 TDPT (UFO) -~servation , R::e~ence your recen~ unidentified flying object sighting which yo; reported to the P~r Force. The information which we have re:eived is not sufficient for a scientific investigation. Request yoL complete the attac he d AF Form 117 and return it in the self- addressed envelope. Thcmk you f or reporting your observa t i on to \.he Air Force. ~CTOR QUINTANILLA, Jr, Lt Colonel, USAF ''Chief, Aerial Pheno~ena Office Aerospace Technologies Division P~oduction Directorate AF Form 117 w/envelope I I ,II' I SIGHTING OF UNIDENTIFIED PHEHOMEHA QUESTIONMAIRE /JUDCJ::T IIUHr:AU APPROVAL TillS QllESTIO:-l:-11\mE liAS l3 E.EN l'l~EPM~ED SO TIIAT YOU CAN G IVE THE U.S. Am FOI~CE AS MUCII INFOI lATION AS P0"SiHLt: CO:>:CE!xNING TIIF: UNIDENTIFIED PIII:NO~IEN0:-.1 TIIAT YOU HAVE onSI-:RVE.Il. PLEASE TRY TO A:-ISWF.R \~L OF Til QUJ-:STI O>:S. TilE INFOHi\IATION YOU CIVF. WILL UE USED FOI~ rn:SEAI<CII PUI~PO~)ES YOUR ~r\~1 \\1LL NOT UE USED I N CONNF.CTION WITII A':'IY OF YOUR STATEMENTS 01~ CON CLUSIONS WITIIOUT YOUR F'r:~t::-. y:-.:. I~ETUI~N TO J\11~ FOI~CE. HI\SE INVESTIGATOI~ FOI~ FORWAIWING T O FTO (TDETI~). WR I<a!T- p ATTC:RS:'-:. ?o, OH I 0 4 5 433, I AW AFR 80-i7. (I P AD/)1 TIONA!. SHEETS ARE NEJ::DF0 FOJ? Nil mu, Tl VI: OR Sf\ F.TCIII~S !. TT.iC'P .::::--!":F: }' TO TfJIS POn.\1 or~ ANNOTATF. WI Til l'OUI? NAMF. F O R l{)i':NTIFICATION.) 2 ',\.., :,T-.. ;: ::liD YOU F IRST SIGHT,,_.;: PHENO M E N O N ' MINUTES _:sG, J l'tHAI - -..,-::DID YOU L AST S I GHT THE PHENOMENON ' U D AYLIGHT SAVINGS [)STANDARD [j CCNTR.t.L 0 MOUNTAIN []PACI FIC [_!OTHER 5 WHE,<~ . v: '>E Y O U WHEN YOU SAW T ..,'f: ?i-'ENOMENON' I F IN CITY. GIVE THE N EAREST STREET ADDRESS AND IND I CAT!c 0 11 /JHE~E YOU WER:O i'TANDING WITH RErERE NCE TO THE ADDRESS. I F IN THE COUNTRY, IDENTIF Y THE HtG;;w;.-. ''OU W ERE ON OR NEAR I.NO TRY TO FIX A OISTAN FROM SOM E RCCOGNIZAOLI:: LANDMARK. S "'~Gt-.::: v,:. ARE AT THE POINT S-:>h"l Iii THE SKETCH. PLACE AN "A' ON THE CURVED LINE TO SHOW HOW HIG~t THE <>'-i!.._J'~::: ,')N WAS ABOV E THC H~o:oN. O=> SKYLINE WHE N FIRST SEEN. PLACE A !3" O N THE SAM E CURVED LIN E TO ~-'')" f-:"' -t~H ;.30V E THE HO~t:.J'i 7~E ?HEN OMENON WAS WHEN LAST SEEN . OBSE-!VER .-Y N O W IMAGINE YOU AHC AT TH!: CEN Tl': OIHrCTION TO THE PH!::N':IM!:NCN WHEN THF PHENOMENO'~ WHEN LAST SE!;N. OF THE COMPASS RO';F ~lACE AN "A" ON THE CO,APASS TO INDICATE TilE. FIRS r SEE.N. PLACF A " B " ON TilE COMPASS TO I~IOICATE THE OIRCCTION TO I 7. IN T~l SK E TCH I:IELOW, PLACE AN "A" AT THE I"OSITlvN OF THt.: PHENOM:.NON 'llhEtl FIRST SEEN, MIO A " 8 " A T THE: POSITION Oi' THE F'HEN O MENOII riHEN LA:>~ SE'2;1.;. CONNCCT TH "A AND a~ WITH A LINE TO APPROXIMATE THE MOVEME:"'T 0"' THE PHEI IOMENON SETWE~N "A" A~ID " 8 " . 1 HAT I S, SCHEMA1'1CALLY SHOW WHETHER THE MOVEMENT AP?ZAnEO TC' ElE STR.'\IGHT, CURVED OR ZIG-ZAG. REFER TO SMALI.ER SKETCH AS AI EXAMPLE OF H O W TO COMPLETE THt: L 1\ilv F.R !i-<:ETCH. PAGE 2 OF 9 PAGES W HERE WE R E YOU WHE N YOU SAW THE PHENOM ENON? (CI~trk " l'l""l'riuLI blrwk-.) IN BUSINESS SECTION OF CITY IN BU:LDING IN RESIUENTIAL SECTION O F C ITY 0 AS DRIVER 0 A S PASSENGER IN OPEN C OUNTRYSIDE NEAR AIR F IELD IN B Ot..i OTHE =t \.,./ FLYING ~VER OPEN COUNTRY A. I F yo.(; WERE I N A VEHIC L E , COMPLETE THE FOLLOWI NG: :;: '"'!ECTION WERE YOU MOVING? ~tOW FAST WERE YOU MOVING? W~ST DID YOU STOP ANYTIME WHILE OBSERVIN G THE SO\J THW:::ST E XPLAI'I W-:':THER SUCH MOVEMENT A''FECTS YOUR SKE T CHES IN ITE MS S AND6. D!::SC RI3: - veE OF VEHICLE YOU WE~!:: IN A N D TYPE OF ROAD, T ERRf,IN OR BODY O F WATER YOU TRAVERSE D DURING THE SIG.._ ,:::;. STATE WHETHER WINO:''NS 0~ CONVERTIBLE TOP WERE U P OR DOWN. 1 o:J you NOT ICE ANY AIRPLANES' t\j?Es 0 No. IF "YEs. oEscRra E V.HEN THEY w E R E IN SIGHT REL~>.TIVE T O T H E TIME l OF SIGrHIN-:; THE PHENOMENON AND .Vn"::qE T HEY WER~ ~N :HE S~Y ,R,E.LATI~E TO 2HE :o;l;;,o N,... OF THE P~ENOM, O.N. 9. HOW LONG WAS THE PHENOMENON IN SIGHT? LENC'T'H o;:-T I"'E CERTAIN OF TIME OT V E R Y SURE FAIRLY CERTAIN JUST A G UESS J"'':w ;;;.s-~:: DETSRMINED> W AS r~=: : -:::-I::>MSNON IN SIGHT C O'<-'-UCUSLY> 'ffYc:s 0 NO. IF "NO," IND I C A T E WHETHE R THIS I S DUE TO Y O l l R 'I;)\ Ev;::; --::-;:; THE 3EHAVIOR O F 7 -'E ::>-E:N '.)\.JENON. AND DESCRIBE SUCH MO VEMENT OR BEHAVIOR. I N D I CATE DISAP. E:,=>ANCES 0~ ?REVIOUS SKETCHES. PAGE 3 Or 9 PAGES 10 . I F T HERE WERE T H.O. N ONE PHENO M E N O N , H O W M A N Y WERE THERE' DRAW A P ICTURE TO SHOW HOW T HEY WERE A RRANGED . DID THIS A RRANGEM ENT CHANGE DURING T H E SIGHTIN G> 11. CONDITI O N S (Check appropriat e bl<Jcks. ) W E A T HER CUMULUS CLOUDS (LolU fluffy) CIRRUS CLOUDS (lligh flet!cy or Herrin~: HEAVY R A I N RAIN OR DRIZZLE NIMa U S C L O U DS (Roin) HAIL I CUMULONIMBUS CLOUDS SN OW O R SLEET (Tiacnderstorms) H ~2 F. O R S MOG N O N E O F THE WAS AT TWILIGHT OR NIGrlT, WHAT DID YOU NOTICE ABOUT T H E ST A R S AtiD MOON 1 Eli'liGHT MOONLIGHT MANY MOON HIDDEN ooooooooooo .. OOO OOOOOOOOOOOooooooooooooooOOOOOOOOOO .. OOOOo P ARTIA L ( N e w or QU{Jrter) U"K'-C''-"to DAYLIGH',', WAS THE S:JN PHENO,_.EN 0t17 QYES 0 NO. WHERE WAS THE Y O U TO YOUR RI G H T OVERHEAO(Newnoon) YOU T O YOUR L EFT -S?ECIFY THE MAJOR SOURCE OF ILLUMINATIO N PRESENT DURING T H E IGHTING, S U C H A S H E ADLI G HTS STREET LAI-l?. E TC. T ERRESTRIAL ILLU M INATION, SPECIFY DISTANCE T O IGHT SOURCE. I 2 . GIVE :>:::SCRIPTIO N OF THE PI-' E N O MENON, I~IDICATING WHETHE R I T APPEARED LIGHT , WHETHER REFLS:T:::!:l '_ICHT O R WAS SELF- L U M I NOUS ANO WHAT COLORS YOU NOTICED. DESCRIBE YOUR IMPRES:ii O N OF WHETHER ::JLl:> 0~ TRANSPARENT,WHET R EDG~S WERE SHAR P OR fUZZY. DESCRIBE THE SHAPE O R INDICATE I F POINT O F LIGHT. IN:JICATE COMPA R ISONS WI T H OTHER OBSERVE D OBJECT S, LIKE OTHER 09J::::-IN YOUR F I E L D OF VI ~W. PAGE 4 OF 9 PAGES I 3. D I D THE PHEN O MENON IN A STRA:GHT LINE? STANDSTILL A.T .-.NYTIME7 SUDDENLY S?=:=:o UP AND RUN AWAY> BREAK U? 'k ?i\~TS A N D EXPLODE7 C H ANCE ::;o_Q<;>! e Cl-i A 'It;: ~!-.0 REAPPEAR' FLUTT'::"' :"'<WOBBLE? 1~. WHAT !:'."tEW YOUR ATTENTION TO TnE ?HE N O M E N O N 7 ' A. HOW DID IT FIN,\LLY O ISAPPEARI FRONT OF SOMETHING, LIKE A CLOUD, TREE, OR BUILDING AT ANY TIME > PAGE 5 OF 9 PACES IS. DRAW A PICTURE THAT WILL SHOW THE SHAPE OF THE P HEN0'4 E N O N . INCLUDE A N D LABEL ANY DETAILS THAT MIGHT HAVE A P PEARED A S WINGS O R PROTRUSIONS, AND INDICATE E..<HAUST OR VAPOR TRAILS. INDICATE BY AN ARROW THE DIRECTION THE PHEN O M E N O N WAS MOVING. 16 iit"J..-.; ... :, -~:: 1\'-G'_LAR SIZE' HO:..:> ;> . .,.;.TCH A T A R M ' S LENGTH IN FRONT OF A KNOW~I OBJECT, SUCH A S A STREET '-J.'JP 0"' -... r '-1.::0 .... NOTE HCW IJ:.JC~ Or T:i:: OBJECT IS COVERED BY THE HEA D OF THE MATCH. NOW I F YOU HAD a~E"< ~?-':: --. =>::~=-ORM THIS EXPE:?.IV:::'IT AT T H E TIME OF THE SIGHTIN G , ESTIMATE WHAT FRACTION OF THE PnE~=.~o~=-.:;, ... -0:~-::l h AVE aEEN co,::=>::::J BY THE MATCH HEAO. PAGE 6 OF 9 PAGES 17 DID YOU OBSERVE T H E PHENOMENON THROUGH A N Y OF T H E FOLLOWING> TYPE. f"ILTE~. LI:.N S PRESCRIPTION OR OTHER APPLICABLE. DATA . INCLUDE INFOrlMATIO~I O N MODI:.L, E YEGLAS:;::, ftAM ERA VIEWER TEI.ESCOPC Hlt::ODOLIT E SI~'E ~.:-;':':ll C:" VEHICLE. L) YES [I NO B DO YOU USE R-:ADING GLASSES ("jYFS I JNO A. DO Yv, ~ ~ . -' ,.EAR GLASSES' IS w-;:.-;;~ .::o 1'-!0RC.SSI O N OF THE SPEED OFliJ:IEf/ 19. WHAT WAS YOUR IMPRESSION OF THE DISTANL~'tPf T.IU P,;~l ,..~,- GIV~ ESTIMATE 9t SPEco.fl'5\;. \. 'jl '~' P~tENOME NON G IVE ESliMATE OF DISTANCE h,/.-J.LA. 20. IN 0'\ .=>" ._r WE MAY OBTAIN AS CLC::ti.R /<PICTURE AS POSSI B L E OF WHAT YOU SAW, DESCRIBE I N YOUR OWN WORD", A CQ '-1J' JECT OR OBJECTS Wt-!1':~ '"'HEN PLACED I N TilE SKY, SIMI LAR TO WIIE H E YOU NOTED THE PHt::NOME.r~ON I'>OLILD Cl::: ~ ~ SOM E RESEMBLIINCE TO "nAT YOU SAW. DESCRIBE SIMILARITIES 1\~ID D IFFERENCES R E T WEEN THC COMV.Qioj 0:-. :::CT A N 0 WHAT YOU SA 'I'. 'c. A'(Y ODOR, N OiS:O: ::=-M::,;-;- ATIJ~!,P-'f'ROM THE PHENOMENON OR ANY EFFEC:t~ YOZRSELF, , J.l.CHIN ERY IN TH:-Vl::t l-, , 'YES ~NO. IF "YES," DESCRIBE. J L L~ -I :: _,TtJn5 i' =: :,,;:; _,,::; :>R LEAVE ANY PHYSI C A L EVIDENCE. P AGE 7 Or 9 PAGES