a::1 uir:Jla:1e. 22. HAV YOU EV!:R SEEN THIS OR A SIMILAR PHENOMENON BEI'"OIItl!:7 23. W'-5 AI~YONE WITH YOU AT 1;HI: TIME YOU SAW THE PHENOMENON? !Zl YES 0 NO. IF yEs, DID THEY SE!: IT TOO? i]ns 0 NO. A. LIST THI!IA NAMES A D ADDRI!:SSI:S Mo i',.. o v.J GIVE THE FOL..L..OWING INFORMATION ABOUT YOURSELF L. INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHIC H MAY BE PERTINENT . 25. WHEN AND TO WHO M DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON? NAME I/.J \ \ M ONTH DAY YEAR ~i. 0 ~TC: YOlJ C':)lo.o=>L~T:1:0 T HIS Q U:!STIOI'tNAIRE. PAGE 9 OF 9 PAGES AFR S0-17(Cl) SUJ>QET IJUUAJJ AJ'I'~Y.U.. HWIBU 21.11JI SIGHTIHG OF UHIDENTIFIED PMEH~EMA QUESTIO AIRE THIS QUESTIONNI\IRE HAS BEEN PREPARED SO THAT YOU CA:"{ GIVE THE U . S. AtR FORCE AS MUCH INFORMATI O N POSSIBLE CONCERNING THE UNIDENTIFIED PHENOMENON THAT YOU HAVE OBSERVED. PLEASE TRY TO ANSWER ALlJ O F THE QUESTIONS. T H E INFORMATION YOU GIVE WILL BE USED FOR RESEARC H PURPO SES. YOUR NAME wtL~ NO T BE USED IN CONNECTION WITH A.'iY OF YOU R STATEMENTS O R CONCLUSI ONS WITHOUT YOUR P ERMlSStdN. RETUR:'II T O AIR FORCE BASE l:"{VESTIGATOR FOR FORWARDING TO FTD (TDETR), WRI GHT- PATTERSON AFB,OHIO 45433. lAW AFR80-i7. ( I F ADDITIONA L SHEE TS ARE NEEDED FOR NARRATIVE OR SKETCHES A TT.I\CH SECUR E L Y TO THI S FORM OR ANNOTATE WITH YOUR NAME FOR /DENT/ F I CA TION.) I . WHEN DID YOU SEE THE PHEN O M ENON1 2 . WH"'T TIM E DID YOU FIRST SI GHT THE P H E N O MENON ! 3 . WHA T TIM E DID YOU LAST SIGH T THE PHEN O M EN O N ' 4 . TIM E 'ZON E @'DAYLIGHT SAVINGS 0 CENTRAL 0 MOUN T A I N M I NUTES l "l.... MINUTES \ ,.ll"' oA.M . 0 STANDARD 0 P ACIFIC 0 OTHER 5 . WHE R E WERE YOU WHE N YOU S AW THE PHEN O M ENON' IF I N CITY, GIVE T H E NEAREST STREET ADDRESS AND I NDICATE O H A HAN D DqAWN MAP WHERE YOU WERE STANDIN G WITH R E F E R E NCE TO THE ADDRESS. I F IN THE COUNTRY, IDENTIFY THI: HIGHWAY YOU WERE ON OR NEAR AND TRY TO FIX A DISiANCE AND DIRECTI O N FROM SOM E RECOGNIZABLE LAN DMARK . o. IM,.GIN~ fOoJ AlE AT ilie ?OINT SMOWN I N 7HE SKETCH. PLACE AN;.. 0"4 THE CURVED LINE TO SHOW HOW HIG H THE P HENO,..E~ON 'liAS ABOVE T"lC: "lOPilO ... 01> S.<YLINE WHEN FI"'ST .;;oc;N ?LACE A 3 O N THE SAME CURVEO LINE T O SHOW HQ-.. H GH 1\BOVE THe HONil?N rHE P"t~NOM~ NON WAS W-E'4 LAST SEEN. &A . NO IIAAIJI"' YOU A<~!! JIT T l-'lt CIH Ti!" Oi" TH'! co-..;a.t.u ROSZ. II'',ACI: .lH A 0111 TN~ CC!oi,..AS.S TO l f'I OICA T ! THI: O l "t:CTIOH TO T'il!: P H!NOW!HOH WH E H ,I:!UT 4Zi!~. P L ACO!: \ '"CJ'" O H THi!: COWII' A U TO 1'401CATE TH O I "I!:CTI O H T O THil P11 tHOioi!:HO H 'Hl!:H L~ST ~!lttH. 7 . l l'f Tl-4! 5'<E T C H ::JL O.-, PLA C ! AN A A T TH! P OSITIO I'f O F THE: PHENO M E N O N WH!N I"IIUT SEEN , ANO A e AT THE P O SITIO " O F ~E P H E N ON!NO N WH!!;N LAST S!:!:H . CONNECT THE A ANO e WITH A LINE T O APPRO X IMATE THE ... OVEN~'4T O F TH P H E N Oioi!NOM 9ETW!I!:N A ANO a. T H A T IS, SCH E ioiATICALLY SHOW WHETHE R THE MOV!N!NT AP~!:A'A!:O T O D E STR A I G M":", CURVED O R ZIG-:AC. Ro!F E R TO SloiALLf!R SKI!T C H A S AN t:XA1o4PLE O F H O W T O COMPLET!: TH! LA,..O f!PI SI<!::TCH. PAG!: 2 OF 9 PAGES WHERE WERE YOU WHEN YOU SAW THE PHENOME:N O N 1 (Ch,rk flpproprittte hfu,.lrs.) OUTDOOR S IN BUSIN ESS SECTION OF CITY IN BUILDI N G IN RESI D ENTIA L SECTION OF CITY 0 AS DRIVER 0 A S PASSE NGER I N fJ?EN COUNTRYSIDE N EAR AIRFIELD IN AIRPLANE 0 AS PILOT 0 AS P ASSE~IGER FLYING OVER CITY FLYING OVER OPEN COUNTRY IF YOU WERE IN A VEHICLE, COMPLETE THE FOLLOWI NG: WHAT DIRECTION ERE YOU MDVI NCP HOW FAST WERE YOU MOVING> 010 YOU STOP ANYTI M E WHILE OBSERVIN G THE PHENO M E N OIP EXPLA I N WHETHER SUCH MOVEMENT AFFECTS YOUR SKETCHES I N ITEMS 5 ANO 6 . DESCRIBE TYPE OF' VEHICLE YOU WERE I N AND TYPE O F ROAD. TC:RRAIN O R BODY OF WATER YOU TRAVERSED DUR I N G THE SIGHTING. STATE WHETHE R WINDOWS O R CONVERTIBLE TOP WERE UP OR DOWN. HOW MUCH OTHER TRAFFIC WAS THERE 7 010 YOU NOTICE ANY AIRP LANES> 0 Y E S (;a' NO . IF yEs. DESCRIBE WHEN THEY WE R E I N SIGH T RELATIVE TO THE TIM E OF SIGHTING THE PHENOMENON A N D WHERe: THEY WERE. I N THE SKY RELATIVE TO THE POSITION OF THE I'>HEN O M E NON HOW LONG WAS THE P HE N O MENON I N SIGHT? LENGTH OF' TIM E CERTAIN OF' TIM E FAIOt..Y CERTAIN JUST A GUESS 1 ~OW WAS T lloiC: OE TER1141NEO> WAS - .,.E "'"'ENON E N O N II'+ SIGHT CONTI N \JOUSt..'!'' -~YES gN O . I " "" 0 . INDICATE WHETH!::q THIS I S CUE TO YOUR ! REHAVIOR O F THO:: ? ,.. E N O WE N O N . AND OE CRI9!: SUCH MOVEMENT OR BEHAVIOR . INDICATE OISA<>- PE .. RANCES O N PREVIOUS SKETCHES. PAGE 3 OF 9 ?..\GC:.S 10. 1:;:' THER E ~1!!:1'11!: M O R E T~AN 07'41!: PHI!~OMI!:HOlit, H O W MANY WC:R! THt':A E> O~A'N A PICTIJRE TO <;H O W H O W THEY 'IW!:R!: ARI'tAHOf:O. 0 10 T~IS A;~tliiANOl!:M!!HT C HANt!: OU~IHO T ll!!: SIGH T IN G 1 CONOITI O N S (Chttel< opproprlole bloc:k.r.) 8. Wl!: ATH!:R Wil.I O H T ._/ CLEA R ARTL Y C LOUDY COWP L E T!:L'I' O V E RCAST CUM O L U S CLOU DS {Lou. fluffy) CIRRUS C LOU OS ( Hit~ /1ttecy or H'lr rint CUMULO N IMBUS CL.OUOS {ThUAder.Jtor,.,..) H AZE O R SMOG FOG O R lo!IST H e AVY P.AI N L I G H T R A I N OR D RIZZLE SNOW O R SLE~T NON E OF' THE ABOVE: C. I F THI! SIGHTI N G WA S A T TWILIGHT 0 1\ NIGHT. WHA T 010 YOU N OTICE ABOUT THE STARS AND '-100141 V BRIGHT MOONI.IGHT t.IOOH WITH H ALO NOON H I O O.EN BY CLOUOS P ARTIAL. {New o r q:wr.~r) OON L IGHT TH!! SUH VIS18LE7 0 YES 0 NO. o. IF SIG1o4TI~ G WAS I N OAYL I Gio4T, WA S THE PHI!: N O N E N O N 7 I N F R O H T IN BACK OF YOU IF yes. WHERE WAS THE SUN A S YOU F'ACEO T O YOUR RIGHT OVERH~ AD(Ne~Mo~ TO YOUI't LEFT E. SPECI!I'Y TH!: liilAJO~ SOIJACI!: O F ILLUMINAT I O N P RESi!'NT D U RING T H E SIGHTING, SUCH A S THE SUN , HEADLIGHTS 01'1 STR .!:I!!T LAiofP, ETC . FOR fi!!: I!:STRIAL ILLUMINA.,.IO,., SPECIFY DISTANC E TO LIGH T SOURCE. t:;:. G I V I!: A a R ti!!F OE!ICPIPTION OfF T~!: PHE H O ... HO N , INOICATIHG WHETH!:R IT A?JOE AI'"E O DARK OR LIGHT, WHETHER IT P!:FLECT !!:O LIGH T 01! WAS SI!!:LFL U .. I NOUS A H O WHA7 .:01.0"'5 YOU l'fOTICI!: O . O~CRI91!: ':'OUR l lofPRESSIOH O F WHI!:THE:R I T 'MA S SOL I O Oct TR,.NSPAP!!HT. ~HETHI!:R I':DGES WI!RI!: SHARP O R F'UZZY. O!!:SCC\19 T H E SHAPE O R I N D I C ATE I F I T JI,PP EAR::O llS A P C r N ~ 0<' l.jGio' I N:::ltC.,.-E =O.,.PARtSON S fPI T H OTH!:R O!ISt:lt'II'; O 0 8 JI!:C T S, LIKE STARS, A LIGHT O R 07HER 0 9JECT I N YOUo FIELD 01' VII! . koNGrE A. Th.l\~ wAS s o,q_T .. AGE 4 OF 9 P 6.GES p,IOV!: IN A STRAIGHT LIN1 STANO STILL A T ANYTIME? AFR oo-17(Cl) '(ES N O U N JOIO'IIN :. SUOO!:NLY SP!:IEO UP AND RUN AWAYf ~R~AK U~ IN PAATS AND EXPLOOET CHI\NGE CO\..OA? GIV OFF SfltOKEf CHANG!: BRIGHTNESS? CHANG!!: SHI\PEf I' LASH OA I"L I CK!:AT SI"IN LIKE A TOP? MAKE A NOIS1 FLUTTER O A WOBBLE? 14 . WHAT DREW YOUR ATTINTION TO THE PH!:NOMENON1 A . HOW 010 IT FINALLY OISA""PEAAf B . 010 THE PH!:NOMI[NOM MOV~ B!:HIHO 01' IN l'l'tONT 01' 0 YEs MNO. ,,.. '"YEs, ce:scAIS!:. soN!:THtNG, t.. tl<!: A CLOUD , TAE!:. O A BUILDING AT ANY TINEr AFR 8Q-17(Cl) 15. Ol'tAW A ,.ICTUI'tf: THAT Wll.l.. SHOW TH SHAI"E OF nu: PHIEHplllli!HON. INCLUO( AHO LABEL ANY DETAILS THAT MIGHT HAV I!: APP~ARIO A S WINGS O l't Pl'tOTI'tUSIOHS, AHO IHOICAT EXHAU5T O"' VAPIOR TRAILS. IHOICATf: SY AN ARRO THt: DIRECTION THE PHENOWENON WAS MOVING. 16. WHA~ WAS 7ME -'N G Ul..;.,_ Sl:~7 HOl.:l A WATCM A i A R M'S l..ENGTH I N F~ONT 0!' A KNOWN OBJECT , SUCH A S A STREET LAMI" Ol't TH~ MOO N . N OTI HOW MUCH O F THE O BJECT IS COVI .. EO 8Y TH!: HIAO 01" THE MATCH. NOW IF YOU HAO B!:IN ASI..E TO P!:Al"ORio! THIS EXP!:I'tiWINT AT THE TIWE 01" TH SIGHTING, ESTINATE WHAT FRACTIO N OF THE PHEN01141!:NO N WOULD HAVE BEEN COVERED BY THE MATCH HEAO. PAGE 6 O F 9 PAGES 17 . Ol D Y O U OBSERVE T H E P H E N O ME N O N THRO UGH ANY OF THE FOLLOWI NG' I N CLliDE INFORMATION O N FILTER. L t;_N S PRESCRI PTIO N O R O THER APPLICABLE E YEGLASSES CAMERA VIEWER SUNGLASSES BINOCULARS WINDSHIELD T ELESCODE SlOE WI NDOW O F VEH1CL E THEOJOLITE WI NDOWPANE 00 YOU ORDINARIL Y AR C LASSES? {'g YES B . 00 Y O U USE READIN G CLASSES? 0 YES 'NHAT WAS YOUR I MP RESSI O N O.f' THE SP EEO O F THE WHAT WAS YOUR I MPPESSION OF T H E DISTA N C E O F T~E PHEN O M E N O N > GIVE ESTIMATE O F SP EED 30.QQO \l: f hv; PHE N O M E N O N > G I V E ESTIM ATE O F OISTANCE:J,:;.ol>l ~-'"S 2 0 . I N ORDER T H A T W E MAY O BTAIN A S C L E A R A PIC T U R E AI POSSIBLE O F WHA T YOU SAW. DESCRIB E I N YOUR O WN WORDS COMMO N OBJECT O R O B J E C T S WH ICH, WH E N PLACj::O IN THE SKY , SIMILAR TO WH ERE YOU NOTED THE P H E N O M E N ON, WOUL D BF.:.A R S O M E RESEMBLA NCE TO WHAT YOU S A 'N . DESCRIBE SIMI LARITIES AND DIFFE R E NCES BETWEEN THE COM MO N OBJEC T AND WHAT YOU S A W. ~ 01-= YOU ,_.;-E -"IY 0:10? NOIS. OR _,EA ~ EMANAT~ F R O/Iol THE =>-,E N O"'ENO N ANY EFFECT ON YOURSELF . A N I'4Ai...S o o "'"':-.INEI'IV 1 .. T-Z VI':I NITY1 0 YES ~0 IF ye:s. ::>ESCiH3E. THC: GPOU"'D 0~ LE<>VE PN; r''-IY<;ICA L E JIQt:..'IC;:' PAGE 7 OF 9 PAGES 22. HAVC TOU ~VI:" liEN THIS 01' A SIWH,.llo,_ ,_H~NOM~NON iJZl'OM? 23. ~ A14YONa WITH YOU AT THE TIM~ YOU SAW TH!: PH~NOMI:NOHt (.0YaS 0 NO. A. LIST THfl,. NA .. I:S AND ADDIUtSSU II' vi!s, CIVE DATE AND NO. 1 .. vii!;S, " DID THEY SEE I T T007 GIVE THE FOL.l.OWING INFO,..MATION ABOUT YOURSt:L.F MALE FEMALE INDICATE ADDITIONAL IHFOI'U.ATION INCLUOIHO OCCUPATION AND AMY II!:X,.!: .. IENCC WHICH MAY BE PERTIN ENT. 25 WHEN AND TO WHOM D I D YOU R!:PO"T THAT YOU HAD SICHTEO THI S PHI!:NO .. ~NOIU N AM!: \.A r-D 26 . 0ATE YOU COMPLETZ O THIS QU!:STIONH.\1"~ P AGE 8 O F 9 PAGES fti~LY T O TDM' (UFO) DEPARTMENT OF THE AIR FORCE HI:A O Q UARTER5 FOREI G N TECHNOLOGY D IVISION I AFSC I WRIGHT P ATTERSO N AIR F O R C E BAS E O H I O 4!54:13 UFO Observati on Refer e n ce your re~ent u nidentified flyi ng object si ghting ~hich you reported t o the Air Force. The information ~hich ve have r e ceived i s not suff i c i e nt for ?. scientific investigation . Request you complet e the nttnched AF Form 117 a nd r eturn it i n the sel f - sed e nvelope. Thank you for reporting your obs ervation to the Air Fo r ce . l ust.F 1 At ch , CTOn ClUINTANILLA, Jr Lt Colonel, hief, Aer i a l Phe nomena Of f i ce Aerospac~ Technologies Division Produc t ion Director n t c w/envelope SJGHTIHG OF UMIDEHTIFIED PHE~OMMA QUESTtOM~liRE BUDGET BU~EAU O~AL /'lUll BEl l I l l U THIS QUESTIO:'o!Nr\I~E liAS DEEN PREPARED SO THAT YOU CA~ GIVE TifF. U.S AIR FORCE r\S MUCH INFORMATION AS POSSIBLE CONCERNING THE UNIDENTIFIED PHENO\fE:-ION THAT YOU HAVE O BSERVED. PLEASE TRY TO ANSWER ALU OF THE QUESTIONS. THE INFORMATION YOU GIVE WILL BE U SED FOR RF..SE.\RCH P URPOSES. YOUR NAME WILl,. NOT BE USED IN CONNECTION WITH ANY OF YOUR STATEMENTS OR CONCLUSIONS WITHOUT YOUR PERMIS::iidN. RETUR~ TO AIR FORCE BASE INVESTIGATOR FOR FORWARDING TO FTD (TDETR), WRlGHT- PATTERSON AFB,OHI045433,1AW AFR80-f7. (lF ADDTTION A L SHEETS ARE NEEDED FOR NARRATIVF. OR SKeTCHES ATTACH SECUREL.. Y TO THIS FORM OR ANNOTATE IHTH YOUR NAMF. FOR I DF.NTfFICA TION.) I. WHEN DID YOU SEE THE P H E N O M ENON' 2 . WHAT TIME DID YOU FIRST SIGHT THE PHENOMENON> MINUT~S-I ?_ 3 . WHAT TIM E 010 YOU LAST SIGHT THE PHENO MENON' JJ TIME'ZONE f2'jDAYLIGHT SAVINGS -LJsTAHDAR O (2fEASTERN [) CCNTRAL 0 MOUNTAIN 0 P A C I F I C 0 OTHER S W H ERE WERE YOU W H E N Y 0 U SAW THE P H E N O M E N 0 N ' I F I N C I T Y , G II/ I" THE N E A R E S T-S:-:T:-:R~E::-=E-:=T=A::.D::-=D":'R-::E:':'S":'S _A_N_O I N-D~IC_A_T_E.,..-O-H--4 A HAND QqAWN MAP WHEqE YOU WERE STANDIN G NIT H REFERE NCE TO THE ADDRESS. IF I N THE '=OU'ITA Y , IDENTIFY THI!: HIGHWAY YOU W ERE ON "R NEAR ANO TRY TO FIX A DISTANCE AND DIRECTION F'ROM SOM E RECOGNIZABLE L.ANOMARK. 6 I M .. GINr:: YOU .Aile A T PI F POINT >HOW~ IN THE SKETCH, PLACE AN 'A O N THE CURVED L.INE TO SHOW HO W HIG H THE I PHENOioiE N O N "'"" A90VF THC:: I~OI'll ZO'I O;:> Sr<YLINE WHE N F'I P S T SEE"' DL 'ICE A 0 ' O N Tt<E SAME CURVED LIN E TO SHCW HO W ~UGH AfiOVt:: T H E H ORIZON T"'E PHEN O ... E NO N \liAS \II,.E I Li>ST SEEN . ~A. HOW IMAGINE YOU A l'tl!: ATTH~ C~HT!!:" OF THI! COMPASS ROU:. PLAC!: A H "A O N YH!': C0"4PASS T O I~DICATE THE: OIA~CTIOH TO TH! PH!H OM!NO!'f WHE N F IRST SEEN . PI.ACI! A D ON THE CO,.PASS TO INDICATE THE OIAI!CTIOH TO TH~ PHENOMI!NO H WHEN LAST S!!H. 7 . I N Tt.l! S'(ETCt< B!.L.OW, I'LACE .\N "A" AT ThE POSITION OF THE PHE~OM EHON WHEN ,.IRST SEEN , AND A a A T THI!: POSITION OF T t41!: PHIHIOioi!HOH WHEH LAST SEEN. CONNECT T H E A AND o WIT