26. lias this the first time that you have seen an object like this? (Circle One): or No 26.1 IF you anst-1ered NO, then lJhen, l-Ihere, and under \-that conditions did c aused In your opinion what do you think the object l1as and t-rhat might have 20. Give the follol-dng i nformation about yourself: TELEPHOUE l\TUMBER \-Jhat is your present job? 29. lva s anyone else "Ii th you nt the time you saH the object? (Circle One): or No 29.1 IF you anSl-7ered YES, did they see the object too? (Circle One): 29.2 Please list their name s and addresses: 30. Please add here any furthe r cornnH::nt s l-Jhich you believe are important. Use additional sheets of the srune size paper, if necessary AIR TECHNICAL INTELLIGENCE CENTER WRICHTPATTERSON AIR FORCE BASE Chanu AFB, n linois Deft~" Sir: Your reoent ~t ot \mtdentitied aerial phenomana ~n,. been reoeiJed b7 the A:tr !oobn'oal Intalligance Canter. Inoloaod i!J ~ quetetiou:Jre, whioh, wheD cOtlpleted b)' )'OU end rc>turned in tha inoloaed, selt-addreaaed eJXVelope, v1ll aid in otandardizing tha data and v1ll prodde a oOXDplete reoord or tll8 occurrence. Your interest in reporting the matter and ;your publio spirited deaire to be ot 86ltio are creatl7 appreciated. 81noere~ ;youra, llOBERT E. KENNEDY 1 r .Adjutant Cooe,eral. ~fuen did you see the TE:lTATI VE OBSERVERS QUESTIOHNP,IRE SECTIJ1T A 1.2 Time of Day: @ or P. r1. (Circle One ) 1.3 Time Zone: (Circle One): a. Eastern b. ~entraJ.:; c. HoUri:Cain d. Pacific (Circle One): a. ~Daylight Saving) b. Standard 1.4 Circle one of the fol1otr.i.ng to indicate hov1 certain you are of your ans t-rer to the above question 1.2: a. ( Certni n) b. Fairly certain c. Not very sure d. Just a guess 2. \'Jhere Here you l-Jhen you saVT the object: $ ' Postal Address City or Totm Additional Remarks: lihere were you located llhen you satJ the object: (Circle One): a. Inside a building d. In an airplane b. In a c:tr c. "Outd~ors ; (Circle One): a. In the business nection of a c ity? b. In the rer:idential section of a city? c In open countrys i de? d. li'lying near an airfiel d? c. Flying over a c ity? f. Flying over open c ountry? , 4. Ro\or did you happen to notice the object? S. en did you report to some official that you had seen the object? Day n Month SECTIO~T B 6. l-Jhat \-Jere you doing at the time you saw the object? 6.1 ~fuat had you been doing for th9 30 minutes before you saw the object? Try to list the activity or activities and the approximate amount or time spent on each. 7. \t1ere you moving at any time trhi.le you saw the object? (Circle One): IF you ans~.Jered YES, then complete the follot-ri.ng questions: 7.1 v1hat c:irection uere you moving? (Circle One): a. North b. ~!ortheast r. Sou th~re st c. East g. West d. Southeast h. Northwest 7. 2 Hot7 fnst were you moving? miles per hour. 7. 3 Did you stop at any tirne lJhile you tJere looking at the object? (Circle One): Yes a. \lhat direction l-lere you looking when you fir:Jt saw the object? (Ci~cle One): a. 8.1 \']hat direct:\ on vrere you looki ng Hhen the object disappeared? (Circle One): a. North b. Northeast d. Southeast e._so ltiL~-. h. Northt-Jest B. 2 Circle one of the follo,.n.ng to indicate hOl-Y certain you are of your anst1er to the above question and preceding question ( 8 nnd c. Hot very sure d. Just a guess 9. \1ere you 't-Yearing eye elasseo l7hen you sat-r the object? (Circle Ous): Yea or (No .. ,) 10. HOll H~s the object seen? (Clrclo One): a. Through t-tindow glass Through l-r.i.ndshield Through binoculars Through telescope e. Throu3h theodolite r. Through sunglasses g. Through-operr~pacEi) 11. \-1hat do you remember about the ueather conditions at the time you saw the 11.1 CLOUDS (Circle One) 11.) \-JEA THER (Circle One) a. Clear slcy d. Thick or h eavy clouds o. Don't remember b. Fog, !list, or lieht rain c. Mouerate or heavy rain d. Snot.., e. Don t rememb~r-, - 11.2 \Jirm (Circle One) 11.4 TEMPERATURE (Circle One) Slight breeze Strong uind Don't remember) SECTIO:T C 12. Estimate ho\r long yt')u sm-1 the object? e. Don't remember 12.1 Circle one of the follouing to indicate hoH certain you arc of your arisl.Jer to Question 1 2: d. Just a euess a. Cert:dn b. Fairly sure 13. Di d the obje ct. look: (Circle One) @:_:. or Transparent 14. Did the object at any time: Change direction? Change speed? Change size? Change color? Break up into po.rts cr Give off smoke? Change brightness? Remain motionless? (Circle One for each question) Don ' t kn ., Don't lmoH t 1-:not-r Don' t Y.not.J Don't know Don't know ~jD Don't know Did the object give orr a light? (Circle One): GV No Don't knOH 1$.1 IF you answered YES \mat was the color or the light? 61v;)\ P!,,~,hoft..s4" .. 1 ... t,1:.. 16. Tell in a fe\or ""'rds the follotdng things about the object? 16 .1 Sound f I 17. IF there tras UORE THAN ONE object, then how many \rere there? tf Drat., a picture of hot-~ they nere arranged and put an nrrot.r to shol., the direction they uere traveling. , 1 , 1 Did the object o.t any ti.J?\e: 18.1 t~ove behind something? (Circle One) Yes Don IF you anst.zered YES, then tell \-that it m~ved behind. 18.2 Hove in front of so;nethinc? {C~.rcle One ) Yes Don' t knoH I F you ru1sHered YES, then t ell v1hat it moved in front of. 13.3 Dlend vdth t he background? (Circle One) Ye s ~'!7) Don' t. l~OH \rJh:i.ch or the follouing objects is nbout~ the same actual size as the object r. Automobile b. Baseball g. Small airplane c. Banl<e tball h. La rge airplnne d. Bicycle 'Hheel Dirigible l... e . Office deal<: j. Other 19.1 Circle one of the folloH:ing t o ir~di.cate hovr certain you are of your ansue r to Question 19. a. Cert ain b. Fairly certai.n c. Not ver. sure d.\, Unc ertcin 20. Try to t ell the follOlr.i.ng thin3s about the object: Hot-r high above the e arth Has i1j? ~ feet. Hot7 far t-ras it f rom you? '. feet or Hot.r fa::;t lras i t going? '?. mile s p e r hour , Circle one of the follotdng t o indicate holT certain you are of ans~rer to the above questions: a. Certain c. Not v ery sure b. Fairly certain d. Juzt .a guess ( , r 21. HoH did the object disappear from viell? (Circle One): a. sr~cTIO:T D In thf:! fol!oltrlne sketch, imagine your eye on the curved line to shotr hoH high the { skyline) u~en you first satr it. Place you lant savr it. Don't rememb e r a t the point shO'tm . Place an "A" object Has abov e the horjzon a "B" to s hoH rher e it uas uhen 23. In the follouing ol<etch place an "A" at the position the object u a s Hhen you first saw it, and a "D" at ito position l1hen you last saw it. 24. Drn.\1 a picture that \-Jill show the motion that the object made. Place an "A" at the b egiru1ing or its path and a at the end of its path. 25. Drnt., a picture that will shotr the shape or the object. Label and include in your sketch any details of the object that you sat., and place an arrow beside the dra"~ng to show the direction the object was moving. 26 . \Jas t h i s t he firs t tli,le that you h ave seen an obj e c t l ike this? (Circle One): ~es' ...) or No 26.1 IF you ansHer e d JllQ, t hen uhen, \1h e r e , a.nd unde r -vrhat c ondit i on s did you see othe r ones? 27. In your opinion what do you think t he object 'Has and \vha.t might have c ause d 28. Give the following i nformat ion about yourself: TELEPHO!JE !\!UMBER 29. l-Ias anyone else l-dth you at the time you so.H t he object? (Circle One):(. s) or No 29.1 IF you anm-1ered YES, did they see the object t oo? (Circle One): .2 Ple a s e lis t their name s and adclrenses: 14F FORM 112-PAIT t AWttov!O I JU!d tM (..8-t VE BLANA1 AIR INTELLIGENCE INFORMATION REPORT . liOII,.q ~MM.\R'f: (E *' Sl rlu "'"' fl/ r'1*1 otM .... }1411,_ lea ftNj gal,,.,.,.,_ Pll'lttAJI._ /J#ft.C:..~tt ~.Ww"' ~--Jl""' ICIC IJ/"ItOif ... Ar iWftl/1-~vt J/,) r n 16 ,\~"'-l9S2, !Jajor Sen lor ?ilot, ':'lith 3 ~ :).)0 :"llurs L'l11nl tl!D" and 1';1l'-"'l in D-2ja ~ _!::l~sentl.Y ~.;"'iJUod 3=t ; :ncatlonal Aarl.JOr ~f aa1nln' Group, Ol.tnut.e .\.~ lll.lnou ~rriewecl in hl.a ott1ee tmd at.at.ed in st.b~t.an~s .'\r 0003 16 AuJUt l9S2 !Jajor alont~ nth Clpt.ajJl no~ on t]3in~ at.at.u, ()f the ~ of Weather, cbnlcal. Tl-ainin' l'tlns. Chanut AI'B, Ill1r.ol:s nnd ~h~ wi:ne oosrved tov (4.) u.nident1t1ed ohjet.a l~inc d1rct.l7 ov~ ~!ttjor qa.u1#r on the 110utb ud&e or {.HAYUTE AFa, Illlno13. !~a oojot. were fl71:lg 1D :1 tt'/" toNAtion moYinJ froJa oaat. to fesG. turin~ t.;'le ~ to lO oeconda tbey ~lnd in T1.& thet cowered an arc or ~ppl"Qx1Mt.ttl1 l Q tlg ,r the horizon. 't'hq dieappear9d bMlnd the houMJ at.t.tiJtllpta to r Jain vi.-w i)f the object. .ter.~ tutUa. ~ object re 11 pbo~tphoreacence l l!ce blulh-r-rq eo lor. ThY ~" oblona !n shape with t.h e ~Jor di.lnld~r h~\nl n\ rl.dtt. ~m~l to the line ol tligbt. ~ lar,!er di.aln4ster of the c'>,jec:ta op~ared to be 'lp9ro:x.Jmai,el.y t.he aame aa the t~ing Gpdn of a ll-2) ~.,ud 3J'PW!'&-to be at. ~ ,ooo t ~-alt.itude.. '!he minor d1~ter -:w,s opprox.- 1....at.e]J on ... hal.l (1/2) a a lar~ a t.he t~Ajor di.amet. .. r. The distan~ l>e 't..ften the ooject.a :"f!ta e~al to :sbot\t. t.heir nd."r dilimtster. Th a pparent o,...t, poaitJoa in the tonaat.lon, and color r-.a1ned conat.ant. durin& the ; ...,riod of sl3ht.in~. There wa no appal"4)tat. osoill.at.lon .!'lutterin~, exhallat. ~r~U or oo'.lnd. ~ ~eathar 11f!\a cl~ar 1n the vieL"lit7 ~nd lt. n a a .,p,cit1o- \lll3' not..-d by lfajor that th ,bject.a blocked o\lt. the '7145 or th~ 3~ars ~ th~ peaaed aY~rhead. The tajor took a~ial note ol the r~volT- 1nJ apllt-'i.1~ beacon ot CHA.'JUTZ Ai'3. ';he movement. ol th~ ooJ ec:ta nnd or the beOOft had no correepondlnJ relat.ionahlp. J)ll lou ~r.ou saw sub.st~nt.lalq the aaa&e thin and wen deflnitel,r ln acco...t aa ~o nwaber, 3iae, eolor, c.ar" nnd the aba~ce or :sowtd. S!<'et.li\ by ~{ajor ,.;tns !nt..,l11:Jence Qtt1~r !'1.:-sGto_. ot :=:tt.ellL~m~, H'ldqunrt.dr~ 'JS~ r.!llt , . ~ll" 'ie ..:nrd.~J. :n -:..,llLi~,. Gl!nt.tr, -~-r-tg.'lt.-Pat.terson AF9 {OHIO 30. Please add here any furthe r comments l-rhich you believe are important. Use ackli tional sheets of the same size paper if necessary AF FORM 112-PART II APPROVFO 1 JutE 1?~-i AlR INTELLIGENCE INFORMATION REPORT Wi~ I ntllignc Seat\on Looking up at th obJect aa t ha7 r a~d ov~r h~.a. D1rect1~n of f ormation. Point wh~re obJec t a ~t~a?peared Point where objacta firat aigh\ed. Point froiA which v!ew .. d. from viey behlnd house. " OTf: litiS DCCUMHU CONTAIN'; INFORMATION AFFfCTING THE NATIONAL OEFfNSt:. OF TIIC: UNIT:0 STATES WITHIN TilE MEAiiiNG OF THF I r>IONM;F f,( r. S.l U ~. c:-- 31 AND 3Z. A'; AMI:NDED ITS TRANSMISSION OR TIIF RCVEUTION OF I~ CO:UC'lf'> lfl f1NY t-IAN~ER TO AN UNAUTHO~I11'"0 PfRSON I frI)H !iiTLO IIY l ' ,V, MAY NOrm: R[PHOOUCLD IN WHOLE OR IN rART. DY ' f-ORCE AGENCIES, E:XCCPr UY t. H~I.>SIO~ Or'liiE OIRt.CTOtlOF I NTELLI<I-.NCE. USAF. Hhen did you sea TE~JTATIVE OBSERVERS QUESTIOlINJ\IRE the object: Month Year Time of Day: or P.r1. (Circle One) 1.3 Time Zone: (Circle One): n. Eastern (1)) Central c. Hountain d. Pacific (Circle One): ~ Daylight Saving b. Standard 1.4 Circle one or the follo\orl.ng to indicate hoH certain you are or your anstrer to the above question 1.2: {i) Certain c. Not very sure b. Fairly certain d. Just a guess 2. \'lhere t-rere you lJhen you sal-T the object: Additional Remarks: 3. \'Jhere t-rere you located t-1hen you oat., the object: (Circle One): a. ).1 lrlere you: Inside a building d. In an airplane (Circle One): a. In the bu~iness 3ection of a city? b. In the re~idential section or a city? c. In open countryside? d. Flying near an ni rfield? e. Flying over a city? r. Flyine over open country? g. Other C1tJr:ua.--.:-. ~"4,Tclt s d 4./ $. en did you r eport to some official that you had seen the object? - " Day I1onth 6.1 tJhat had you been doing for the 30 minutes before you sm-1 the object? Try to list the activity or activities and the approxima~e amount