0 T E : T l~E ::::i:IOUI' 2. LOCATION SvUf:Cf 10. CONCLUSION DATA. FOR B'/ALUATION Nli E\E R O F OaJ ECTS i':o t Rep o-::-t F!d I \. LENGTH OF OOSERVATIOH 11. BRI E F SUMll;.Ry Ai'\0 ~NAL nLi Not Fe ported The observe:- reported t o the Duty Officer that he had token Uii'O. The TYPE OF O!SERVATIOH photo e:;raph of observer has failed to submitt return h i s AF Form Grou:1d- Vi sual I S. PtiOTOfo PHYSIC AL EVIOEHC! Ref~rence your UFO obGervation of February 1969. The information tC.:tt. we received is insufficient for a scientlfic analysis. Re~uest yet: complete an AF Fm 117, p hoto- data sheet, and submit your original ne tives for this sighting r:::;c'!OR QUilrl'ANIU.A, Jr, Lt Col, USAF Chief, Aerial Pheno ns B~anch .Aerospace Technologies Division Production Directorate 2 . Photo-data Sheet SIGHTIHG OF UNIDENTIFIED PHEHOMEHA QUESTIOMHAIRE BUDOBT UUREAU APP.OYAL NUMREif :zz.:zH THIS Qt:ESTIONNAIRE HAS BEEN P~EPARED SO THAT YOU CAN GIVE THE U.S. AIR FORCE A S MUCII INFOR~IATlON AS POSS!9LE CONCERNING THE UNIDENTIFIED PHENOMENON THAT YOU HAVE OBSERVED. PLEASE TRY T O ANSWER Ai.U OF THE QUESTI ONS. THE INFORMATI ON YOU GIVE WILL BE U SED FOR RESEARCH PURPO:'iES YOUR NA:.iE WILl,. NOT BE USED IN CONNECTION WITH ANY OF YOUR STATEMENTS OR CONCLUSIONS WITHOUT YOUR PF.R.~ISSJON. RETURN T O AlR FORCE BASE INVESTIGATOR FOR FORWARDING TO FTD (TDETR), WR IGHT- p ATT='=!~:"l AFB , OHIO 45433, lAW AFR 80-f7. (IF ADDITIONAL SHEETS ARE NEEDF.D FOR NARRA TJVE OR SKETCHES A TT.1 C:i S::>::;URELY T O THIS FORM OR ANNOTATE VtiTH YOUR NAME FOR I DENT/FICA TION.) I ww;::-. :no YOU SEE THE PHE N O M E N O N > 2 . ,,..., ~-TIM E DID YOU FIRST S IGI1T THE PHENO MENON > 3 . WH.>.T TIME DID YOU LAST SIGHT THE PHENOM E NON' HOUR MINUTES 0 A . M. 0 P . M. TlloAE Z ONE 0 D AYLIGHT SAVINGS 0 STANDARD 0 E~STi::RN 0 CEN T R A L 0 MOUNTAIN 0 P ACIFIC 0 OTHER S. W~ fo~ HERE YOU WHE N YOU SA.H T H E PHEN O M E N O N 1 IF IN CITY, GIVE THE N E AREST STREET ADDRESS AND INDICATE ON A H.>.'ID DRAWN MAP WHE R E YOU WERE STANDING WITH REFERENCE TO THE ADDRESS. I F IN THE COUNTRY, IDENTIF Y THE HIG,., \AY YOU WERE O N OR N EAR A~ID TRY T O FIX A DISTAN C E AND D IRECTION FROM SO M E RECOGNIZABLE LANDMARK. S . IMAG I._E YOU ARE AT THE POINT SHOWN IN THE SKETCH , PLACE AN A ON THE CURVED LINE TO SHOW H O W HIG H THE PHE.,OM E N D N WAS ABOVE THE HORIZON, OR SKYLINE. WHE N FIRST SEEN . PLACE A a O N THE SAM E CURVED LINE TO S_.~._, '"' O W HIGH ABOVE THE HO~IZON THE PHENOM E N O N WAS WHE N LAST SEEN 6A. NOW IMAGINE VOU ARE AT THE C ENTER OF THE COMPASS ROSE. PLACE AN A ON THE COMPASS TO INDICATE THE DIRECTION TO THI! PHC:NOMENON WHE N FIRST SEEN . PLACE A a ON THE COMPASS T O INDICATE THE DIRECTION TO THE PHENOMENON WHE N LAST SEEN. IN 7HE SKC:TCH BELO'N. PLACE AN "A" AT THE POSITION OF THE PHENOM E N O N WHE N FIRST SEEN. AND A " B " AT THE POSITION OF THE PHENOMENON WHE N LAST SEEN . CONNECT THE "A" AND a WITH A LINE TO APPROXIMATE THE MOVC:MENT O F THE PHENOMENON BETWEEN "A" AND a. THAT IS, SCHEMATICALLY SHOW WHETHER THE MO V E M ENT AP?EARED TO BE STRAIGHT, CURVED OR ZIG-ZAG. REFER TO SMALLER SKETCH AS AN EXAMPLE OF H O W T O COMPLETE TH:: L ARGER SKETCH. PACE 2 OF 9 P ACES WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (Check appropriate' blocks.) IN BUSINE SS SECTION OF CITY RESIDENTIAL. SECTION OF CITY 0 AS DRIVER 0 AS PASSENGER IN OPEN COUNTRYSIDE N EAR AIRFIELD Ai:t:J~:_AN~ 0 A S PILOT 0 A S PASSENGER FLYING OVER CITY Fl. YING OVER OPEN A. I F YOU WERE I N A VEHICLE, COMPLETE THE FOLLOWING: :.-:::>IRECTION WERE YOU MOVI NG1 HOW FAST WERE YOU MOVING> DID YOU STOP ANYTIM E WHILE 09SERVI N G THE PHENOM E NON> I'<:;,<> Tl1E AST SOUTH EAST EXPL.AI~ Y.'i~THER SUCH MOVEMENT AFFECTS YOUR SKETCHES I N ITE M S 5 AND 6 . DESCRI3.: -ypE OF VEHICLE YOU WER!:: IN AND TYPE OF ROAD, TERRAIN OR BODY OF WATER YOU TRAVERSED DURING THE SIGH-I'IG. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN. rlOW MUCH OTHER TRAFFIC WAS THERE' OlD YOU NOTICE ANY AIRPLANES? ~NO. IF " YES," DESCRIBE WHEN THEY WERE IN SIGHT R ELATIVE TO THE TIME OF SIGHTI"<G THE PHENOM E N O N AND WHERE HEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON. 9 HOW LONG WAS THE PHENOMENON I N SIGHT? CERTAIN OF TIME NOT VERY SURE FAIRLY CERTA I N JUST A GUESS HOfOI WAS - E DETERMINED? WAS TI-1E "'"C:N::lMENON I N SIGHT CO'ITI'<UOUS!...Y7 0 Y ES g NO. IF No, INDICATE WHETHER THIS IS DUE TO YOUR MOVE"!ENT C'=t THE BEHAVIOR OF Tr:: HEN OMENON, AND DE C~IBE SU C H MOVE MENT OR BEHAVIOR. INDICATE DISAP- PEA~ .. N.:ES '=>"PREVIOUS SKETCHE:S . PAGE 3 OF 9 PAGES 10. IF THERE WERE MOi'tE THAN O N E PHENOM E N ON. HOW MANY WERE THERE7 DRAW A PICTURE TO SHOW HOW THEY WERE ARRANGED. DID THIS A"U~AHGEMENT CHANGE DURING THE SIGHTING> PARTLY CLOI.:~Y COM?LETELY OVRCAST CONDITIONS (Check appropriate blocks.) B . WEATHER CUMULUS CLOUDS (Low fluffy) CIRRUS CLOUDS (High fleecy or Herring NIMBUS CLOUDS (Rain} CUMULONIMBUS CLOUDS (Thunderscorms) FOG OR MIST fiEAVY RAIN LIGHT P.AIN OR DRIZZLE SNOW OR SLEET NONE OF THE ABOVE f C . I ; T H!;; S IGHTING -.. ... sAT TWILIGHT OR NIGHT. WHAT DID YOU N OTICE ABOUT THE STARS AND MOON NONE BRIGHT MOONLIGHT NO MOONLIGHT I A F E W NOON WITH HALO l 0. <" 31GriTING 'NlS I N OA.YLIGHT, WAS THE SUN VISiaLE> 0 YES 0 NO. i THE PHENO ... ENON1 IF yEs. WHERE WAS THE SUN AS YOU FACED IN FRONT OF YOU TO YOUR RIGHT OVERHEAD (Near noon) 1"1 BAC'< OF YOU TO YOUR LEFT E:. SP::CtFY TtiE MAJ::>~ SOURCE OF ILLUMINATIO N PR!:SENT DURING THE SIGHTING, SUCH AS THE SUN. HEADLIGHTS OR STR!;;ET LAMP . ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE. 12 . GIVi;; A l:'?t=:F OESO:,I?TION OF THE PHE NO'-'E ~O'-~. INDICATING WHETHER IT APPEARE D DARK OR LIGHT. WHETHER I T REFLE:CTEO Ll~,-7 0 ? WAS SELF-LUMINOUS A~:> WHAT COLORS YOU NOTICED. DESCRIBE YOUR IMPRESSION OF WHETHE R IT WAS SOLIO O"t -~,.NSPARENT, WHETHER EOGES 'HERE SHARP OR FUZZY. DESCRIBE THE SHAPE OR INDICATE IF IT AP?EAP'::O AS A ? O I N T OF" L IGHT. INDICATE CO"'PARISONS WITH OTHER OBSERVED OBJECTS, LIKE STARS, A LIG:1T OR OTHER 03J!:CT I H YOUR FIELD OF VIEW. PAGE 4 OF 9 PAGES D I D T H E PHE N O MENO N YES NO UNKNO WN MOVE IN A STRAIGHT LINE? STil..L A T ANYTIM E ? SUDDENLY S?C:EO UP AND RUN AWAY? B R EAK UP 1'4 =>ARTS AND E XPl.ODEl CHANG!: CC'-.)i'H GIV E OFF CK=: CHANGe Cl~IGHTN=:SS? FLA Sfi 0~ :..I C K E R 7 OISAPP!:A~ A ND REAPPEAR? SPI N l.IK~ A TO?? MAKE A "'O l SE? FLUTTE~ C~ WOBBLE? t 4 . WHAT ~REW YOUR ATTENTION T O THE PHENO ME NO N ? 010 IT F INALLY D I SAPPEA R "'ENOM!!NO N MOVE 8EHI"'0 OR I N FRONT O F SOMETHIN G , L IKE A CLOUD, TRE E , OR BUILDIN G AT ANY TIME? IF yEs, DESCRI B E . PAG E 5 OF 9 P AGES 17. DID YOU OBSERVE THE P H E NOMENON THROUGH ANY OF THE FOLLOWING INCLUDE INFORMATION ON MODEL, FILTER. LENS PRESCRIPTION OR OTHER APPLICABLE DATA. EYEGL .c.s<;E::; CAMERA VIEWER SUNCP-A E.~ BINOCULARS TH ~ooOLITE oo '~u or.:-: .. ~=--Y WEAR GLASSES' DYES [ J N O Ol) YOU USE READING GLASSES> "'..JR I'IPRESSION OF THE SPEED OF THE 19. WHAT WA S YOUR IMPRESSION OF THE DISTANC E O F GIVE ESTIMATE OF SPEED PHEN O MENON GIVE ESTIM A T E OF DISTANCE IN .:JP~--. .. HAT WE MAY OBTAIN AS CLEAR A P ICTURE AS POSSIBLE OF WHAT YOU SAW, DESCRIBE IN YOUR OWN WORDS A coo.~ ... r. "* ~SJECT OR OBJECTS WHICH, WHEN PLACED I N THE SKY, SIMILAR TO WHERE YOU NOTED THE PHENOMENO N , OUL O 'IR SOME RESEMBLANCE TO WHAT YOU SAW. DESCRIBE SI MI LARITIES AND DIFFERENCES BETWEEN THE COM"'O'I :>9JECT AND WHAT YOU SAW. ;)10 YOU '4-:l'iiCE ANY ODOR. NOIS::. or. HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT ON YOU R SELF. ANI\4.\LS (."'MACHINERY IN TH::: VI:;I'IITY' UYES rJ NO. IF "YES," DESCRIBE. s - U R B .-: G ":l'.'.,O OR LEAVE ANY PHYSICAL EVIDENCE. QY E S PAGE 7 OF 9 PAGES 27. INFORMATIO N WHICH YOU FEEL IS PERTINENT BUT WHICH IS NOT ADEQUATELY COVERED IN THIS QUESTIONNAIRE, ALTERNATIVELY PROVIDE A NARRATIVE EXPLANATION OF THE SIGHTING. PAGE 9 OF 9 PAGES