DEPARTMENT OF THE AIR FORCE H EADQUARTERS FOREIGN TECHNOLOGY OIVISIO N ( AFSC) RIGH T PATTERSON AIR FORCE OASE OHIO 4!5433 R::.:~:renc!'! your reccn-c unidentified flying object sighting \.'hich ::.:. reported to the .!,ir Force. The info.n:ntion "r:hich we have r eivcd i s not zuffici ent for a scientific investigation. Re~uezt ~ ~:.: complete the -tt:iched f.:F Form 117 and return it in the self- ~-crense6 envelope. Thank you for reporting your observation to t~e Air Force. :'.:.,35 C . MANATI', Colonel, USAF ;r ector of Production Ai' Form 117 SIGHTING OF UNJDEN~u='JED ~i-tcNOMENA QUESTIONNAlRE , = .. l f..S P OSSIBL=: CO~lCERNING THE UNIDENTIF IED PHENO!':IENON THAT YOU H AVE OBSERVED. PLE ASE TRY TO 1-.~S'.\IER ALL 0'=' THE QUESTIONS. T HF. INFOR I\IATION YOU (;{VE Wll.L BE USED FOR RE-SEARCH PURPOSES YOUR NA.\iE. ~1: 1-NOT BE USED IN CO~NECTION WITH ANY OF YOUR STATE MENTS OR CONCLU3lO:tS Yrl T HOUT t YOUR Pi:R:~! :-;. RETURN TO AIR FORCE BASE lNVESTIG/\1'0~ FOf< FO'RWA~DING TO FTD (TDETR) , ~'/RlGHT PATTER~N .1.?';3, O iUO 45433, IAW 80 -17. ( I F ADDITIONAL SHEETS ARE NEEDE D F OR NARRATIVE OR SKET CIJES A TTAC:l SFC:'o;;ELY TO THIS FOR M OR ANr:OTATE WITH YOUR NIL'tf E FOi< IDC:NTIF I CA 'ClON.) 1. WH!"N 0 1;) 'I C 'J 3EE THE PHENOMC:NONT 2 . I 'IH \TTl'~-:: 0 YOU FIRST SIGHT THE P H ENOMENONT H O U n Q A.M. 0 P.M . 3. WH liT T II.<E ~;,YOU LAS T SIGHT T H E Prl!::llOM E N O N 1 1\. TI"'E'ZO ... ::. QOA YLIGHT SAVINGS QSTANOAR O Vl E-'STr. [1 CEN TRA:. 0 MOUNTAIN ( ]PACIFIC Q OTH E R 'I'OU '.'I'HE N Y O U SA.W THE ?nENO'~ENON1 I F I N C ITY, G I V!:: T Hf' NE:.Ml=s T STREET A D Or!E SS AND INUICAT E O N i , \4;\P WHERE YOU WEn!:: STMWIN G WITH REFEREN CE' TO TH o\OO'lCSS. I F I N THE COUNTRY, I OE'NTIFY THE \ ~ERI:. Otl OR ~lEAR A!'-10 T?.Y T O F I X A OISTA>:CE AltO OIRECTIOtl FROI~ SO'~E RCCOGIHZABLE L AN O~li'RK. HIG ~n<\Y Y G ll)o\Cl'l;: ~ .t.l:IE .\T Till:: P Oiti T SHO~'i I N THC SK E TCH, P L ACE AN .._. ON T'l.:. CURV E D LII; E T O SHOW H O H HI~H THE pf{t:'v ~::" WI'S .-.a O V E Till:. IIORIZON, 0~ .,KYLl N E , 'XHE N Flt~:iT SEO:tl. PLACE A a O N 7 H E SAME C U R VED LINE TO stc.: .,C t1 -:, A POVE THE HORIZON T n E PHEN O M E N O'l WAS YOiE N LAST SEFtl. O BSEFtVE R ti \. HO'.V I'IAGI N E YOU ARE 1\T THE Ci!NTEA Or THE COIVhS!l n~ .. .::. f>L.\CI:. AN v A ON THE CO\l?A:>S TO IND I C ATE T Hi,;. DIREt.TION T O THE ?H!:.NO:~ENOH WH E N f'I'~ST s:::EH. PLA C E A " B " 0~1 T H C C0>4?ASS TO I~IDICATC r H e DIRr~CTION T O Til C: f'H E N OM O::'lO N WH E N LAST SC:ZN. .. H BELOW, PI.AC E AN ;.. AT 7h! fOSI'l'IOtl Or 'iH'-' PHI: IOM~NOII tlit:tl F IR;T SC.:EII. AND A ~.:; AT i H ' "='"l'l'l"', ('-THE f"HEN0:-.1<! IOH W~I::'H !..AST SI."E'I. CONtl!lC 'r THE "A" AN O o WITH A LPH~ T O A P PnOXI'\t\T!:. THE 1:'\ -:~ - THE I'HEtlO M E N O N BETl'I?:E N "A" AIIO o. THAT IS , SCHEMATICAL L Y !.HO'.~ l'lrt.::THi!R "fH E ~CVCMC:IT f ... P!>;: \ .~c ":> Br.: STRAIGHT, CURVE.O C ~ :tO ZAG. n E FEH T O SMALLER SKETCH A S AN t:'XAMP LC: OF HO~ T O COf.lPLIZTt:: 1 8. WHERE WER E YOU WHEN YOU SAW THE PHENOMENON? (Chrck npproprl o : ., b lr>clr.) OUTOOOHS IN OUSINESS SECTION OF CITY I N OUILDI'IG ---IN CAR Ld'AS DRIVE R IN AIRP~.l JZ 0 AS PILOT 0 A S PASSeNGER 0 AS PASSENGER _/ Ill RESIDENTIAL SECTION OF "CIT r 1'1 OPEN COUNTRYSID Z AR AIRFIELD FL YIHG OVER CITY FLYING OVER O PEN COUNTRY I F YOU WERE IN A VEHICLE , COMPLETE THE FOLLOWING: Wl-\A-::l ~: :TION WERE YOU MOVING? HOW FAST WERE YOU MOVING? SOUTM WEST DID YOU STOP MlYTIME WHILE OOSI!:WIN O THE NOR Trl! T SOUTH:;AST SOUT HW:::ST XPLAIN VI'"IE7-<!::R SUCH MO V E MENT EFFECT S YOUR SKETCHES IN ITCMS SAND G. OES'"~I~E T~ =>;;OF VEHICLE YOU WERE IN -. N::; TYPE OF ROAD, TEHRAIN OR BOD Y OF WATE R YOU TRAVERSE D DURING THE SIGHTIH::O. 3TATE WHETHER WINDOWS 0"! C ONVERoltJLE TO? WEllE UP OR DO WN. 110'1" MI.'CH OT H~R TRAFFI C WAS THERE? j ;:: o YO.J NOT t- E ANY A IRPLANES? 0 YES )Q NO. IF yes.w DESCRIBE WHEN THEY WERE I N SIGHT RELAT I V E TO THE TIME lOr-Sl vH.,..I'IG '">1:: PHENOMENON AND WHE~ THEY WERE IN THE SKY RELATIVE T O THE POSITION OF TilE PHENO"'ENOt~. 9 H OW !-O N G WAS T H E PHENOMENON IN SIGHT? ~ LENji._- H O F TJV~ CEHTAI~I OF TIME tiOT VERY ~UP.E WA'f> ':':1~ Pl-!::'t: "::"O"l I N SIGHT COHT:'i~':''...SLY' 0 Yt::S [71 HO. I F No. INDICATE 'WHETHER THIS IS DU E TO YOU~ loiO V !'.'-<:.'IT ::>~ -:-.-:: 9E:H.-.VIOR OF THE: Pri:O:h::'4:::NON, AHD O~RI9E SUCH MOV:OMENT OR OEHAVIO~. INDICATE OISAP PEA~A-<c::: 0>. "'":::VIO\JS SKETCHES. .IF niERE WERE MORE THAN ONE PHiNoMENo~. HOW N~;=WER~ THERE'T I ARRANGED. DID THIS ARRANGE Ml::NT CHANGE DURING THE SIGHTING? DRAW A PICTURE TO SHO\ H O'I't THEY W!!:il:! A. SKY 0. WEATHER , DAY / CUMULUS CLOUDS (Law fluffy) FOG OR MIST i CIRRUS CLOUDS (High fleecy or Herring HEAVY RAIN ,_/' HIG'1T bone) LIGHT RAIN OR DRIZZLE CLEAR NIMBUS CLOUDS (Rain) ~I AIL PART:..Y ::t.OUDY CUMULO~IlhiEIUS CLOUDS :;H0/1 OR SLEET COM?L::-;;:!.. y OVERCAST (Thundersrorm.s) HAZE OR SMOG OllE OF THE Jl.BOVE C. I F THE Slv..,-IHG WAS AT TWILIGHT OR NIGHT, WHAT DID YOU NOTICE ABOUT THE STARS AND MOON? ' (1) STARS (2) MOON /"'J NONE:: BrtiGHT MOONLIGHT / UO MOONLIGHT A FEW MOON WITH HALO IJNKriOWN ::>. IF S'G'"'T'"; ... AS IN DAYLIGHT, WAS THE SUN VISIOLEl 0 Y ES DftlO. IF MYES, WHEHE \I,,S THE SUN AS YOU FACF.D ] IN FRON-~F YOU TO YOUR RIGHT OVC::RHEAD (Ncar rwnn) i N SAC~-'"' YOU TO YOUR LEFT UI~KNOWN E. SP=Ctr:'Y i-t! MAJOR SOURCE OF ILLU V INATIOH PRESENT CURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR STREET L.A..Io!", ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LICHT SOUi'ICE. 12. GIVE A B.., !"' t'ESCRIPTION OF THE P H'!NOJ.IENON, INDICATING WHETHER IT APPEAi'IED DARK OR LIGHT, WHETHER I r REFLECoC':. LIGHT OR WAS SELF-LUI-'I"'OU5 AND WHAT COLORS YOU ~IOTICEO. DESCRIBE YOUR IMPRESSION OF WHETHER IT W~S SO-':; OR TRANSPARENT, WHETHER EDGES WERE SHARP OR FUZZY. DESCRIBE THE SHA?C: OR INDICATE IF I T A?C'C.o\?1:0 .,o.S A POINT OF LIGHT. INOIC-'TE COMPARISONS WITH OTHER OBSERVED OBJECTS, LIKE SYARS, A LICHT OR OTrl:O:i'l c:;; C:C':' IN YOUR FIELD OF VIE II. f'AGE 4 OF' 9 PAGI::S DID THE P H E N O M ENON \MOVE I N A STRAIGHT LINP S T A N O STILL AT A"<YTIME ! UDDEN L Y SPEE::> u<> AND HUN AWAY? OREAK UP IN PA?TS AND E XPLODE? S?I U Ll<!: 1-IJ.KE A HOis:: I f"LUTT::~ 0" ~ 14. WnAT ORE., OUR A TTENTIO N TO THe PHENOMEHONT U~IXHO t)'l :3. 010 --,:: :-=."'.:'"'!0":.' f,;OVE Ot:H ,..;, co I N FRONT OF SO ... E THINO, LIKE A CLO'JO, TREE , OR ~JILOI G IT ANY TIMET PAGIE 5 OF 'l P \G'~l:i 1:;. DRAW A PICTURE T H \I WILL SHOW THE SHAPE O F T H E rHEHOMEHOH. INCLUDE AHD LABEL AtlY DETAILS THAT WGHT HAVE APPEARED A 5 \liNGS OR PROTRUSIONS, AND INDI CATE EXHAUST OR VAPOR T RAILS. INOICI\T:! BY AN ARROW THE DIRECTION THE PHENO MENON WAS MOVING. 16. w,...;T IIA -r: :>.,:.JLAR SIZEt HO-=> "'ATCH AT A RM'S L E NGTH IN FRONT OF A KNOWN OD.IEt.o, SUCH AS A STREET L-';..;:> C"!-! .;::-:;~. NOTE HOW MU:;~ o= THE OBJECT I S COVERED B Y THE H EAD O F THE M l C~l. NO" IF YOU HAD BEEN.\;-= ;:: =~=<fORM THIS EX E?.-::ST A T THE TIME OF THE SIGHTING, ESTIMAT E WHA r ~PACT''"" >F THE PHEio.IC"'e:-oc .. W t; -:I ~AVE BEEN co.-::-.:::> 3Y THIZ MATCH HCAD. PAG~ 6 OF!) PAGES 17. 0 10 YOU OO~C:RV THE P H E NO ME t<ON THHOUCH ANY OF TH:: f'OLLOVIIIIGI lrlCLU--D-E-I N_ F_O_"'_.M_r\_T_IO-rl--0-ti-J.I-0-D--_'-_'-_ I TYPE, FILTCR, L f N S PRESCRI?TIO N OR OTHER A P PLICAEli.C: DATA. EY i:;.~L ASS~;> C 1\l)~ltl\ VI~-WER SUNCLhj':.. UIIIOCULM~S r;:-o;-.;;uO;:-,.,,.p '-f V.EAR GLASSES1 0 YES .kfNo -.:1. 0 0 YOU USE R17.AOIN G GLASSESt [l vcs""1:,(,10 ' 1s. '"''"' ~ .. "'"" "': : i\ol?~::ss1oN OF THE sPEED o;: THE 19. WH A 1' HA;; You~ IMPRESSIO N O F 1'HE tJI<;TAilCE o r TH.Z I PH.~!,;..'~"': GIV<;. ESTIMATE O F SPCEO Gr ,,-. ' '-t !1/.J. PHENOMeN O N / viVe ESTIMATE OF O I STio.NCE_::C''' / ( .\ 1'0 IN:>"<::--~-T WE MAY OBTAIN AS CL:7AR A PICTUHE AS POS!;IOLE O f' WIIA T YOU SAW, OI!SCRI:I~ 1~1 YOU R OWN NOf*!l><; ~ A CC1'-''-;l" .: JF.C T OR O BJECT<; WHICI-', t'IHEN Pl..ACED IN TilE SKY, !;(I,IILAf< TO IVHEilE YOU NOTED THE PIII-'NOMt::I~ON, J \'IO'.ll.O 0-:o St'~E RESC:MEiLANCE 7 0 'l"H A T YOU SAW. DESCRIBE :iiMILARI rtES A N D O!FFEHEHCES EJETIIf:bl Til!: COM'~O:< :'1" -:.CT A N D WHAT YOU SA W. t.FFECT ON YOIJRSt::l.F, a. ... .a.._s c;: 'II:. :.,1 ~ERY I N THE VIC.._ -v. 0 YCS J~t~O. lr 'YES, O"'SCPIEl - -.. ;:li<;i!JRO T"';: G~:>v.O OR\ E ,v._ 1\t~Y I'>HVSICAL EVIOI'NCE . [] v c:s J2lno. PAG 7 OF 'l P:\GL ' ~2. Ht'WE YOU EVER SEEN THIS OR A SII,IILAR PHENOMENON BEFORE1 QYES j2f'No. IF YES.'' GIVE DATE AND 23. WAS 1\tiYO'I .vtrn YOU AT THE TIME YOU SAW THE F'HEtiOMt::NON1 ..e:JYES 0 NO. I F yEs, DID THEY SEE I T T007 II.. LIS f THE~ -.AMES AND ADDRESSES GIVE T HE FOLLOWING INFORMAT ION ABOUT YOURSELF MALE FEMAL E A o :-ION"L INFORMATION lHCl.U::lWG OCCUPA1 10:1 AND ANY EXPERIENCE WHIC H H"Y BE PERTINENT.