P ROJ~CT 10073 R::CO~D r 1. OA TE T IMt ORO UP 2. LOCATION 10, CONCLUSION , t\. NUMBER OF OBJECTS ; !>. LENGTH OF OBSERVATION 11. BRieF SUMMAr<Y AND A N ,.\LYSIS 6. TYPE OF OBSeRVATION 11. COURSE 9. PHYSICAL EVIDENCE PAG E 9 O F 9 PAG E S n!:-l.v r.J TDPT (UFO) OC::PAR'TMENT OF TH!:: AI~ FORCE UFO Observation :ii lford Reference your recent unidentified flying object sighting ~hich you reported t o the Air Force. The information which we have received is not sufficient for a scientific investigation. Request complete the attached AF Form 117 and return it in the self- addressed envelope. Thank you for reporting your observation to t he Air Force. ~}i . ..,.......,., ~TOR QUINTANIIJ.A, Jr, Lt Colonel, USAF fCn1ef, Aerial Phenooena Office AF Form 117 v/envelope Aerospace Tecr-1olog~es Division Pr oduction Directorat e A Fit HO-l7( Cl) 7lif" ;~s~:>v :.~I(.N WH-N L A.;T SEe~l. IN THE: ~r<ETCH BELOW, PLACE AN "A" AT THC: PvSITION OF THE PHENO~ENON WHEN FIRST SEEN, AND A "9" AT THE PO .oN CF THE PHENO~AI:~1C'lN WHE::N LAST SEEN. CO~NECT THE "A"' A~O a WITH A LI~E TO ACPROXIMATE THE tI)".::'-'-"IT ,..:. THE ?HENC~ENON BETWEEN . A .. ANO " B . THAT I S. 5CHEMATICALLY SHOW WHC:THER THE MOVEMENT A'='">A"'. ~ 7-J 3E STRAI GHT, CURVED C R ZIG-ZAG. RC:FER TO S"1ALLER SKETC.H AS AN EXAMPLE OF HOW T O CO~PLET;:: PAGE 2 OF 9 PAG::..5 [ J A S PI LOT l j A S SSEN GEn F'L YIN G OVEH CITY I N AIRPLANE rLYING OVER OPEN COUNTRY A . IF YOU WERE IN A VEHICLE. COMPLETE THE FOLLOWING: WHAT DIRECTION WERE YOU MOVING" 11-tO W FAST WEAE YOU MOVING? NORTH E~ST SOUTH WEST I DID YOU STOP ANYTIME Wl-tl l E OBSERVING THE NORTHEAST SOUTHEAST i EXPLAIN WHETHER SUCH MOVEMENT AFFECTS YOUR SKETC!-JES IN ITEM S 5 AND 6 DESCRIBE TYPE OF VEHICLE YOU WE R E I'J A~D TYPE OF ROAD TERRAIN OFl BO:::>Y OF WATER YOU TRAVERSED DURI N G THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE U ? OR D OWN. HOW MUCH OTHER TRAFFIC WAS THERE? DID YOU NOTICE ANY AIRPLANES? U YES ~NO. IF yEs. D ESCRIBE WHEN THEY WERE IN StcOO:nT R E LATIVE TO THE TIME GHTING THE PHENOMENON AND Wh!'::RE THEY WERE IN THE SKY RELATIVE TO TI-l E POS I TION OF THE PHEN O MENON . 9 . HOW LONG WAS THE PHENOMENON I N SIGHT? HOW WAS TIME DETERMINED' WAS THE Pl-tENOMENON IN SIGHT CONTINUOUSLY' ~YES ( j NO. IF No.~ I~DICAT E WHETI-tER THIS IS DUE TO YOUR MOV E~1ENT OR THE BEHAVIOR OF THE PHENOMENO~ND DESCRIBE SUCH M.JVEMENT O R 9EHAVIOR. INDICATE DISAP- pEARANCES O N PREVIOUS SKETCHES. PAGE 3 OF 3 PAG'.::S AFR HO-l7(Cl) n o:; A ~.-~,\liC.E;..tzN i CONDITIONS (Check appr o p r iaCf! bloc k .,.) A. SK V B. WEATHER CLOUDS ( l,ow flt1[{y) CLOUDS (lfigla fleecy o r II *!rring LIGHT RAIN O R DRI!ZLC CLEAR N IM9US c- ouDS (Rain) PARTLY CLOUDY C UMULONIMBUS CLOUDS COM?L~TELY (Thundf!r!(torm.s) NONE OF THE ABOVE IF THE SIGHTING WAS AT TWILIGHT OlD YOU NOTICE ABOUT THE 8RI'3HT MOONLIGHT NO MOONLIGHT PARTIAL (New or qu.arter} D. IF SIGYTI~G WAS IN DAYLIGHT, WAS THE SUN VIS19LE? DYES 0 N O . IF "VEs, WHERE WAS THE SUN PHENOMENON' I N FC!ONT O F YOU TO YOUR RIGHT OVERHEAD(Nt"ar I N S A C K TO YOUR LEFT THE MAJOR SOURCE ILLUMINATION DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS ~TC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANC~ TO LIGHT SOURCE. DESCRIPTION OF THE PHENOMENON, INDICATING WHETHER IT APPEARED DARK OR LIGHT, WHETHE~ IT REFLECTED LIGHT OR WAS SELF-LUMINOUS AHD COLORS YOU NOTICED. DESCRIBE YOUR IMPRESSION OF WHETHER IT WAS SOLI D OR TRANSPARENT, WHETHER EDGES WERE SHARP OR FU Z ZV. D ESCRIBE INDICATE IF APPEAR EO AS A. POINT OF LIGHT. INDICATE COMPARISONS WITH OTHER 09SERVED OBJECTS, LIKE STARS, 0 9 J E C T I N YOUR FIELD OF VIEW. PAGE 4 OF 9 PAGE S AFR M0-17(Cl) I N A STRAIGHT Ll'lC' STAN D SiiLL AT AHYTIMEt SUD D ENLY SPEED Ur' AND RUN BRE.AK UP IN PARTS AND CXPLOOE? CHANGE COLOR' G IV E 0 F F S MO K E? CHANGE BRIGHTNESS? CHAN C. E SH APET F L A5H OR FLICKER? Ol!iAPPEAR AND REAPPEAR' SPIN LIKE A TOP? MAKE A NOISET FLUTTER OR WOBBLE? Wt-!AT DREW YOUR ATTENTION TO THE PHENOMENON' A . HOW 010 IT FINALLY D iSAPPEAR? DID THE PHENOMENON MOVE BEHIND OR IN FRONT OF SOMETHING, LIKE A CLOUD, TREE, OR BUILDI N G AT ANY T IME7 0 Y E S 0NO. IF ve:s,"' DESCRIBE. P A G~ 5 OF 9 P A GES JGH A '1t ~ .. 7'1-1'. FOI I.('WI"'(j' IN.:LliOE! 1/.JP::C'IPMATIU,,, rJ N MOI"'iL. TYP, FIL TEA, LF.NS ?Rl.SCHIPTIO N OFt OTtn :. R A PPLICAOL!::': DATA. /, BINOCULARS SU ...,GL ASS WINOSHIELO SI CS: WINDOW OF VEHICLE THEODOLITE A . DO YOU ORDINARILY WEAR GLASSES' 0 YES [l NO B . DO YOU USE READIN G GLASSES, [_j YES ( ]N O !8 WHAT WAS YOUR IMPRESSION OF THE SPEED OF THE 19 . WHAT WAS YOUH IM=>RESSION OF THE DISTANCE OF THE PHENOMENON' GIVE E STIMATE OF SPE:ED . PHEHOMENON? GIV~ ESTIMATE OF DISTANC E . I N O=lDER THAT WE MAY OBTAIN AS CLEAR A PICTURE AS P O SSIBLE OF WHAT YOU SAW, DESCRIBE IN YOUR OWN WORD:; ON OBJECT OR OBJECTS WHICH. WHE N PLACED IN THE SKY, SIMILAR TO 'NHS:Rc YOU NOTE D THE PHENOME N O N . WOU L D 8 EAR SOME RESEMBLANCE TO WHAT YOU SAW. DESCRIBE SIMILAR! TIES AND D l FF ERENCES BET WE E N T 1-4 E COMMO N OBJECT AND WHAT YOU SAW. 21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMgNoN OR ANY EFFECT 0:0~ YOURSELF. ANIMALS OR MACHINERY IN THE VICINITY? 0 YES ~0. IF "YES. DESCRIBE. ~.DID THE PHENOMENON DIST URB THE GROUN!:J OR LEAVE ANY PHYSICAL EVIDENCE. IF "YE'l." DESCRIBE . PA GC: 7 O F 9 PAGES .S::! :-1,,/-(Jll [ VER :>~EN fHI S nn A S'MIL i 1 PH~N(;;.tE~0N BerO:"H.:' LOC ATiiHI . AFit 80-i7(Cl) AS ANYONE: WITH YOU AT THE TIME YOU SAW THE PHENOMtNOtl /J(j YES [J NO. IF vEs, DID THEY SEF. A. L.IST THEI~ NAMES AND ADDRESSES GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF LAST NAME, AODRESS (Srre City, Stace and Zip Cndi!) TELEPHONE (Aren code ana RMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT . a 2:~'~."':/W,! N AND T<?_ "!~Oe l_? YOU t:PO,RT_,!fo!.,_,T ... YOU HAD SIGHTED THIS_?~E.,NOM~NO,N7 l ~c. D ArE YOU COMPLETED IHIS QUESTIONNA!RE. FIAGE 8 OF 9 PAGES