P:-'OJECT .10073 RECORD 1. DATE TIME GROUP 2. LOCATION NUMBER OF OBJECTS !i. LENGTH OF OBSERVATION TYPE OF OBSERVATION 8. PtiOTOS 9. PHYSICAL EVIDENCE 10. CONCLUSION 11. BRIEF SUMMARY AND ANALYSIS s i~r: t (!d o to tr.e IC:. FTD s ::P6J O-n9 (TOE} ;iiiiiiiiiii Prvlouo llllono of thh form m e )' b e uoed, SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIR BUDGET BUREAU APPROVAL NUMBER 11-R:IH THIS QUESTIONNAIRE HAS OEEN PREPARED SO TIIAT YOU CAN GI V E T H E U.S AIR FORC E AS MUCH INFORMATIO N BLE CONCERNING THE UNIDENTIFIED PHENOME NO N THAT YOU HAVE OASERVED. PLEASE TRY T O ANSWER ALIJ OF THE QUESTIONS. TilE INFORMATION YOU GIVE WILL OE USI~D FOR RESEARCII PURPOSES OUR NAME WILl,. NOT BE USED IN CONNECTI O N WIT H ANY O F YOUR STATEMENTS OR CON CL USI ON S WITIIOUT YOUR PERMISSidN. RETURN TO AI R FORC E BASE INVESTIGATOR FO R FO RWARDING T O FTD {TDETR ), WRIGHT- PATTERSON AFB,OHI 0 45433,1fiW AFR80-i7. (IF ADDITIONAL SHEF.TS ARF. N EEDED FOR NARRATIVF. OR SKETC HF.S _,.... ATTACH SECURELY TO THIS FORM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION. ) ~ L,. 1. WHEN DID YOU SEE THE PHEN O M E N ON1 2 . WHAT TIM E DID YOU FIRST SIGHT THE PHEN O M E N O N ' 3 . WHAT TIM E D I D YOU L AST SIGHT THE PHEN O MENON' 4 . TIME / Z OI'E 0 DAYLIGHT SAVINGS 0 CENTRAL 0 MOUN TAIN 0 STANDARD [jPACI F I C [jOTHER S . WHERE WERE YOU WHE N YOU SAW THE PHEN O M E N ON' IF IN CITY GIVE THE NEAREST STREET ADDRESS AND I NDICATE O N HAND DRAWN MAP WHERE YOU WERE STANDING WITH R EFERE NCE T O THE ADDRESS. IF I N THE <:OUNTRY. IDENTIF'Y THE HIGHWAY YOU WERE O N O R NEAR AND TRY TO FIX A DISTANCE AND DIRECTION FRO M SOM E RECOGNIZABLE LAN D MARK. 6 . IMAGINE YOU ARE AT THE POINT S H O WN I N THE SKETCH. PLACE AN . A O N THE CURVED LINE TO SH O W HOW HIGH THE PHE N O M E N O N WAS ABOVE THE HORIZON . O R SKYLIN E WHEN FIRST SEEN . PLACE A a O N THE SAME CUR VED L INE TO SHOW HOW HIGH ABOVE THE HORIZO N THE PHENOMENON WAS WHEN L AST SEEN . O BSERVER .. 6A. N O W I MAGINE YOU ARE AT THE CENTER OF THE COMPASS ROSE PLACE AN " A " O N THE COMPASS T O INDICATE THE DIRECTION TO T H E PHEN O M E NON WI-lEN FIRST SEEN . PLACE A " 8 " O N THE COM F"ASS T O INDICATE THE DIRECTI O N T O T H E F"H E N O M E N O N WHEN L A S T SEEN . 7 . IN THE SKETCH BELOW, PLACE AN "A" AT THE F"OSITION O F THE F"HEN O M E N O N WI-lEN F l q ST SEEr~ ,t.'/D A a A T T-.E POSITI O N OF THE PHEN O M EN O N WHEN L AST SEEN CONNECT THE " A " AND a WITH A LINE TO AJ:>I:>ROXI '-'ATE THE MOVEMENT OF THE F"HEN O M E NON BETWEEN A AND a. THAT IS, SCHEMATICALLY SHO W WHETHER THE MOVEM ENT APPEARED TO BE STRAIGHT, CURVED O R ZIG-ZA G . REFER T O SMALLER SKETCH A S AN EXAMPLE O F HON T O COM F"LETE THE LARGER SKETCH. PAG E 2 OF 9 PAGES IF THERE WERE MORE THAN ONE PHEN O M E N O N . H O W MANY WERE THE RE' DRAW A PIC T U R E TO SH O W HOW THE Y WE R E DID THI S ARRANGEMENT CHANGE DURING THE SI GHTING CONOITIONS (Chec k appropriat e blocks.) CUMULUS C LOUDS ( /,oru fluffy) FOG O R MIST CIRRUS CLOUDS f lli11h fleecy o r Herring HEAVY RAI N LIGHT RAIN O R D R IZZLE NIMBUS CLOUDS ( Rain) PARTLY CLOUDY C U MULO N IMBUS SN O W OR SLEET COMPLETELY OVERC AST (Thunders corms) HAZE O R SMOG NONE O F THE ABOVE C . I F THE SIGHTING WAS AT TWILIGHT OR N I GHT. WHAT DID Y O U N OTICE ABOUT THE STARS AND MOON STARS [ 21 BRIGHT MOONLIGHT N O MOONLIGH T MO O N WITH HALO OON HIDDEN BY CLOUDS ::. . PARTIAL (New or qiUlrter) D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VIS I BLEl "YES, WHERE WAS THE SUN A S YOU THE PHENOMENO N 1 IN FRONT OF YOU T O YOUR RIGHT OVERHEA D(Newnoon) I N BACK OF YOU T O YOUR LEF T U N K N OWN E . SPECIFY THE MAJO R SOURCE OF ILLUMINATIO N PRESENT DURING THE SIGHTING, SUCH AS T H E SUN , HEADLIGHTS O R STREET LAMP, ETC. F O R TERRESTRIAL ILLUM INATION, SPECIFY DISTANCE T O L I G H T SOURCE . 12. GIVE A BRIEF DESCRIPTION OF THE PHENOMENO N , I N D I CATI N G WHETHER IT APPEA R E D D ARK OR LIGHT, WHETHER I T REFLECTED LIGHT O R WAS SELF-LUM I N OUS AND WHAT COLOR S YOU N O TICE D . DESCRIBE YOUR IMPRESSION OF WHETHE R IT WAS SOLID O R TRANSPARENT, WHETHER EDGES WERE SHARP O R FUZZY. DESCRI B E T H E SHAPE O R I NDICATE I F I T APPEARED AS A POINT OF L I GHT. INDICATE COMPARI SONS WITH OTHER OBSERVED OBJECT S, LIK E STARS, A LIGHT OR OTHER OBJECT I N YOUR FIELD OF VIEW. PAGE 4 O F 9 P AGES WHERE WERE YOU WHEN YOU SAW THE PHENOM ENON? ( Check apprn11riat,. bifJr ks.} IN BUSINESS SECTION OF CITY I N BUILDING RESIDENTIAL SECTION OF CITY 0 A S DRIVER 0 A S P ASSENGER OPEN COUNTRYSIDE IN BOAT NEAR AIRFIELD IN AIRPLANE 0 AS PILOT 0 A S PASSENGER FLYING OVER CITY FLYING OVER OPEN COUNTRY OU WERE IN A VEHICLE, COMPLETE T H E FOLLOWING WHAT DIRECTION WERE YOU MOVING' H O W FAST WERE YOU MOVIN G DID YOU STOP ANYTIME WHILE OBSERVIN G T H E PHENOMENON> NORTHEA ST EXPLAIN WHETHER SUCH MOVEMENT AFFECTS YOUR SKETCHES IN ITEMS 5 AND 6 DESCRIBE TYPE OF VEHICLE YOU WERE IN AND TYPE O F R O A D . TERRAIN O R BODY O F WATER YOU TRAVERSED DURIN G THE SIGHTI NG. STATE WHETHER WI NDOWS O R CONVERTIBLE TOP WERE U P OR DOWN. HOW MUCH OTHER TRAFFIC WAS THERE' DID YOU NOTICE ANY A IRPLANES hJ YES (?'N O . IF YES, DESCRIBE WHE N THEY WERE I N S IGHT RELATIVE T O THE TIM E OF SIGHTING THE PHENOMENON AND HERE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHEN OMENO N . H O W LONG WAS THE PHE N OMENO N IN SIGHT' LENGTH OF T IME CERTAIN O F T I M E VERY SU R E FAIRLY CERTA I N JUST A GUESS HOW WAS T IME DETERMINED' THE P H E N O MENON IN SIGHT CONTI NUOUSLY ~ES g N O . IF N o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tEW YOUR ATTENTIO N TO THE PHENOME N O N ' A . HOW DID IT F INALLY DISAPPEAR' [3o/,'HE PHEN OMENON MOVE BEH,NO OR'" FRONT OF SOMETH'NG, UKE A CLOUO, TREE O R BUILDING AT ANY TIME> YES 0 N O . IF "YES,' DESCRIBE. P AGES OF 9 PAGES 22. HAVE YOU EVER SEEN THIS OR A SIMILAR PHEN OMENO N BEFORE? 0 YES 0 . II' yEs, GIVE DATE AND 23. ~fANYONE WITH YOU A"t TH TIME YOU SAW THE PHNOMNON? l..=fYES 0 NO. , 0 NO. IF yEs, DID THEY SE IT TOO? INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE F>ERTIHEHT. 25. WHEN AND "tO WHOM DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON 26. DATE YOU COMPLETED M ONTH f) : '' PAGE 8 OF 9 PAGES