:v CJ.:NCE E>i<tcr ~JrAMARY AND A"ALYSIS VC..SC7/"!r StCLtCd .:~t the OOjCC'v ... ., SOlid. ili;:cs Of th\.! v~, .._:r-. w\3:~\3 sher;:>ly out~ .:.r.ed . 'Ir.c obj\.!C\:. .. ,cn-v do;.m ineo the l.vv .:... v:Jse:-.;er stated t, ,'1ut the obj ect co~<: not be seen . O'::>J ..... ~ c h""d no distinct _ound of it:J m-m. Color; brieht cod t o ~.- e.:.;;e to white oiue bot tom. U.S. AIR FORCE T ECI!NICAL INFORMATION ~ ~ ... est ionnoire has been prepared so thot you con give the U.S. Air Force as much ..---: " os possible concerning the unidentifiad aerial phenomenon that y ou hove ob:>ervecl. P'! = .. , io answer os many quastions a s you po ssihly con. The information t~wt you give will be ~.<.o>::. ~r re s l!orch purposes. Your nome will not be u!;ed in connect ion with any statements, c-:n~\._ :ms, o r publication:; without your permis!'.ion. We request t h is pt~rsonol information so tho: 1 ;. i s deemed nect::ssory, we moy contact y ou for further details . 1. Nhcn .:lid;::. see th e object? 2. Tiro'C of day: (Circle One): t : ;rcle On.:): a . taster-. ~ Cent~:ll c. Mountain (Circle One): o. Daylight Soviny @ Standard d. Pacific .1, l'f:-t~:e w!lre t~u when you sow the c;;:~-:t? Cit y or Town Sto t e o r County 5 . h ow ~o,g wos :Stect in sight? (To!-;' ),..-otion) H o urs Minutes SeconJ s ~e to in c . Not very sure ;:' y certain d. Just a guess 6 . Who~ wc1s l r'! c :>r.jion of th:: sky? b. C' c .d y (9) Brig h t 7. IF you so" th e o'::-jecl during DAYLIGHT, where was the SUN located as you looke d at the object? (Circle One): a. In front of you b . In back of you c . To y our right d . T o y our le ft c . Overhead f. Don' t remember FTD osr 62 164 T h l o Corm upo r ~ecl"~ Jo'Tfl 164, t u l 61, w.,lch i~ e>b~,t-t-. t$. If you <,ow rhe obti"CI ot NIGIIT , what drd you 11otic c:on tr~tny the: ST Af.iS <md MOO ? 8.2 MOON ((,cfr One): o. !3right moonlrglt b. Dull moonlrght (2; No moonlight -pitch dor~ d." Dc1 't rcme mbor 9 . \',h::~t .-. $~ ~ weather condrt ions ot l~e t ame you sow the ob:cct ? @CIN SK'J c. Sco e :. :louds d . Thick cr v:ovy clouds \VEATIIER (Crclr Onr): b. Fog, Mi~t , or li~'~t r'lill c . .l.odc~rn:" o~ hl'ovy roan c. D( n't n! ncn.l:,~r Tl; o ob1ect peered: (Circlo One); em~nth'!!r o s a I i gh t, was it br i j ''"on the brightest stor!.? (Circle One): c . :.r ~,ter c. About the same d. Don' t know 11. l Cc.-:-:;-~ ::ric;htncs!> t o so.ne =~--o-, ohjcrt: Th'! e:i;~s c . Other _ 13 . Did :he ob (Cm:lc One fc-,r co-h qut:stinn} Dnn' t know Don' t 1-now Don't know Don' t know D<.'n' t know Don' t know Dor1' t know o . Appe~-'"' ="~st ill atony tll:"te? b . Svdcienli ~ ......... d up and rush awoy atony lime ? e . Cho-se c; ., .,ess? f. Change s!-. -.-? g . F lash or fl deer? h. DisopJWOr ond reappear? Did the obj,ct di.soopeOf whi lo you """'"' wotching it? 15. Did :-!" ~;. ... ~1 mov.l b-\hin d !\Om"'''linq a t any time, pr~rticulorly a c loud? it "'ilC' ~ci hnh in d; 16. Did tn e ~=~ct move in fron t of sor:'letf,ing a t a ny time, por~iculo~ly o cloud? Yes e Don' t Kno'-'' (Cir~., Ooe): 17. T :1 inc 'e:w words the fo ll owing rlli.,gs o bout th0 object: b. C o lo r ; "':sh ':>"<now th" angular si2;,, Hol.:l o match stick a t arm' s length in line wi!h a known objec t ond note how , vf ~'-~ object is covered bv t,e h~od of the match. If y ou hod perform<;~d thi!> el:l>"'rim~nl t1t the tirr ~ o f tfu: si;~ting, how much of the object .,..odd ~ov~ been coverod by t he match head? 19. Draw c :;~':v~ .:..::twill show ~,e :>l"'a;:>c: o f the object or objects. Lobel and includ6 in y our sketch any d~toils of tn, ~:: ~c~ -:..:; y?u s ow su::!1 ~s win~s, protrusions, etc., ond especially exhaust tra il s or vopcx trails . Ploc'.l .;:: .:;>si ::l~ the dro,..i:-; 'o ::h::>w the direction the object wa s moving. 20. Do you think you can ostimote th0 spood of th~ obj c t ? (C ircfe Ono) IF yo--J or.s " dYES, then whet :-;peed would you e3timo~l!l? ....t.~ IF y:>u :~s ..... ri!td YES, ihen how f o r o woy would you soy it was? -~L located when you so"' th~ obj.~ct? 23. Wore you ( Circle On!} a. In rh,~ busines!l s~ction of a ci~;? a . lnsia.., -: rui lding b. !n th~ rec;ident io l section of o c ity? In op~n co;ntrysid::? Nt~or ~rn uirrioln? :ncr. c r;JI:::ne (typa) Flyi ng ovor o city? At !ec f. Flyi11g con:.r op>;!n country? 0 O~h-:r r. g. 1-: ~ ::>;.. <~-:r~ MOVING IN AN AUTOI...\:J31LE or othe r vehic le at the tir.1c:, th:m c om;:>lete thl't followin g questions: d. Sou:!-!eost f. Southwest h. Nor~hw:>t 24.2 Ho..,.., f::>t wore you mov ing? _ mibs P'~r hour. 24.3 Di:! r:.; stop o t a ny tinr~ .,.,. ~.;i e you wot:r loo <ing a t the objec~? (C d e One) Y~s No 25. Did you ob -v') ~.--:e object thrcu;i-c"y o f th~ followinn? Binoculars ~-fe:y tJO Telescope Yos Theodol it~ Yes n oral"r tr -:~ ''"' :-::;, giv~ as clear c picture as possibl!!l of what you s ow, d~scrib-:t in your own v1ords u c ommon object or oS ~c s w:-. tch, wh~n pi :~cod up in thcs :::ky, would g ive the some ap~oronco os th a objC'c t which you .!>ClW .IJ(\jfrL( 27.' In th~ followins sketch, imogin~ that you c..c ot th ... point shown. Pioc~ or ";," on th-, Cl"v,.,d J tt't: tc1 :r;how h'>w j high t h e ohj-:-n ,,os above the horizon {skyline) when yoJ fir<;t sow it. l'locc o .. fj o'1 th~ SClm~ curv,.d 1:.,'! t:> J show how hi-n t~ e obje c t wns above th,... hori1on {skyline) wht:n you /nsf !''l w it. Ploc.., a"l " A " on the co-ntN:>: . w h("n Yf''' (. :- sow it. P loeG a " B " on the ccmnass wher e y ol lns t sow tltc obi~ct. 25 .. 'rcw o pict.~ tha t will show the r.'.:ltio-t'or the object or object s mi'Jde. Plocc on " A " ot the be~1innin;~ of the i)'lh, o "b" ::: tho end o f the path, o ... J sl-.ow any changes in direct ion dur ing tht. cour!\e. ! Draw o ;:>IC,ur'!' :.f n:lw th~y were o~r=~ed, anJ put on arrow t o show the direct ion that th~y were traveling. -~ wcth you at t ile tirn.1 you 50W th., o bj:>ct? (Circlo Ono) !F):" ::r.~.,.,~r-,d YES, did th.:y s:w th.:~ obj..:ct too? (Cird.., Ono) 31.2 Pl s-lilt th:>ir nom~s and o.:dr.:ss ;;; 3:?. ? !eo.>e g:v:: h:: following inforr.1otior. :~bout yo ur:.t:!f: Lo:ol Nomto Jr.dic-:: ::: 'f .:~d'ti?l'lcrl inf nrmo tio,.., ::!" :;,~., your:.;e~lf, includin3 any :;p~ciol o~p~rir-nco, which r.1iaht b: l .d:": :: . you r.!pcr~ thot you h~d suon th ~ o~j ct? 34. Dote you com~l~ted this quest ionnoirt:: . _::;_g !J_ m z_ 35. Information .., ... ~h you foel pertinent and which i~ not adequately covero>d in t n tt specific points of t h., quution~oi~ ::x c narrative eYplanation of your sighting. REPI. Y TO T:.::.r:IUFO Oi!~.~::lTMENT OF THE AIR FOr-te::: HEAOQUARTI::ilf:t FOltZ: I C ... TECHNOLOGY OIVI:iiON ( A FO:C I WRIGHT-i"ATTZi't:JON AUt FO;tCl DA . OHIO <4!U:l3 F.; --erence y1)Ur unid~:1tified observation. The inforl":'.ation ,.,hich .-:.: ::ave received fs no :. sufficient for a scientific evaluation. ?.->-;1est you complete the a ttached FTD Form 164 o.nd r eturn it in t.:-:-: envelope provid~d. Thank you for reporting your observation t: the Air Force ..;-t.:ss C . HANATl', Colo:1el, USAF ) ector of Technolo~y and Subsystems F~D Form 164 w/envelope