1. DA' rE :TIME GROUPCl.jlS Ci ilin:1 4. NUMBER OF OBJECTS 5. LENGTH OF OBSERVATION t" o.UJ t:l-I IUU/ J Kt:l-UKU 2. LOCATION 10. CONCLUSION Probabl e (AIRCRAFT) 11. BRI EF SUMMARY AND ANAL. YSIS 6. TYPE OF OBSERVATION The observer Sihted red and white blinking lights. These hts seemed to switch t heir respective colors every 2 seconds. . a"";!o .:.d-Vi~ual 7 , COURSE 8 . PtiOTOS 9, PHYSICAL EVIDENCE lA. NOW IMAGINE YOU ARE AT THE CENTER OF THE COMPASS ROSE. PLAC E AN "A" O N THE COMPASS T O I NDICATE THE DIRECTION T O THE PHENOMENON WHEN FIRST SEEN. PLAC E A a O N THE COMPASS TO INDICATE THE DIRECTION TO THE PHENOMENON WHEN LAST SEEN. 7 . I N THE SKETCH BELO W, PLA C E AN " A " A T THE P OSITION O F THE PHENOM E N O N WHEN F I RST SEEN. A N D A " 9 " A T THE P O SITION O F Tt-4E PHENOMENON WHE N LAST SEEN. CONNECT THE "A" AND a WITH A L I N E TO APPROXIMATE THE I MOVEMENT OF THE PHENOMENON BETWEEN "A" ANO " 9 " . THAT IS, SCHEMATIC ALLY SHOW WHETHER THE MOVEMENT I APPEARED TO BE STRAIGHT, CURVED O R ZIGZAG. REFER TO SMALLER SKETCH AS AN EXAMPLE OF HOW TO COMPLETE THE LARGER SKETC H . PAGE 2 OF 9 PAGES SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE IJUDGET BU~AU Al'f'~VAL NUI/I BE H 2U THIS QUESTIONNAIRE HAS DEEN PREPARED SO THAT YOU C AN GIVE THE U. S. AIR FORCE A S MUCII INFORMATION AS P OSSIBLE CONCERNING THE UNIDENTIFIED PHENOMENON THAT YOU HAVE OBSERVED. PLEASE TRY TO ANSWER ALU O F THE QUESTIONS. THE INFORMATION YOU GIVE WILL BE USED F OR RESEARC H PURPOSES. YOUR NAME WILT,-NOT BE USED IN CONNECTION WITH ANY O F YOUR STATEMENTS OR CON CLUSI ON S WITHOUT YOUR PERMISSJdN. RETURN TO AIR FORCE BASE INVESTIGATO R F OR FORWARDING TO FTD (TOETR), WRIGHT P ATTER~N AFB.OHI045433,1AW AFR80-f7. (IF ADDITIONA L SHEETS ARE NEEDED FOR NARRATIVE OR SKETCHES ATTAC H SECURELY TO THIS FORM O R ANNOTATE WITH YOUR NAMF. F O R IDF.NTIFICA T ION.) I. WHEN DID YOU SEE THE PHEN O M E N O N 1 2 . WHAT TIME DID YOU FIRST SIGHT THE PHENOM E N O N ' 3 . WHAT TIME DID YOU L AST SIGHT THE PHENOMENON' TIME ZO N E 0 DAYLIGHT SAVIN GS [1 CENTRAL 0 MOUN T A I N MONTH ~E L YEAR MINUTES 3 s: A."'. MINUTES 3 5 0 PACIFIC 0 OTHE R 5 . WHERE WE R E YOU WH E N YOU SAW THE PHENO MENO N ' IF IN CITY. GIVE THE N E AREST STREET ADDRESS AND I N D I C ATE O N A HAND DRAWN MAP WHE R E YOU WERE STANDIN G WITH R E FEREN C E T O THE ADDRESS. I F IN THE COU NTRY. IDENTIFY THE HIGHW~Y ;;01. WERE O~AR ANjfTRY TO FI'X A D~STA~CE "/)D DIRECTIO N FRO M SO ME R ECOG NIZABL E LANDMARK. v('{ivof;1t/'IAJP Y) )J'/i'IJ , C{v~ I 6 . IMAGIN E YOU ARE AT THE POINT SH OWN I N THE SKETC H . PLAC E AN ' A " O N THE CURVED LINE T O SH O W H O W HIG H THE PHENOM E N O N WA S ABOVE THE H ORIZON . OR SKYLINE WHEN FIRST SEEN . PLAC E A a O N T H E SAME CURVED LIN E TO SHOW HO W H IGH ABOV E THE HORIZON THE PHENOMENON WAS WHE N LAST SEEN. O B SERVER tO ., TMI-.[ W!,_[ MORE THAN ON! PHENO M ENON, MOW MANY WERE THEREf DRAW A PICTURE TO SHO W HOW THEY WERE .A,_,_ANOID. DID THIS A,_._ANGIMINT CHANG! DURING THl!: SIGHTINGl 1 (5Jl( ptlffivi''" p,;vttJL ~u) CONDITIONS (CIIeclc appropriat e block~.) D A Y CUMULUS CLOUDS (Low fluffy) FOG O R MIST TWILIGHT CIRRUS CLOUDS (Hitll flee c y or llerrin1 >( NIGHT bone) HEAVY R -. I N LIGHT R A I N O R DRIZZLE )< CL.EAA N IMBUS CLOUDS ( R ain) PA .. TL.Y CLOUDY CUM UL ONIMBUS CLOUDS SN O W O R SLEET COMPL!TIL.Y OVE R CAST (Tit.wr.ders corms) UNKNOWN HAZE O R SMOG X N O N E O F THE ABOVE C. IF THE SIGHTING WAS AT TWILIGHT 0 .. NIGHT, WHAT DID YOU NOTICE ABOUT THE STARS AND MOON > STAAS (21 MOON NON!: BRIGHT MOONLIGHT N O MOONLIGHT FEW MOON WITH HALO _k UNKN OWN MOON H IDDEN B Y CLOUDS I>ARTIA L (New or qunrter) . D. IF SIGHTING WAS I N DAYLIGHT, WAS THE SUN VISIBLE? 0 YES 0 HO. I F " Y E S, " WHERE WAS THE SU N A S YOU FAC E D THE PHENOMENO N ? , IN FRO N T OF YOU TO YOU R RIGHT OVERH~AD(N~MMon) IN BAC K 0 F YOU T O YOUR LEFT !. $PECIII'Y THE MAJO,_ SOURCE OF ILLUMINATION PRE SENT DURING THE SIGHTI NG, SUCH A S THE SUN , HEADLIGHTS O R .T .. !ET LAMP, ETC. FO,_ TER,ESTRIAL ILLUMINATION, SPECIFY ~!STANCE TO LIGHT SOURCE. t:l. OIV I A .RIE~ DESC RIPTION 0 THE PHENOMENO N , INDI C ATIN G(WHETHER IT APPEARED DARK O R LIGHT, WHETHER IT fnii'LECTED LIGHT 0 .. WAS S! .11'- L UMINOUS AND WHAT COLORS YOU NOTICED. DESCRIBE YOUR I MPRESSION OF WHETHER IT WAS SOLID OR TRANSPARENT, WHETHER EDGES WERE SHARP O R FUZZY. DESC R IBE THE SHAPE OR I NDICATE IF IT APPP:ARED AS A POINT O F LIGHT. INDICATE COMPARISONS WITH OTHER OBSERVED O BJECTS, LIKE STARS, A LIGHT OR OTHIR 08J!CT I N YOUR F IELD OF VIEW. A 1 j" ) r? 'u; ll/f PAGE 4 OF 9 PAGES AFR ~17(Cl) WHERE WERE YOU WHEN YOU SAW THE PHE N OMENON ? (Ch ~ck nppropriat, blodu.) Jl... OUTDOORS USINESS SECTIO N O F CITY I N !IUIL OING I'><.~ I N RESIDENTIAL SECTION O F C ITY I N CAR 0 A S DRIVER 0 A S PASSE NGER I N OPEN COUN TAYSIDE I N B OAT N E A R A IRFIELD I N A IRPLANE 0 AS F>ILOT [J AS PASSENGER ING OVER CITY FLY I N G OVER OF>EN COUN TRY A . IF YOU WER E IN A VEHICLE , COMPLET E THE FOLLOWING: WH.t.T DIRECTION WERE YOU MOVIN G ' ST WEAE YOU MOVING' N ORTH E-.ST 1 --+S~O:_U~T:H -+ _ _.j~W_:E~S~T-------J'-f//~-J'-1/:tfFIDI~O YOU STOP A N Y TIM E WHILE 0 B S E R V H4 G THE .. I PHENOMENO N 1 RTHEAST SOUTHEAST I I N O RTHWEST SOUTHWEST 0 YES n N O EXP L A I N WHETHER SUCH MOVEME N T AFFECT S YOUR SKETCHES IN ITEMS 5 AND 6 . DESC R I B E TYP E OF VEHICLE YOU WERE I N AND TYPE o ,-R O A D . TERR.t.IN O R BODY O F WATER YOU TRAVERSED DUR I N G T H E SIGHTING. STATE WHETHER WI NDOWS O R CONVERTIBLE TQ~ RE UF> OR DOWN. HOW MUCH OTHER TRAFFI C W A S THER E t 010 Y O U N O TICE ANY A IRPL ANES' 0 Y ES fi7l N O . IF yEs. DESCRIBE WHE N THEY WER E I N SIGHT RELATIVE TO THE TIME O F SIGH TING THE PHE N O M E N O N AND WHERE ~EY WE RE IN THE SKY RELATIVE TO THE POSITION O F THE PHEN OMENO N HOW LON G WAS THE PHE N O MENON IN SIGHT' L E NGTH O F TIME 'J CERTAIN OF TIM E FAIRLY CERTA I N JUST A GUESS HOW WAS T IME OETERMINEO t WAS THE PHEN OMENON I N SIGHT CONTINUOUSLY iCYYES n NO. IF No . INDICATE WHETHER THIS IS CUE TO YOU R MOVEWENT OR T H E BEHAVIOR o,-THE PHENO N O,r,<...N o DEScRIB E SUC H MO EMENT OR BEHAVIOR. I NDICATE OISAP. PEARA NCES O N F>REVIOUS SKETCHES. ( /} . / PAGE 3 OF 9 P A G E S II. DIIIAW A .. ICTURE T HAT WILL SHO W T H E SHAPE O ' THE PHENOMENO N . I N CLUD ( AND LA9EL ANY DETAILS T H A T MIGHT HAVE APPEARED A S WI N GS 0111 PROTIIIUSIONS, AND INDICATE EI(HAUST OR VAPOIII TIIIAILS. INDICATE B Y AN ARRO W T H E DllltECTION THE PHENOMENON WAS MOVING. 16 . WHAT WAS THE ANGULAR SIZE? HOLD A MATCH AT A R M'S LENGTH I N F R O N T OF A KNO WN O BJECT , SUCH AS A STREET LAMP O R THE MOON . NOTE H O W MUCH O F T H E OBJECT IS COVERED B Y THE HEAD OF THE MATCH. N O W IF YOU HAD BEEN ABLE T O PERFORM THIS EXPER IMENT AT THE TIM E O F THE SIGHTING, ESTIMATE WHAT FRACTION OF T H E PHENOMENO N WOULD HAV E BEEN COVERED B Y T H E MATCH HEAD. " PAGE 6 OF 9 PAG E S 010 THR .. HRNOMRNON VfS NO UNKNOWN MOVI! IN A STfUIGHT LIN!f "X_ IT AND STill AT ANYTIME' SUDDENLY SPI!I!D UP AND R U N AWAYf IU:AIC U~ IN PARTS AND EXPLODE? CHANGE COLOR' '>( GIVE 01"1" SMOKE? CHANGE .RIGHTNESS? CHANGE SHAPEt FLASH OR I"LICKEA? DISA~PEAR AND REAPPEAR? SPIN LIKE A TOP? WAKE A NOISE? FLUTTER O R WOBBLE? 1 . WHAT DREW YOUR ATTENTION TO THE PHENOMENON? ~ttvt'" j { A. HOW DID IT I"INALL V DISAPPEARt tJJvV(),' / DID THE ~HENOMENON MOVE BEHIND Olt IN I"RONT 01" SO .. !THING, L IICE A CLOUD, TREE, O R BUILDIN G AT ANY TINE' 0 YES 9J\NO. II" ys, DSCRI.E PAG E !I OF 9 PAGES AFR B0-17(Cl) 23. WAS ANYONE WITH YOU AT THE T IME YOU SAW THE PHf:NOMf:HON? QYIS 0 HO. NO. II' vr:s, DID THEY SEE I T T001 A . LIST THirl" NAIIIIIS AND ADDRESSES G I V E THE FOLLOWING INFORMATIO N ABOUT YOURSELF MALE FEMALE INCLUDING OCCUPATION AND ANY EXI"E .. IlNCl WHICH MAY BE P E RTINENT . 21. WH(N AND T O WHO M DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON? D A Y M O N T H YEAR 26. DATE YOU COMPLETED THIS QUESTIONNAIRE. PAG E 8 OF' 9 PAGES 17. 010 YOU OBSERVE T H E PHENO M E NON THROUGH .ANY OF THE F"OLLOWI NC::> HIC:LUDE INFORMATIO N O N MODEL, TYPE. FIL fER, Lt::N S PRESCRIPTION O R OTHER APPLICABLE DATA. C AM EPA VIEINER EYEGLASSES SUN GLASSE S BINOCU LARS WINDSHIELD TELESCOPE SlOE WINDOW O F VEHICLE THEODOLIT E WI N DO WPANE A . DO Y O U O R DINARILY WEAR G_L ~SSES> 0 YES ~NO 8 . DQ YO U USE READni G GLASSSI 18 WHAT WA S YOUR I MPRESSION O F THE SPEEO,O F f~ 19. WHAT WAS YOUR I MP RESSION 0~" THE DISfANCij OF !'! E PHENO MENO N ' GIVE ESTIMATE O F SP EED J412 ,f'Jtz. ,ff_c P H E N O MENO N I GIVE ESTIMATE OF DISTANC E 1 /11(./:J..: 20 IN O RDER THAT WE MAY OBTAI N A S CLEA R A P I C T U R E .O.S POSSIBLE OF WHAT YOU S A W, DESCRIBE I N YOUR ONN WORDS A COMMO N OBJECT O R OBJECTS WHIC H , WHE N PLACED I N THE SKY, SIMILA R T O WHERE YOU NOTED THE PHEN O MENO N , ULD BEA R SOM E RESEM B LANC E T O WHAT YOU S AW. DESCRIBE SIMILARITIES ANO D IFFERENCES BETN E E N THE COMMO N O B J E C T AND WH A T YOU SA W, E FFEC T 0'1 YOURSELF . DID YOU N O TICE A N Y ODOR , NOISE, O R HEAT E MANAT/tl, F R O M THE PHE N O M E N O N OR ANY ANIMAL S O R M A C H I N E R Y I N T H :" VICINIT Y ' 0 YES "\NO. IF ye:s. DESCRIBE. A . DID THE PHE N O M E N O N IF "YES,* DESCRIBE. DIST URB THE GROUN D OR LEAVE ANY PHYSI C A L E V IDENCE. l_l YES 'NO. PAGE 7 OF 9 PA GES