~UMBER OF OBJECTS S. LENGTH OF OBSERVATION 6. TYPE OF OBSERVATION :\ot St~ted 8. PrtOTOS 9. PHYSICAL EVIDENCE 2. LOCATION 10. CONCL.USION A'.tllough thP. i'o:-m ll7 indicates ~bat ;be o~s3rvcr can;>leted t:.e 1 117 on 3 Oc:t 68, 'it was not received i"l this office u.a1till Dac 6.~ 11. BRIEF SUMMARY AND ANALYSIS (Observer is 12 yearn uld) SEE CASE FD.E FTD S E P 6 3 0-329 (TOE) Prnloua dlUofta of tbla forra may be u .. d. AFR RO-l7(Ct) 17. 010 YOU OBSEAV~ THE PHENOM~HON THROUGH ANY OF THE FOL.L.OWING., INCL.UOE INFORMATION ON MODEL., TYPE, FIL. TEA, L.ENS PRESCRIPTION OR OTHER APPL.ICABL.E DATA. EY EGL. ASSES SUNOL. ASS~S BINOCUL.AA~ WINOSHIEL.D TEL.ESCOPE SlOE WINDOW OF VEHICLE THEODOLITE WINDOWPANE A . DO YOU OR DIN ARIL. Y WEAR GLASSES~ 0 YES .K') NO 8 . 01) YOU USE REA DING GL.ASSES? ( ]YES li:] NO 11J. WHAT WAS YOUR IMPRESSION OF THE SPEED/OF 'J]4E PHENOMENON? GIVE ESTIMATE OF SPEED QO:_),. 19. WHAT WAS YOUR IMPRESSION OF THE OIST ANCE OF THE PHENOMENON' GIVE ESTIMATE OF DISTANCE'"",. _.t_) 20. IN ORDER THAT WE MAY OBTAIN AS CLEAR A PICTURE AS POSSIBL.E OF WHAT YOU SAW, DESCRIBE IN YOUR OWN WOAD:; A COMMON OBJECT OR OBJECTS WHICH, WHEN PLACED IN THE SKY, SIMILAR TO WHERE YOU NOTED THE PHENOMENON, WOULD BEAR SOMI!: RESEMBLANCE TO WHAT YOU SAW. DESCRIBE SIMILARITIES AND DIFFERENCES BETWEEN THE COMMON OBJECT AND WHAT YOU SAW. z,. Olu t'Ou h O T i.::: ... NY =>OCR. NOSE, OR 11E.io\T = !~fATING FROM THE PHENOr.-ENON OR ANY EFFECT ON YOURSELF, .;Np,p,:_z 0? ',tA.: ,,N~RY l"t T:-i~ VICI1'11TYi rJ ':'~S l5d'"NO. IF vES, OESC~IBE. A . DID THE PHENOMENON DISTURB THE GROUND OR LEAVE ANY PHYSICAL. EVIDENCE. 0 YES [\;it NO. IF yEs.--DESCRIBE. ~ PAGE 7 OF 9 PAGES J.1. IN,OfltMATION WHICH YOU ,EEL IS P!fltTIN!NT BUT WHICH IS NOT ADEQUATELY COVEflt!O IN THI5 QUESTIONNAIRE, ALTRfltNATIV!LY PfltOVIOa A NAflt-.ATIV! EXPLANATION Otr THE SIGHTING. PAGE 9 OF 9 PAGES R 1ft\. V TO TDPT (UFO) DIE .. ARTMIENT OF THE Alft II'OitCE HltADOUA .. TK .. S P'O .. EION TECHNOLOGY DIVISION f AP'SC) W .. IGHT.~ATT .. SON AI" P'O .. Cit BASit. OHIO .. 5 .. 33 UFO Observation , l3 Sept~ember 1968 , Long Islar4, N. Y. ll743 Reference your recent unidentified flying object sighting which reported to the Air Force. The inf tion which we have received is not sufficient for a scientific investigation. Request you complete the attached AF Form 117 and return it in the self- addressed envelope. Thank you for reporting your observation to the Air Force. HECTOH "'UINTANII.I.A, Jr, Lt Colonel, USAF Chief, Aerial Phenomena Office Aerospace Technologies Division Production Directorate AF Form 117 w/envelope SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE 8UDGET BUI!AU AP~orAL NUMIJ'Eif 2J.If2JI l'HIS QUESTIONNAIRE HAS OEEN PREPARED SO TIIAT YOU CAN GtVJo: THF. U.S. AIR tORCI: AS MUCtf INFORMATION AS POSSIBLE CONCERNING THE UNIDF.NTlFIED PHENOMENON THAT YOU HAVE OBSERVED. PLF.ASF. TRY TO ANSWER ALU OF THE QUESTIONS. THE INFORMATION YOU GIVE WILL Ufo: USED FOH RJo:SJo:ARCH PURPOSI-:S YOUR NAME \\1L\,. NOT BE USED IN CONNECTIO~ WITH ANY OF YOUR STATEMENTS OR CONCLUSIONS WITHOUT YOUR PEt HSSldN. RETURN TO AIR FORCE BASE INVESTIGATOR .. ~OR FORWARDING TO FTD (TOETR), WRIGHT- PATTERSON AFB,OHI045433,1AW AFR80-f7. (IF ADDITIONAL SHEF.TS ARE NEeDED FOR NARRATIVE OR SKF.TCHF.S A TTACfl $F.CURF.L Y TO THIS FORM OR ANNOTATE: WITH YOUR NAMF. FOR IDF.NTIFICA TION.) t. WHEN OlD YOU SEE THE PHENOMENON? ~ IJ (" 2 . WHAT TIME DIO YOU FIRST SIGHT THE PHENOMENON 3 . WHAT TIME DIO YOU LAST SIGHT THE PHENOM!:NON' 4 . TIME' ZONE 0 DAYLIGHT SAVINGS [l STAN OARD l(i..EASTERN 0 CENTRAL 0 MOUNTAIN 0 PACIFIC 0 OTHER 5 . WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? IF IN CITY. GIVE THE N EAREST STREET ADDRESS AND INDICATE ON A HAND DqAWN MAP WHERE YOU WERE STANDING WITH R!:FERENCE TO THE ADDRESS. IF IN THE COUNTRY, IDENTIFY THE HIGHWAY YOU WERE ON OR NEAR AND TRY TO FIX A. DISTANCE AND DIRECTION FROM SOME RECOGNIZABLE LANDMARK. 6 . IMAG:NE YOu ~A~ AT THE POINT SH O WN IN 'j'HE Sr<ETCH, PLACE AN -A .. ON THE CURVED LINE TO SHOW HOW HIGH THE SI-'CI'i HOW tiiGt-' J\BOVE THE '-QQIZO N TH: Pf1E'40MENON WAS W~EN LAST SEEN . oos=:R vE R 6A. NOW IMAGINE YOU AAE AT THE CENTA Of' TH COMPASS ROSE. PLACE AN A ON THE COMPASS TO INDICATE THE OIRECTION TO THE PHENOMENON WHEN lfi"ST SEEN. PLAC E A e O N THE COMPASS TO INDICATE THE DIRECTION TO THE PHENOMENON WHEN LAST SEEN. 7 . IN THE SKETCH BELOW, PLACE AN A AT THE POSITION OF THE PHENOMENON WHEN FIRST SEEN, AND A a AT THE POSITIO ... OF THE PHE,.OMENON 'HEN LAST SEEN. CONNECT THE A AND a WITH A LINE TO APPROXIMATE THE MCVE~ENT O F THE PHENOMeNON BETWEEN A ANO a. THAT IS, SCHEMATICALLY SHOW WHETHER THE MOVEMENT i A PPEARED TO BE ST RAIGHT, CURVED OR ZIGZAG. REFER TO SMALLER SKETCH AS AN E XAMPLE OF HOW TO COMPLETE THE LA~OE~ SKETC~. PAGE 2 OF 9 PAGES WHERE WE:RE YOU WHEN YOU SAW THE PHE:NOMf!NON? BUSINESS SECTION OF CITY IN B UILDING ESIDENTIAL SECTIO N OF CITY 0 AS DRIVER 0 AS P A SSE NGER IN O PEN C OUNTRYSIDE N E A~ AIRFIELD IN A IRPLANE 0 AS PILOT 0 AS PASSENGE A FLYING OVER CITY FLYING OVER OPEN COUNTRY IF YOU WERE IN A VEHICLE, COMPLETE THE FOLLOWING: WHAT OIRI!CTION WER~ YOU MOVING' HOW FAST WERE YOU MOVING' DID YOU STOP ANYTIME WHILE O BSERVING THE PHEN OMENON? NORTH!:AST NORTHW!:ST SOUTHWEST EXPLAIN WH~THER SUCH MOVEMENT AFFECTS YOUR SKETC H E S I N IT EMS 5 AND 6 . D ESCRIBE TYPE OF VEHICLE YOU WERE IN AND T YPE OF R OAD. T ERRAIN OR BOOY OF WATER YOU TRA V ERSE D CUR ING THE SIGH TIN G . STATE WHETHE R WINDOWS OR CONVERTIBLE WERE UP O R OO WN. HOW MUC H OTH E R TRAFFIC WAS T H E RE? DID YOU NOT I C E ANY AIRPLANES ' I F YES, .. DESCRIBE WHE N T HEY WERE IN SIG H T RELATIVE TO THE TIMF. OF SIGHTI N G TI-lE PHENOMENON AND WHE RE THEY WERE IN THE SKY RELA TIVE T O THE POSITION OF THE PHENOMENON. HOW t_QN G WAS T HE PHE NOMENON IN S I G HT? i..ENGTn OF Tlt.lr; C EFITA I ... O F T IME N O T VERY SURE '/ ! F A IRLY CERTA I N H OW W~AS i:~E :>~ iC:RMtN E O ? WAS 7 HE PH E"ICIIII F. N O N I N SIGH 7 CON T t N UOUSL" : [g'YES 0NO. IF .. NO.~ IND I C A T E WHETHER THIS I S D U E TO YOUFf MOVEM~!'-1; OR TI1E BEHAVIO R O F i"H E PHE!otO MENON, A N D D E SCRI B E SUC ... ._.OV!::MENT O R BEHAVI O R . DIC A T E DIS AP. PEAR~NCE5 .;N ?~EVIOUS !>I<Ei"C~ES. PACE 3 OF~ ?AGES 10 . IF THERE WEfltE MOflt E THAN ONE fiM~NOMENON, HOW MANY W!.A!: THEA!:' DRAW A PICTURE TO SHOW HOW THEY WERE ARfltANG!:D. DID THIS AfltfltANGEMI!NT CHANG!. DUAING THE SIGHTING' PAATL Y CLOUDY COMPLETELY OVERCAST CONDITIONS (Cia~elr appropriactt bloelcs.) a. ' ~EATHEA CUMULUS CLOUDS (Low f luffy) ClfltRUS CLOUDS (Hirlt flef!cy or Herrirtr NIMBUS CLOUDS (Rain) CUMULONIMBUS (Tiaunderscorm&) FOG OR MIST HEAVY RAIN LIGHT RAIN OR DRIZZLE SNOW OR SLEET V NONE OF THE ABOVE ABOUT THE ST.!\RS AND MOON? C . IF THE SIGHTING WAS AT TWILIGHT OR NIGHT, WHAT DID YOU NOTIC E STARS (21 . BRIGHT MOONLIGHT MOO N WITH HALO MOON HIDDE N BY CLOUDS PARTIA l (New o r quareer) NO MOONLIGHT 0 . IF SIGHTING WAS IN O A 'fLIGHT, WAS THE S U N VISIEtlE? ~YES 0 N O . IF v E s, WHERE WA S THE SUN AS Y O U FACED I THE PHENOMENON? 1"'1 FR~NT OF YOU TO YOUR RIGHT OVERHEAD(NeMMOtV L./ IN BACK O F YOU f O YOUR LEFT ! ~. SPEC!F '"' T~!:: 'AAJO~ '50U RCE O F ! LLUMIN A T I O N PRESENT DURING THE SIGHTING , SUCH A S THE SUN, HEADLIG~ITS OR STREET LAMP, E 'rC. F O R TEARESiAIAL I LLUMINATION , SPECIFY DISTANCE T O LIGHT SOURCE. ! ,:!. C!'J-=: .l 3~1eF :>ESCr.IPTrO .. 0~ T'~E PHENO MENON. l N OICATING WHETHER IT ~P?EAREO DARK OR LIGHT, WHETHER IT ~ RE~LECT~O L IGHT OA WAS SELF-l.UMINOUS AND W,..AT COLORS YOU N O TICEu. DESC R IBE YOUR IMPRESSION OF WHETHER ~ IT WAS 30\..i O 0~ '7RA ... ,PAR!:!'IIT. Y1"4ETH~R E !J.:iES . ..,ERE SHARP O R :::uzz v . ':JESCRIBE THE SHAPE OR INDICATE IF l't. i APPI!AiaJ!:O s A ont"'' T Ofl' LIG H T . I N OIC,-ff! COMPA~ISONS WITH OTHER 09SERV~D OBJECTS, LIKE STAAS, A LIGHT OR ~ OTHER CBJ!!CT ' N VOI Ifl F I E L D O F 'JIEW. PAGE 4 OF~ PACES 010 THE PH~NOM.NOM MOVE IN A STRAIGHT LINE? STANO STILL AT ANYTIM~? SUDDENLY Sft!!O Uft ANO RUN AWAY? 8R!AK Uft IN IIIIARTS ANO EXftLOO!' CHANG! COLOR? GIVE 0 SMOKE! CHANGE BRIGHTNESS? CH ANGIE SHAft!? ~LASH OR ~LICKER? OISAft .. !AR AND RIIA .. ft!AR? SIIIIIN LIKE A TOP? MAKII A NOISE? ~LUTT!R OR W088LIE? 14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON? A. HOW 010 IT FINALLY DISAPPEAR? 8. DID THE Plo4~NOM~N0flt MOV~ B~HINO OR IN ,RONT'OF SOMETHING. l-IK! A CLOUD, TR!!, OR BUILDING AT ANY TIM~! IF v1s. O~SCRII!I!. ltAGS: 5 O F 9 PAG~S 15. OAAW A PICTUA! THAT WILL SHOW TH~ SHAP! Off TH! PHENOM!NON. INCLUDE AND LABEL ANY DETAILS THAT MIGHT HAVE APP!AA!D AS WINGS OA flfltOTfltUSIONS, AND INDICATE HAUST OA VAPOA TRAILS. INDICATE IIY AN ARAOW TH~ DIRECTION THE PHENOM~NON WAS MOVING. 16. WHAT tvA~ 'TH~ o\""GUl.;.R SIZE? l'iOLO A MATCH AT ARMS LENGTH IN FRONT OF A KNOWN OBJECT, SUCH AS A STREET LAMP OR THE MOON. P.!OTE HOW MUCH OF THE OBJECT IS COVERED BY THE HEAD OF THE MATCH. NOW IF YOU HAD BEEN ABLE TO PER FOR~ THI S EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE PHENOMENON WOULO H ~VE BEEN COVERED BY THE MATCH HEAD.