PROJECT BLUE BOOK

:
PROJECT 10073 RECORD
1. DATE -TIME GROUP 2. LOCATION
See Caso
Jul & Aug 68 Brooklyn, New York (Miltipla)
3. SOURCE- 10. CONCLUSION
Civilians Other (UNFELIABLE REFCETS)
4. NUMBER OF OBJECTS
See Case
5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS
SEE Case Consista of numarous reports by a group of youngsters who
6. TYPE OF OBSERVATION were appearently trying many collect calls the
accept.
Ground-Visual
7. COURSE 7. COURSE
See Case
8. PHOTOS
Yo Yoa
OXNO OXNO
9. PHYSICA PHYSIC DENCE MXALE
Yos
FORM
FTD SEP 63 0-329 (TD) SEP63 0-329 (TDE) Previous oditions of this form may be used. Previous editions of this form may be used.
3

AFR 80-J7(C1)
c
NDWIMAUINEVOUAIRE AFTHE CENEEROF THE COMPASBHOTT PLACEAN'AT ON THE COMDASSTOINSICATE THE
DIRECTION TO THE PHENOMENON WHEN FIRST SEEN, PLACE A "B" ON THE COMPASS TO INOICATE THT DIRECTION TO
THE PHENOMENON WHEN LAST SEEN.
N
NNW NNE
NE
ENE
WSW ESE
SW SE
SSW SSE
7. IN THE SKETCH BELOW, PLACE AN A*AT THE POSITION OF THE PHENOMENON WHEN FIRST SEEN, AND A *B" AT THE
POSITION OF THE PHENOMENON WHEN LAST SEEN. CONNECT THE "A" AND B° WITH A LINE TO APPROXIMATE THE
MOVEMENT OF THE PHENOMENON BETWEEN *A" AND "B*. THAT IS, SCHEMATICALLY SHOW WHETHER THE MOVEMENT
APPEARED TO BE STRAIGHT, CURVED OR ZIG-ZAG, REFER TO SMALLER SKETCH AS AN EXAMPLE OF HOW TO COMPLETE
THE LARGER SKETCH.
E
PAGE 2 OF 9 PAGES

AFR 80-17(CD)
WNERE WERE YOU WHEN YOU SAW THE PHENOMENONZ ((AR
OUTDOORS IN BUSINESS SECTION OF CITY
IN BUILDING IN RESIDENTIAL SECTION OF CITY
IN CAR AS DRIVER AS PASSENGER IN OPEN COUNTRYSIDE
IN BOAT NEAR AIRFIELD
IN AIRPLANE AS PILOT AS PASSENGER FLYING OVER CITY
OTHER FLYING OVER OPEN COUNTRY
OTHER
A IF YOU WERE IN A VEHICLE, COMPLETE THE FOLLOWING:
WHAT DIRECTION WERE YOU MOVING? HOW FAST WERE YOU MOVING?
NORTH EAST
SOUTH WEST DID YOU STOP ANYTIME WHILE OBSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST 0 YES 17NO
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS YOUR SKETCHES IN ITEMS S AND 6.
DESCRIBE TYPE OF VEHICLE YOU WEREIN AND TYPE OF ROAD TERRAIN OR BODY OF WATER YOU TRAVERSED DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN
HOW MUCH OTHER TRAFFIC WAS THERE?
DID YOU NOTICE ANY AIRPLANES? YES NO. IF YES." DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON AND WHERE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
3. HOW LONG HOW LONG WAS THE PHENOMENON PH ENOMENON IN SIGHT?
LENGTH OF TIME CERTAIN OF TIME NOT VERY SURE
About ABout 10 i0 MN, hN FAIRLY CERTAIN JUST A GUESS
HOW WAS HOW WAS TIME DETERMINED?
3 3 A WiNDows Clock
NAS THE PHENOMENON INSIGHT CONTINUOUSLY? YES NO. IF NO." INDICATE WHETHER THIS IS DUE TO YOUR HAS THE PHENOMENON IN SIGHT CONTINUOUSLY? YES NO. IF *NO. INDICATE WHETHER THIS IS DUE TO YOUR
MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON, AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAP. MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON, AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAP.
PEARANCES ON PREVIOUS SKETCHES.
-
PAGE 3OF9PAGES

AFR 80-17(C1)
TO. IF THERE WERE MORE THAN ONE PHENOMENON. HOW MANY WERE THERE' DRAW A PICTURE TO SHOW HOW THEY WERE
ARRANGED. DIO THIS ARRANGEMENT CHANGE DURING THE SIGHTING?
No THE MENA
DiDN CHANgE
11. CONDITIONS (Check appropriate blocks.)
A. SKY B. WEATHER
DAY CUMULUS CLOUDS(LOW /ufY) FOG OR MIST
TWILIGHT CIRRUs CLOuDs (High fleecy or Herring- HEAVY RAIN
NIGHT bore) LIGHT RAIN OR DRIZZLE
CLEAR NIMBUS CLOuDS (Rain) HAIL
PARTLY CLOUDY CUMULONIMBUS CLOUDS SNOW OR SLEET
COMPLETELY OVERCAST (Thunderstorms) UNKNOWN
HAZE OR SMOG NONE OF THE ABOVE
C.IF THE SIGHTING WAS AT TWILIGHT OR NIGHT. WHAT DID YOU NOTICE ABOUT THE STARS AND MOON?
(1) STARS (2) MOON
NONE BRIGHT MOONLIGHT NO MOONLIGHT
A FEW MOON WITH HALO UNKNOWN
MANY MOON HIDDEN BY CLOUDS
UNKNOWN PARTIAL(New or quarter)
D. IF SIGHTING WAS IN DAYLIGHT. WAS THE SUN VISIBLEI YES YES, WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON?
IN FRONT OF YOU TO YOUR RIGHT OVERHEAD(Nea noon)
IN BACK OF YOU TO YOUR LEFT TO YOUR LEFT UNKNOWN
E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR
STREET LAMP, ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCS TO LIGHT SOURCE. STREET LAMP, ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE.
PAM? ham
12. GIVE A BRIEF D 12. GIVE A BRIEF DESCRIPTION OF THE PHENOMENON, INDICATING WHETHER IT APPEARED DARK OR LIGHT, WHETHER IT
REFLECTED LIGHT OR WAS SELF-LUMINOUS AND WHAT COLORS YOU NOTICED. DESCRIBE YOUR IMPRESSION OF WHETHER
IT WAS SOLID OR TRANSPARENT, WHETHER EDGES WERE SHARP OR FUZZY. DESCRIBE THE SHAPE OR INOICATE IF IT
APPEARED AS A POINT OF LIGHT. INDICATE COMPARISONS WITH OTHER OBSERVED OBJECTS, LIKE STARS, A LIGHT OR APPEARED AS A POINT OF LIGHT. INDICATE COMPARISONS WITH OTHER OBSERVED OBJECTS, LIKE STARS, A LIGHT OR
OTHER OBJECT IN YOUR FIELD OF VIEW.
APpearED APpearED wight
Self
LUMINOUS LuMINOUS RED -WHite ReD -WHite
SolD
SHArP
ASHAPE UNKNOWN
NONE
PAGE 4 OF 9 PAGES

FLASH O R FLICKER?
DISAPPEAR AND REAPPEAR?
SPIN LIKE A TOP?
MAKE A NOISE?
FLUTTER OR WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
LookiNg W+HE SKY ForA UFO WE HAVC
SCEN reuiously
A. HOW DID IT FINALLY DISAPPEAR? HOW DID IT FINALLY DISAPPEAR?
It It Look like it wAs PISINg And it
faDed out ADed out
B. DID THE PHENOMENON MOVE SEHIND OR IN B.DID THE FRONT OF SOMETHING, LIKE A CLOUD, TREE, OR BUILDING AT ANY TIME? TIME?
YES D YES NO. IF YES," DESCRI3E. IF *YES," DESCRI3E.
PAGE 5 OF 9 PAGES
/

AFR 80-17(C1)
15. DRAW A PICTURE THAT WILL SHOW THE SHAPE OF THE PHENOMENON. INCLUDE AND LABEL ANY DETAILS THAT MIGHT
HAVE APPEARED AS WINGS OR PROTRUSIONS, AND INDICATE EXHAUST OR VAPOR TRAILS. INDICATE BY AN ARROW THE
DIRECTION THE PHENOMENON WAS MOVING.
K
ExHAust
T
15.WHAT 15. WHAT WAS THE ANGULAR SIZE? HOLD A MATCH AT ARM'S LENGTH IN FRONT OF A KNOWN OBJECT, SUCH AS A STREET WAS THE ANGULAR SIZE? HOLD A MATCH AT ARM'S LENGTH IN FRONT OF A KNOWN OBJECT, SUCH AS A STREET
LAMP OR THE MOON. NOTE HOW MUCH OF THE OBJECT IS COVERED BY THE HEAD OF THE MATCH. NOW IF YOU HAD
BEEN ABLE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE BEEN ABLE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE
PHENOMENON WOULD HAVE BEEN COVERED BY THE MATCH HEAD.
Litt!s tHAN An
Biger Pip\Aedc
PAGE 6 OF 9 PAGES

AFR 80-17(C1)
17 DID YOU OBSERVE THE PHENOMENON THROUGH ANY OF THE FOLLOWING' INCLUDE INFORMATION ON MODEL,
TYRE.I FILTER, LENS PRESCRIPTION OR OTHER APPLICABLE DATA.
EYEGLASSES CAMERA VIEWER
SUNGLASSES BINOCULARS
WINDSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINDOWPANE OTHER
A DO YOU ORDINARILY WEAR GLASSES? YES NO B. DO YOU USE READING GLASSES? LYES VNO
18 WHAT WAS YOUR IMPRESSION OF THE SPEED OF THE 19. WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE
PHENOMENON? GIVE ESTIMATE OF SPEED 2 PHENOMENON? GIVE ESTIMATE OF DISTANCE
20 IN ORDER THAT WE MAY OBTAIN AS CLEAR A PICTURE AS POSSISLE OF WHAT YOU SAW, DESCRIBE IN YOUR OWN WORDS
A COMMON OBJECT OR OBJECTS WHICH, WHEN PLACED IN THE SKY, SIMILAR TO WHERE YOU NOTED THE PHENOMENON,
WOULD BEAR SOME RESEMBLANCE TO WHAT YOU SAW. DESCRIBE SIMILARITIES AND DIFFEPENCES BETWEEN THE
COMMON OBJECT AND WHAT YOU SAW.
No
/
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY 21. DID YOU NOTICE ANY ODOR. NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT ON YOURSELF. EFFECT ON YOURSELF.
ANIMALS OR MACHINERY IN THE VICINITY? YES M NO. IF *YES," DESCRIBE. *YES,"DESCRIBE.
A. DID THE PHENOMENON DISTUR3 THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. YES NO.
1F DESCRIBE. -
PAGE7OF9PAGE

AFR 80-17(C1)
22 HAVE YOU EVER SEEN THIS OR A SIMILAR PHE BEFORE YES JE OATE AND
LOCATION.
Sept
23. WAS ANYONE WITH YOU AT THE TIME YOU SAW THE PHENOMENON? D YES NO. IF DID THEY SEE IT TOO?
YES C NO.
A. LIST THEIR NAMES AND ADDRESSES
X 6 ST
s7
416
40
THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME, FIRST NAME, MIDDLE NAME
ADDREsS (Street, City, stare and Zip Code)
AGE
15 MALE FEMALE
INDICATE ADDITION NFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
25 WHEN AND TO WHOM DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON?
NAME 6S 1c5 DAY30 MONTH July YEAR- 1968
25. DATE YOU COMPLETED THIS QUESTIONNAIRE.
7 Au
DAY_ MONTH. YEAR 13GS
PAGE 8 OF 9 PAGES

AFR 80-17(C1)
ALTERNATIVELY PROVIDE A NARRATIVE EXPLANATION OF THE SIGHTING.
—
PAGE 9 OF 9 PAGES

Photo 23gul68
TDPP (UFO) Lt Col Quintanilla/70916/mhs/2 Aug 68
U0 Observation & Photographs, 25 July 1968 5 AU6 1968
lew York, New York 10020
1. Reference your recent correspondence in which you reported
your unidentified observation of 25 July l968 and subsequent
photographs. Additional information on your sighting andyyour
criginal negatives are needed to perform a scientific investi-
gation. Request you complete the attached photographic data sheet
and AF Form ll7 and return them with your original negatives.
Upon completion of analysis we will return your negatives along
with our findings.
2. Thank you for your observation to the Air Force.
AD  IVIOTAO (0n)
CTOR QUINTAN ANILLA, Jr, Lt Colonel, USAF 2 Atch
Chief, Aerial henomena Office 1. AF Form 117 w/envelope
Aerospace Technologies Division Division 2. Photo Data Sheet
Production Directorate Froduction Directorate
.

AIR FORCE UFO FORM
Fage 1 Page 2
8. IF you sow the object at NIGHT, what did you notice concerning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
as much None a. Bright moonlight
observed. b. Afew b. Dull moonlight
give will c. Many No moonlight-prich dark
atements, d. Don't remember d.Don'tremember
nation so
9. Wha! were the weather conditions at the time you saw the object?
CLOUDS(Circle One): WEATHER (Circle One):
45 a. Clearsky a. Dry
b. Hczy .Fog, mist, or light rain
Scattered clouds c. Moderate or heavy rain
ick or heavy clouds d. Snow
Don't remember
1
0The cbject appeared: (Circle One):
a.Sclid d.As a lightS
b. Transparent b. Transporent ."Donfremember .Don'fremember
c. Vcpor c. Vopor
11. If it cppeared as a light, was it brighter than the brightest stars? (Circle One):
o. Brighter c. About the same
W Y.NK W YONK b. Dimmer d. Don'tknow
ate or County 11.1 Compare brightness to some common object:
stunes stures EreHter +HAD H AflA EreHter FHAD N TYAflA
U
The edges of the object were: 2.The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other+HE e. Other_ tHEYE dere
-
b. Like a bright star b. Like a bright star MANV
c. Shorply outlined cShornlvoutlined +HAASTErSMOS
d. Don't remember AtTcMciaSSRcEo
3. Did the object: (Circle One for each question)
a. Appear to stand still ot ony time? Yes No Don'tknow
b. Suddenly speed up and rush away at any time? Yes No Don'tknow
C. Breok up into parts or explode? es Don't know
d. Give off smoke? Yes Don'tknow
e. Change brightness? Yes Don't know
f. Change shape? Yes Don'tknow
9. Flash or flicker? Yes No Don'tknow
h. Disoppear and reoppear? Yes No Don'tknow

OFFICIALU.S AIRFC
Fage 1
U.S. AIR FORCE TECHNICAL INFORMATION 8. IF yo 101
8.1 STA
This questionnaire has been prepared so that you can give the U.S. Air Force as much
information as possible concerning the unidentified oerial phenomenon that you have observed.
Please try to answer as many questions as you possibly can. The information that you give will
be used for research purposes. Your name will not be used in connection with any statements,
conciusions, or publicotions without your permission. We request this personal information so
that if it is deemed necessary, we may contact you for further details. 9. Whos w
CLOUDS
2. Time of day: 9:10-9.45 a. Cec
. When did you see the object?
Hours b. Huzr
C. Sratte
71 108 (Circle One): A.M. 5 or a.1 TEY
Day Month Year
10.The abled
3. Time Zone:
Cirtle Oneka. Ecstern DaylightSaving c. Sukd
BrCentral "Standord b. Transpe
C. C. Mountain Mountain c. Vopor c. Vopor
d. Pacific d. Pocific
e. Other
I1. If i oppes 11. If il oppes
/here
r0ekiyn rcekly NEW NEW YONK
City ar Town City or Town State or County 11.1 Comj 11.1 Comp
5. How long was abiect in sight? 5. How long was obiect in sight? (Total Duration) 35
efests Hours Hours Minutes Seconds
0. Cerlc o. Cerlc c. Not very sure 12. The edges
5. rairly certain d. Just a guess Chrele C
5.1 How was time in sight determined?
5.2 Was object in sight continuously? 5.2 Was object in sight continuously? Yes. Yes No_ NoV
6.What was the condition of the sky? 13. DdmeoL.
DAY NIGHT . Appim
a. Bright a. Bright the Sudner
b. Cloudy Sudy Brecry
d Give ot
7.IF you sow the abject during DAYLIGHT, where was the SUN located os you looked at the cbject? Chongt
4. Chona
(Circle One): a. In front of you d.To your left T D Rakl
b In back of you Overhead Wi Dhopp
c. To your right Dontremember
FTD FORM
OC1 e2 164 This fortm sepersedes FTD 164. jul 61, which is obsoicte

AFR 80-17(C1)
8. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (CAECK epPrOPRiATe bloCkS.)
TOOOPS IN BUSINESS SECTION OF GITY
IN BUILDING IN RESIDENTIAL SECTION OF CITY
IN CAR AS DRIVER AS PASSENGER IN OPEN COUNTRYSIDE
IN BOAT NEAR AIRFIELD
IN AIRPLANE AS PILOT AS PASSENGER FLYING OVER CITY
OTHER FLYING OVER OPEN COUNTRY
OTHER
A. IF YOU WERE IN A VEHICLE, COMPLETE THE FOLLOWING:
WHAT DIRECTION MOVING? HOW FAST WERE YOU MOVING?
NORTH EAST
SOUTH WEST DID YOU STOP ANYTIME WHILE OBSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES NO
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS YOUR SKETCHES IN ITEMS5 AND 5
DESCRIBE TYPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD TERRAIN OR BODY OF WATER YOU TRAVERSED DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
HOW MUCH OTHER TRAFFIC WAS THERE?
DID VOU NOTICE ANY AIRPLANES? YES NO. IF "YES." DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON AND WHERE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
9. HOW LONG WAS THE HOWLONG WAS PH ENOMENON IN SIGHT?
LENGTH OF TIME LENGTH OF TIME CERTAIN OF TIME NOT VERY SURE
APPROXMATELYiOMLN Ab HROXMATELYOMIN. FAIRLY CERTAIN CERTAIN JUST A GUESS
HOW WAS TIME DETERMINED?
STORE
WAS THE PHENOMENON IN SIGHT CONTINUOUSLY? WAS THE PHENOMENON IN SIGHT CONTINUOUSLY YES YES NO. IF *NO. INDICATE WHETHER THIS IS DUE TO YOUR IF *NO. INDICATE WHETHER THIS IS DUE TO YOUR
MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON, AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON, AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE INDICATE DISAP.
PEARANCES ON PREVIOUS SKETCHES.
8
-
- 1.
ASTOPOED
STOPPED
PAGE 3 OF 9 PAGES

B
191 89 130
EOOM
9
a
a4s no  2
Page 4 rr
o
think you can estimate the speed of the object?
(Circle One) No c o
ABOut As FAsTASAN
answered Yes, then what speed would you estimate?
ATidIaNe
hink you can estimate how far away from you the object was? SOM MOH I'S
(Circle One) No
XHIGHEN tHAN ANY
nswered YEs, then how far away would you say it was?
ClouDs cloups som 6uot oy '5 SOM Guo oy '9
were you located when you saw the object? were you located when you saw the object? 23. Were you (Circle One)
Ooe)s Ooe): NEo
a. In the business section of a city?
to a building TH
car c. In open countryside? c. in open countryside? M w
Tou d. Near an airfield? d.Near an airfield?
airplane (type) eFlying over a city? Flying over a city?
f. Flying over open country?
g. Other.
ure MOVING iN AN AUTOMOBILE or other vehicle ct the time, then complete the folowing questions: w '
hiot direction were yau moving? (Circle One)
North C. East e. South g. West
Northeast d. Southeast Southwest h. Northwest
'ast were you maving? miles per hour.
d you stop at any time while you were looking at the object? as no d ad s
Circle One) Yes No
H1044
bserve the object through any of the following?
asn ae
glasses No e. Binoculars Yes No
glasses No f. Telescope Yes No
adshield Yes No g. Theodolite Yes No
dow glass Yes No h. Other A
that you can give as clear a picture as possible of what you saw, describe in your own words a common object or ab-
h, when placed up in the sky, would give the same appearance as the object which you saw.
times PHE SIZE of AN
AMPIaNe

Page 3
14. Did the object disappear while you were watching it? If so, how? 20. Doy
Lt scened to DisAPPeAN just UAWLeD
E.Mer NeAPpeAN 10A IF yo
AND SupDeNly
21 Day
15. Did the object move behind something at any time, particularly a cloud?
(Circle One): Ye No Dan't know. IF you answered YES, then tell what
It MoueD BcH.v0AC1n.0 IF you
it moved behind:
22. Wher
(Cirel
16. Did the object move in front of something at any time, particularly a cloud? a. In
(Circle One): Yes (No) Don't know. IF you answered YES, then tell what b. in
in frant of:_ o
d. Tn
e. A!
f o
17. Tell in a few words the fallowing things about the object:
a. Sound a. Sound Ns SOUd O 24 244 IF you IT
5. Color. 5. Color Siy W.QHts W.qHt5 Hite Hite 24.1
18. We wish to know the angular size. Hold a match stick at arm's length in line with a known object and note how much of the 24.2
bject is covered by the head af the match. if you had performed this experiment at the time of the sighting, how much of object is covered by the head of the match. if you had performed this experiment at the time of the sighting, how much of
the abject would have been covered by the match head? 24.3 24.3
ABout Y of it WoulD be
25. Did yo 25. Did yo
o. Ei O.E
19. Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details of the object Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details of the objest b.s b S
that you saw such as wings, protrusions, etc., and especially exhaust trails ar vapor trails. Place an arrow beside the drawing C. V
to show the direction the object was moving. to show the direction the obiect was moving. d
FIAiNg
Luigis 26. In orde
G jects w
.

84
Official U.S. Air Force UFO for
Page 5
27. In the following sketch, imagine that you are at the point shown. Place an "A" on the curved line to show how high the object 30. Have yeu aver see
was above the horizon (skyline) when you first saw it. Place a 'B on the same curved line to show how high the object was 2116
above the horizon (skyline) when you last saw it. Place an "A" on the compass when you first saw it. Place a "B" on the com-
pass when you last saw the object. Cout th
90 o 75°
60 N 31. Was onyone else
31.1 Fyou answ
NW NE 1.2 Pleose list th
30
W E
15 SE
32. Please jive the fo
S F
NAME
28. Draw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the path, a "B" at
the end of the path, and show any changes in direction during the course. ADDRESS
OBjects MADE very uNusAll
MaNOUCNS MaNoUCNS y10g Next Next to to EACHUPHER EACHOPHER TELEPHONE NUA TELEPHONE NUA
ANO BAcK BAcK AND PUNTH ANO uPAND UPAND Indicate any add Indicate any add
ABout 2d-35 2B0-220-35 J J
Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling. Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling. A. u
o thim thi m
GC. GCA 6 3
0↑ ↑a X Caniai Conia
→ >
0 50 7
%7
N cs 33. When cind to whc
-5
AND Day
MANY More
4
.

Camras
to to a
When and to whom did you report that you had seen the object? Police- dporator
25 7 68
Day Month Year
News

wad
nea fy had ut to blive  was fow anlel
wo
aNUS t Dauel Wecall
A we ded the mer mdthey lith Ah we
Cu anch whew we
wedid

ano0
Mamst amth m who D
JRe e s See wed wrt S
.

AFR S0-IT(CL)
ESIPSWEIWNR
GA. ROVIN GINE YOU AN-ATTHZ CENTER OY THE COMPAMS POSM. LAS- AM *A*ON TMZ COMPASS TO INDICATE THE
DIRZCTION TO THE FXENONEHON WNIN FIMST SEEN. PLACE A S' ON THE COMPASS TOINDICATE THE DIRECTION TO
THE PHENOMEMOH WHEN LAST SEEN.
N
NNW NNE
ENE
ws ESE
SY SE
SSW SSE
7. IN THE SKETCH BELOW, PLACE AN *A*AT THE PUSITION OF THE PHEHOMENON WHEN FIRST SEEN, AND A *S* AT THE
POSITION OF THE PHENOMENON WHEN LAST SEEN. CONNECT THE "A AND 'B* WITH A LINE.TO APPROXIMATE THE
MOVEMENT OF THE PHENOMENON BETWEEN *A* AND *A. THAT IS, SCHEMATICALLY SHOW WHETHER THE NOVEMENT
APPEARED TO BE STRAIGMT, CURVED OR ZIG-ZAG. REFER TO SMALLER SXETCH AS AN EXAMPLE OF HOW TO COMPLETE
THE LARGER SKETCH.
B
1
PAgE 2 OF 9 PagES

AFR 80-17(CI)
SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIOMMAIRE SUDOST ECRZAU APPROVAL
( N049-2 21-x253
THIS QUESTIONNAIRE HAS BEEN PREPARED SO THAT YOU CAN GIVE THE US AIR FORCE AS MUCH INFORMATION
AS POSSIBLE CO UNIDENTIFIED PHENOMENON THAT ED. PLEASE TRY TO
ANSWER ALL THE INFORMATIO RESEARCH PURPOSES
YOUR NAME WIL CONNOCT
YOUR PERMISSION. RETUR AIR FORC
ATTACH SECURELY TO THIS FORM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION.)
WHEN DID YOU SEE THE PHENOMENON?
31 MONTHV LYYEAR/968
DAY
2. WHAT TIME 01 D YOU FIRST SIGHT THE PHENOMENON
HOUR MINUTES DA.M. AP.M.
3 WHAT TIME DID YOU LAST SIGHT THE PHENOM ENON'
HOUR MINUTES A AeM
4. TIME'ZONE DAYLIGHT SAVINGS STANDARD
CENTRAL MOUNTAIN PACIFIC OTHER
5. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON' IF IN CITY GIVE THE NEAREST STREET ADDRESS AND INDICATE ON
A HAND DRAWN MAP WHERE YOU WERE STANDING WITH REFERENCE TO THE ADDRESS. IF IN THE GOUNTRY, IDENTIFY THE
HIGHWAY YOU WERE ON OR NEAR AND TRY TO FIX A DISTANCE AND DIRECTION FROM SOME RECOGNIZABLE LANDMARK.
6 IMAGINE YOU ARE AT THE POINT SHOWN IN THE SKETCH, PLACE AN *A ON THE CURVED LINE TO SHOW HOW HIGH THE IMAGINE YOU ARE AT THE POINT SHOWN IN THE SKETCH. PLACE AN *A ON THE CURVED LINE TO SHOW HOW HIGH THE
PHENOMENON WAS ABOVE THE HORIZON, OR SKYLINE WHEN FIRST SEEN. PLACE A 3 ON THE SAME CURVEO LINE TO 3" ON THE SAME CURVEO LINE TO
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
81 $81$
1
1 30
1
1
i.- 1 15
OBSERVER
—
AF FORM 117
AUG 67

AFR 80-17(C1)
480L4L4L6L00%4
IF TMERE NZPEMORETHAN CNEPHEHONKNON, OOWNANY WERE THEREY DRAN ARICTURS TO IHO- HOW THEY WERE
ARRANGIO. DID THIS ARRANGZMINT CHANGZ OURING THE SIGHTING!
ONLY ONE
11. CONDITIONs(Check appropriate blocks.)
4. SXY B. WEATHER
CAY CUNULUS cLOUDS (LOW fluffY) FOG OR HIST
TWILIGHT Ciarus cLouDs (High fleccy or Herring- HEAVY RAIN
NIGHT bone) LIGHT RAIN OR DRIZZLE
CLEAR NIMBUS CLOUDS (RaiN) HAIL
PARTLY CLOUDY CUMULONINAUS CLOUDS SYOWOR SLEET
COMPLETELY OVERCAST (Thunderstcrns) UNXNOWN
HAZE OR SWOG NONE OF THE ABOVE
IF THE SIGHTING WAS AT TWILIGHT OR NIGHT. WHAT DID YOU NOTICE ABOUT THE STARS AND MOON?
11 STARS (2) MOON
NONE BRIGHT MOONLIGHT NO NOONLIGHT
A FEW MOOY WITH HALO UNKNOWN
AANY MOON HIDDEN BY CLOUDS
UNKNOWN PARTiAL (New or quarter)
D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? YES ES. WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON?
IN FRONT OFYOU FRONT OF YOU TO YOUR TO YOUR RRIGHT RIGHT OVERHEAD (NeCr nOON) OVERHEAD (NeCr noON)
IN BACK OF YOU TO YOUP LEFT UNKNOWN UNXNOWN
E. SPECIFY THE NAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEAOLIGHTS OR E. SPECIFY THE MAJOR SOURCE OFILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEAOLIGHTS OR
STREET LAMP. ETC. STREET LAMP, ETC. FOR TERRESTRIAL ILLUMINATION, LLHIMATION SPECIFY DISTANCE TO LIGHT SOURCE. NCE TOLIGHTSOURCE.
2. 2. GIVE A BRIEF DESCRIPTION OF THE PHENOMENON, INDICATING WHETHER IT APPEARED DARX OR LIGHT, WHETHER IT
REFLECTED LIGHT OR WAS SELF-LUMINOUS AND WHAT COLORS YOU NOTICED. DESCRIBE YOUR IMPRESSION OF WHETHER REFLECTED LIGHT OR WAS SELF-LUMINOUS AND COLORS YOU NOTICED. DESCRIBE YOUR IMPRESSION OF WHETHER
IT WAS SOLID OR TRANSPARENT, WHETHER EDGES WERS SHARP OR FUZZY. DESCRIBE THE SHAPE OR INDICATE IF IT IT WAS SOLID OR TRANSPARENT. WHETHER EDGES SHARP OR FUZZY. DESCRIBE THE SHAPE OR INDICATE IF IT
APPEARED AS A POINT OF LIGHT. INDICATE COMPARISONS WITH OTHER OBSERVED OBJECTS, LIKE STARS, A LIGHT OR APPEARED AS A POINT OF LIGHT. INDICAT COMPARISONS WITH OTHER OESERVEO OBJECTS, LIKE STARS. A LIGHT OR
OTHER OBJECT IN YOUR FIELD OF VIEW.
SEL LUMIN
LIGHT LIGHT
SOLUD, SHARP SHACPP
SOLID
moteegew.
LIKE FOOTBALL WITHWING
PAGE 4 OF 9 PAGES

AFR 80-17(C1)
IF THERE WENE MORE THAN ONE PHEHOMCHOW, NON MANY WEPG TNEREY DRAN A PICTURE TO SHCH HOW THEY WERE
ARRANGEO. DID THIS ARRANGZNINY CHANGE DURING THE SIGHTINGT
ONLY ONE
11. CONDITiONs(Check appropriate blocks.)
SXY 3. WEATHER
DAY CUNULUS CLOUDS(LOW fluffY) FOG OR MIST
TWILIGHT CIRRUS CLouDS (High fleecy or Marring- HEAVY RAIN
HIGHT bone) LIGHT RAIN OR DRIZZLE
CLEAR NIMBUS CLOUDS (RaIN) HAIL
PARTLY CLOUDY CUMULONINAUS CLOUOS SMOW OR SLEET
COMPLETELY OVERCAST (Thunderstorns) UNXNOWN
HAZE OR SWOG NONE OF THE ABOVE
1F THE SIGHTING WAS AT TWILIGHT OR NIGHT, WHAT DID YOU NOTICE ABOUT THE STARS AND MDON?
1T) STARS (2) MOON
NONE BRIGHT MOONLIGHT NO MOONLIGHT
A FEW MOON WITH HALO UNKNOWN
MANY MOON HIDDEN BY CLOUDS
UNKHOWN PARTIAL(NeW or quarter)
O. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? 0 YES NO. IF YES, WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON?
IN FRONT OF YOU IN FRONTOFYOU TO YOUR RIGHT OVERHEAD(NeGrnooN) OVERHEAD(NeCrnOON)
IN BACK OF YOU IN BACK OF YOU TO YOUR LEFT TO YOUR LEFT UNKNOWN
E. SPECIFY TNE WAJOR SOURCE OF ILLUMINATION E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT PRESE OURING THE SIGHTING, SUCH AS THE SUN. HEAOLIGHTS OR OURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR
STREET LAMP, ETC. 1 STREET LAMP, ETC. FOR TERRESTRL FOR 4 LIGHT SOURCE. IGHT SOURCE.
87 S7
GIVE A BRIEF DESCRIPTION OF THE PHENOMENON, INDICATING WHETHER IT APPEARED DARX OR LIGHT, WHETHER IT GIVE A BRIEF DESCRIPTION OF THE PHENOMENON, INDICATING WHETHER IT APPEARED DARX OR LIGHT, WHETHER IT
REFLECTED LIGHT OR WAS SELF-LUMINOUS AND WHAT COLORS YOU NOTICED. DESCRIBE YOUR IMPRESSION OF WHETHER REFLECTEO LIGHT OR WAS SELF-LUMINOUS AND WHAT COLORS YOU NOTICED. DESCRIBE YOUR IMPRESSION OF WHETHER
IT WAS SOLID OR TRANSPARENT, WHETHER EDGES WERS SHARP OR FUZZY. DESCRIBE THE SHAPE OR INDICATE IF IT IT WAS SOLID OR TRANSPARENT. WHETHER EDGES WERS SHARP OR FUZZY. DESCRIBE THE SHAPE OR INDICATE IF IT
APPEARED AS A POINT OF LIGHT. INDICATE COMPARISONS WITH OTHER OBSERVEO OBJECTS, LIKE STARS, A LIGHT OR
OTHER OSJECT IN YOUR FIELD OF VIEW. OTHER OSJECT IN YOUR
ITE
LIGHT LIG
CALID 9 HADD
SOLID SHARP
LIKE FOOTBALL WITH WINE
ON TOP
PAGE A OF 9 PAGES
CSO

AFR 80-17(C1)
1O. IF THERE WERE MORE THAN ONE PHENOMENON. HOW MANY WERE THERE? DRAW A PICTURE TO SHOW HOW THEY WERE
ARRANGED. OID THIS ARRANGEMENT CHANGE DURING THE SIGHTING?
S
JUST ONE
OBJECT
11. CONDITiONs (Check appropriate blocks.)
A. SKY 8. WEATHER
DAY CUMULUS cLouDS (Low flujfy) FOG OR MIST
TWILIGHT CIRRus CLouOS (High fleecy or Herring- HEAVY RAIN
NIGHT bone) LIGHT RAIN OR ORIZZLE
CLEAR NIMBUS CLOUDS (Rain) HAIL
PARTLY CLOUDY CUMULONIMBUS CLOUDS SNOW OR SLEET
COMPLETELY OVERCAST (Thunderstorms) UNKNOWN
HAZE OR SMOG NONE OF THE ABOVE
C.IF THE SIGHTING WAS AT TWILIGHT OR NIGHT, WHAT DID YOU NOTICE ABOUT THE STARS AND MOON?
(1) STARS (2) MOON
NONE BRIGHT MOONLIGHT NO MOONLIGHT
A FEW MOON WITH HALO UNKNOWN
MANY MOON HIDDEN BY CLOUDS
UNKNOWN PARTiAL (New or quarter)
D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? YES YES.- WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON?
IN FRONT IN FRONT OF YOU TO YOUR RIGHT TO YOUR RIGHT OVERHEAD (NeC noON) OVERHEAD(NeCI nOON)
IN BACK OF YOU IN BACK OF YOU TO YOUR LEFT UNKNOWN
E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE S E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR SUN, HEADLIGHTS OR
STREET LAMP, ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE. ILLUMINATION.SPECIFY DISTANCE TO LIGHT SOURCE.
12. GIVE A BRIEF DESCRIPTION OF THE PHENOMENON, INDICATING WHETHER IT APPEARED DARK OR LIGHT, WHETHER IT 12. GIVE A BRIEF DESCRIPTION OF THE PHENOMENON, INDICATING WHETHER IT APPEARED DARK OR LIGHT, WHETHER IT
REFLECTED LIGHT OR WAS SELF-LUMINOUS AND WHAT COLORS YOU NOTICED. DESCRIBE YOUR IMPRESSION OF WHETHER
IT WAS SOLID OR TRANSPARENT, WHETHER EDGES WERE SHARP OR FUZZY. DESCRIBE THE SHAPE OR INDICATE IF IT
APPEAREO AS A POINT OF LIGHT. INDICATE COMPARISONS WITH OTHER OBSERVED OBJECTS, LIKE STARS. A LIGHT OR APPEAREO AS A POINT OF LIGHT. INDICAT COMPARISONS WITH OTHER OBSERVED OBJECTS, LIKE STARS, A LIGHT OR
OTHER OBJECT IN YOUR FIELD OF VIEW. OTHER OBJECT IN YOUR FIELD OF VIEW.
DAPPE DAp E)No COMPAR CON On
CARED AICHT 1CH
DSELF LUMINOUS FWHITE
SOLID
SHARP
WINGLIKE PROTRUSION ON TOP
PAGE 4 OF 9 PAGES

AFR 80-17(C1)
3
OUTDOORS IIN BUSINESS SECTION OF CITY
IN BUILDING IN RESIDENTIAL SECTION CF CITY
IN CAR AS DRIVER AS PASSENGER IN OPEN COUNTRYSIDE
IN BOAT NEAR AIRFIELO
IN AIRPLANE 0 AS PILOT AS PASSENGER FLYINGOVER CITY
OTHER FLYING OVER OPEN COUNTRY
OTHER
A. IF YOU WERE IN A VEHICLE, COMPLETE THE FOLLOWING:
WHAT DIRECTION WERE YOU HOW FAST WERE YOU MOVING?
NORTH EAST
SOUTH WEST DID YOU STOP ANYTIME WHILE OBSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST CYES ONO
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS YOUR SKETCHES IN ITEMS 5 AND 6.
DESCRIBE TYPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD. TERRAIN OR BODY OF WATER YOU TRAVERSED DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
HOW MUCH OTHER TRAFFIC WAS THERERA .
UERYLITTLE
DID YOU NOTICE ANY AIRPLANES? YES NO. IF *YES." DESCRISE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OTLY
UNDER PLANE
9. HOW LONG WAS THE PH ENO MENON IN SIGHT?
LENGTH OF TIME CERTAIN OF TIME NOT VERY SURE
1OMINUTES FAIRLY CERTAIN JUST A GUESS
HOW WAS TIME DETERMINED?
WAS THE PHENOMENON IN SIGHT CONTINUOUSLY? X YES NO. IF NO." INDICATE WHETHER THIS IS DUE TO YOUR
MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON, AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAP.
PEARANCES ON PREVIOUS SKETCHES.

AFR 80-17(C1)
CRAX PICTURE THAT WILL SHOY THE SHAI OT THE PHENOMZMON. INCLUOZ ANO LABEL ANY DETAILS THAT MIGHT
HAVE APPEAREO AS WINGS OA PROTRUSIONS, AND IHDICATE EANAUST OR VAPOH TRMILS. INDICATE BY AN ARROW THE
DIRECTION THE PHENOMENON WAS MOVING
-
16. WHAT WAS THE ANGULAR SIZE? HOLD A MATCH AT ARM*S LENGTHIN FRONT OF A KNOWN OBJECT, SUCH AS A STREET
LAMP OR THE HOON. NOTE HOW MUCH OF THE OBJECT IS COVERSO BY THE HEAO OF THE NATCH. NOW IF YOU HAD
BEEN ABLE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE
PHENOMENON WOULD HAVE BEEN COVERED BY THE NATCH HEAD.
PAGE 6 OF 9 PAGES

DISAPPEAR AND REAPPEAR?
SPIN LIKE A TOP?
MAKE A MOISE?
FLUTTEROR WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
LOOKING FOR U.F.O. PREUIOUSLY
SEEN
A. HOW DID IT FINALLY DISAPPEAR?
JUST JANISHED JUST JANISHED
B.DID THE B.DID THE PHENOMENON MOVE BEHIND OR IN c FRONT SOMETHING, LIKE A CLOUD, TREE, OR BUILDING AT ANY NG, LIKE A CLOUD. TREE, OR BUILDING AT ANY TINE (TINET
YES 0 NO. IF *YES." DESCRIBE.
APARTMENT
BUILDING
PAGE 5 OF3 PAGES
.

AFR 80-17(C1)
22.NAVAYOU EVEHBEEM THIS OR A SIMILAR PMENOMENON CEFOACI DATE AND
LOCATION.
23. WAS ANYONE WITH YOU AT TME TIME YOU SAW THE PHEMOMZNON! BYEs HO. IF YES,°DID THEY SEE IT TOO
GYES NO.
LIST THIIR ESSUS
24. GIVE THE FOLLOWING IN RMATION ABOUT YOURSELF
LAST NAMS. FIR
ADDPESS
TELE AGE
MALE FEMALE
INDICATE ADDITIONAL INFORMATION INCLUOING OCCUPATION AND ANY EXPEAIENCE WNICH MAY BE PERTINENT.
25.WMEN AMD WHOH DID YOUVPEPORT HAD SIGHTED THIS
28,11,10,13,14,15
BL U 300KAY
NAME MONTH_ YEAR
5. DATE YOU COMPLETEO THIS QUESTIONNAIRE.
DAYL6 MONTH BUGUST YEAR8
PAGE 8 OF 9 PAGES

AFR 80-17(C1)
Hum ogg
17 DID YOU OBSERVE THE PHENOMENON THROUGH ANY OF THE FOLLOWINCT INCLUCE INFONMATION ON MODEL,
TYPE FILTER. LENS PRESCRIPTION OR OTHER APPLICAHLE DATA.
EYEGLASSES CAMERA VIENER
SUNGLASSES BINGCULAHS
WINOSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEOOOLITE
NINDOWPANE IOTHER
A. DO YOU ORDINARILY WEAR GLASSES? YES NO a. DO YOU USE READING GLASSES? YES
18 WHAT WAS YOUR IMPRESSION OF THE SPEED OF THE
PHENOMENONT GIVE ESTIMATE OF SPEED_ PHENOMENONI GIVE ESTIMATE OF DISTANCE
2O IN ORDER THAT WE MAY OBTAIN AS CLEAR A PICTURE AS POSSIBLE OF WHAT YOU SAW, DESCRIBE IN YOUR OWN WORDS
A CONMON OBJECT OR OBJECTS WHICH, WHEN PLACED IN THE SXY, SIMILAR TO WHERE YOU NOTED THE PHENOMENON.
WOULD BEAR SOME RESEMBLANCE TO WHAT YOU SAW. DESCRIBE SIMILARITIES AND DIFFERENCES SETWEEN THE
COMMON OSJECT AND WHAT YOU SAW.
WITH WINGON
FOOTBALL
t
(
21 DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY THE PHENOMENON OR ANY EFFECT ON EFFECT ON YOURSELF. YOURSELF.
ANIMALSOR MACHINERYI ANIMALS OR MACHINERYIN IN VICINITY? YES YES 0 NO. NO IF YES,"DESCRIBE. ES DESCRIBE.
HUMMING SOUND SOUNO
A. DID THE PHENOMENON DISTURB THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. LYES NO
IF YES, DESCRIBE.
PAGE7OFSPAGES

sert
in two andl undiullpe
ofPaul
Pastori.
X
PACESOF9 PAGES

findings.
2. Thank you for repo your observation to the Force.
HECTOR QUIN NILLA, Jr, Lt Colonel, USAF 2 Atch
Chief, Aerial Phenomena Office 1. AF Form 1l7 w/envelope
Aerospace Technologies Division 2. Photo Data Sheet
Production Directorate

,
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
OHIO 43433
REPLY TO 5 AUG 1S
ATTN OF TDPT (UFO)
SUBJECT July 1968
TO:
New York, New York 10001
Your name hos been given to the Aerial Phenomene Office (Project
Blue Book) as being a vitness to an unidentified flying object.
25 July 1968
would you please complete the attached AF Form il7 and return it
in the envelope provided. If you were not a witness to this
sighting, would you please make a statement to this effect on the
attuched form. The information which you provide will be used in
evalunting this observation. Thank you for your assistance in thic
matter.
HECTOR QUINTANILLA, Jr, Lt Colonel, USAF Lt Colonel, USAF 1 Atch
Chief, Aerial Chief, Aerial Phenomena nenomena Office AF Form 117 w/envelope AF Form 1l7 w/envelope
Aerospace Technologies Division
Production Directorate
8

TDPTipo )on3Lp
Duty Iffae Repid reaved i
AFR 80-17(C1)
SIGNTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE BUDGET BUREAU APPROVAL
NUMBER 21-R258
YOUR NAME WILL NOT BE
YOUR PERMISSION.RETU
WHEN DID YOU SEE THE PHENOMENON?
MONTH YEAR
2 WHAT TIME DID YOU FIRST SIGHT THE PHENOMENON?
HOUR MINUTES. CIA.M. [EPP.M.
3 WHAT TIME DID YOU LAST SIGHT THE PHENOMENON?
HOUR. 20 3 MINUTES [A.M. GP.M.
4 TIME ZONE DAYLIGHT SAVINGS STANDARD
CEASTERN CENTRAL PACIFIC OTHER
5 WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? IF IN CITY. GIVE THE NEAREST STREET ADDRESS AND INDICATE ON
A HAND DRAWN MAP WHERE YOU WERE STANDING WITH REFERENCE TO THE ADDRESS. IF IN THE COUNTRY, IDENTIFY THE
HIGHWAY YOU WERE ON OR NEAR AND TRY TO FIX A DISTANCE AND DIRECTION FROM SOME RECOGNIZABLE LANDMARK.
corve
6. IMAGINE YOU ARE AT THE POINT SHOWN IN THE SKETCH, PLACE AN 'A° ON THE CURVED LINE TO SHOW HOW HIGH THE
PHENOMENON WAS ABOVE THE HORIZON. OR SKYLINE. WHEN FIRST SEEN. PLACE A 3^ ON THE SAME CURVED LINE TO
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
90 SL-
1 60
| 45
√
1 30
I

AFR 80-17(C1)
1D IF THERE WERE MORE THPN ONE PHENOMENON, HOW MANY WERE THERE? DRAW A PICTURE TO SHOW HOW THEY WERE
ARRANGED. DID THIS ARRANGEMENT CHANGE DURING THE SIG-TING?
D
11. COND!TiONs(Check appropriate blocks.)
A. SKY 8. WEATHER
DAY CUMULUS CLOUDS (LoW fluffy) FOG OR MIST
TWILIGHT CiRRus CLouDs (High fleecy or Herring- HEAVY RAIN
NIGHT bone) LIGKT RAIN OR ORIZZLE
CLEAR NIMBUS CLOuDS (Rain) HAIL
PARTLY CLOUDY CUMULONIMBUS CLOUDS SNOW OR SLEET
COMPLETELY OVERCAST (Thunderstorms) UNKNOWN
HAZE OR SMOG NONE OF THE ABOVE
C. IF THE SIGHTING WAS AT TWILIGHT OR NIGHT. WHAT DID YOU NOTICE ABOUT THE STARS AND MOON?
(1) STARS (2) MOON
L NONE BRIGHT MOONLIGHT NO MOONLIGHT
A FEW MOON WITH HALO UNKNOWN
MANY MOON HIDDEN BY CLOUDS
UNKNOWN PARTIAL (New or quarter)
D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? YES NO. IF "YES. WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON? THE PHENOMENON?
IN FRONT OF YOU TO YOUR RIGHT TO YOUR RIGHT OVERHEAD (Near noon) OVERHEAD (Near noOn)
IN BACK OF YOU TO YOUR LEFT UNKNOWN UNKNOWN
E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR
STREET LAMP, ETC. STREET LAMP.ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE.
12. GIVE A BRIEF DESCRIPTION OF THE PHENOMENON, INDICATING WHETHER IT APPEARED DARK OR LIGHT, WHETHER IT
REFLECTED LIGHT OR WAS SELF-LUMINOUS AND WHAT COLORS YOU NOTICED. DESCRIBE YOUR IMPRESSION OF WHETHER
IT WAS SOLID OR TRANSPARENT, WHETHER EDGES WERE SHARP OR FUZZY. DESCRIBE THE SHAPE OR INOICATE IF IT
APPEARED AS A POINT OF LIGHT. INDICATE COMPARISONS WITH OTHER OBSERVED OBJECTS, LIKE STARS. A LIGHT OR
OTHER OBJECT IN YOUR FIELD OF VIEW.
thar any ary
M INOLS
So 707
2rp
Civenlor
PAGE 4 OF 9 PAGES

SPIN DISAPPEAR LIKE A AND REAPPEAR? TOP?
MAKE FLUTTERORWO9BLE? A NOISE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
αOOKING IN SKY FOR UFO WE
HAP SEEN PREUIOUSLY
L VUST WENT OUT AS ALAMP
WOULD WHEN YOU SHOT in
OFF
YES NO. IF "YES," DESCRIBE. TIME?

AFR 80-17(C1)
8 WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (Chcck upuroprinte blocks)
OUTDOORS IN BUSINESS SECTION OF CITY
IN BUILDING IN RESIDENTIAL SECTION OF CITY
IN CAR AS DRIVER AS PASSENGER IN OPEN COUNTRYSIDE
IN BOAT NEAR AIRFIELD
IN AIRPLANE 1 PILOT AS PASSENGER FLYINGE OVER CITY
OTHER FLYING OVER OPEN COUNTRY
OTHER
A. IF YOU WERE IN A VEHICLE, COMPLETE THE FOLLOWING:
WHAT DIRECTION WERE YOU MOVING? HOW FAST WERE YOU MOVING?
NORTH EAST
SOUTH WEST DID YOU STOP ANYTIME WHILE OBSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES 1No
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS YOUR SKETCHES IN ITEMS 5 AND 6
DESCRIBE TYPE OF VEHICLE YOU WERE IN AND TYPE ROAO. TERRAIN OR BODY OF WATER YOU TRAVERSED DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
HOW MUCH OTHER TRAFFIC WAS THERE?
DID YOU NOTICE ANY AIRPLANES? YES NO. IF YES." DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON A AND WHERE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON
9. 9. HOW LONG HOW LONG WAS WAS THE PHENOI PH ENO MENON M IENON IN SIGHT?
LENGTH OF TIME CERTAIN OF TIME TIME NOT VERY NOT VERY SURE SURE
FAIRLY CERTAIN JUST A GUESS
HOW WAS TIME DETERMINEO? DETERMINEO?
WAS THE PHENOMENON IN SIGHT CONTINUOUSLY? WAS THE PHENOMENON IN SIGHT CONTINUC OUSLY YES NO. IF  NO, INDICATE WHETHER THIS IS DUE TO YOUR IF NO, INDICATE WHETHER THIS IS DUE TO YOUP
MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON. AND DESCRIBE SUCH AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. MOVEMENT OR BEHAVIOR. INDICATE DISAR,
PEARANCES ON PREVIOUS SKETCHES.
PAGE 9 PAGES
.

AFR 80-17(C1)
15. DRAN A PICTURE THAT WILL SHOW THE SHAPE OF THE PHENOMENON. INCLUDE AND LABEL ANY DETAILS THAT MIGHT
HAVE APPEAREO AS WINGS OR PROTRUSIONS, AND INDICATE EAHAUST OR VAPOR TRAILS. INDICATE BY AN ARROW THE
DIRECTION THE PHENOMENON WAS MOVING.
).
-
16. WHAT WAS THE ANGULAR SIZE? HOLD A MATCH AT ARM*S LENGTH IN FRONT OF A KNOWN OBJECT, SUCH AS A STREET WAS THE ANGULAR SIZE? HOLD A MATCH AT ARM*S LENGTH IN FRONT OF A KNOWN O3JECT, SUCH AS A STREET
LAMP OR THE MOON. NOTE HOW MUCH OF THE OBJECT IS COVERED BY THE HEAD OF THE MATCH. NOW IF YOU HAD
BEEN ABLE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE
PHENOMENON WOULD HAVE BEEN COVERED BY THE MATCH HEAD.
parch w0n
PAGE6OF 9 PAGES

CHANGE SHAPE?
FL ASH OR FLICKERT
DISAPPEAR AND REAPPEAR?
SPIN LIKEA TOP?
MAKE A NOISE?
FLUTTER OR WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
Lo04g a08 562n p0i0k5
A. HOW DID IT FINALLY DISAPPEAR? A. HOW DID IT FINALLY DISAPPEAR?
C
B. DID THE B. DID THE PHENOMENON MOVE BEHIND ORIN OR IN FRON FRON T OF SOMET HING. LIKE CLOUD, TREE.OR BUILDING AT ANY TIME?
ES (ZNO. IF YES." DESCRIBE.
/
PAGE 5 OF 9 PAGES

AFR 80-17(C1)
22 HAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENON BEFORE' LYES CNO. *GIVE DATE AND
LOCATION.
Y
23. WAS ANYONE WITH YOU A THE TIME YOU SAW THE PHENOMEN ON? YES NO. IF -YES. DID THEY SEEIT TOO?
IYES NO.
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME. FIRST NAME. MIDDLE NAME
ADORESS (StreeL, City Zin.Code)
Broklyw Pew Vo
TELSkoFle(drea code and number) AGE
MALE FEMALE
INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
NO
25 WHEN AND TO WHOM DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON?
NAME DAY MONTH YEAR
25. DATE YOU COMPLETED THIS OUESTIONNAIRE.
DAY MONTH YEAR
PAGE 8 OF 9 PAGES

AFR 80-17((1)
17 OID YOU OESERVE THE PHENOMENON THROUGH ANY OF THE FOLLOWING' INCLUDE INFORMATION ON MODEL,
TYPE. FILTER, LENS PRESCRIPTION OR OTHER APPLICABLE DATA.
EYEGLASSES CAMERA VIEWER
SUNGLASSES BINOCULARS
WINDSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINDOWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? -YES 7NO 5. DO YOU USE READING GLASSES LTYES
18 WHAT WAS YOUR IMPRESSION OF THE SPEEO OF THE 19 WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE
PHENOMENON? GIVE ESTIMATE OF SPEED GIVE ESTIMATE OF DISTANCE
20 IN ORDER THAT WE MAY OBTAIN AS CLEAR A PICTURE AS POSSIBLE OF WHAT YOU SAW, DESCRIBE IN YOUR OWN WORDS
A COMMON OBJECT OR OBJECTS WHICH, WHEN PLACED IN THE SKY. SIMILAR TO WHERE YOU NOTED THE PHENOMENON
WOULD BEAR SOME RESEMBLANCE TO WHAT YOU SAW. DESCRISE SIMILARITIES AND DIFFERENCES BETWEEN THE
COMMON OBJECT AND WHAT YOU SAW.
h2
Eaoked
21. DID YOU NOTICE ANY 21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM ODOR, NOISE, OR HEAT EMANATING FROM THEF THE PHENOMENON PHENOMENON OR ANY EFFECT EFF ECT ON YOURSELF.
ANIMALS OR MACHINERY IN THE VICINITY? ANIMALS OR MACHINERY IN THE VICINITY? YES YES NO. IF IF *YESDESCRIBE. *YESDESCRISE.
Necil Neiel
A. DID THE PHENOMENON DISTURB THE GROUND LEAVE ANY PHYSICAL EVIDENCE. D YES ENO.
IF "YES, DESCRIBE.
PAGE 7 OF 9 PAGES
.

objects
while I v
was about six people that saw it in the sky a red and white
glowing light.
Thank you much for 3 your kind attention.
Yours since
BU

DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT.PATTERSON AIR FORCE BASE OHI0 43433
REPLY TO
ATTN OF IDPT (UFO) AUGI!
SUBJECT , 25 July 1968
TO:
New York, New York 10001
Your name has been given to the Aerial Phenomena Office (Project
Blue Bock) as being a witness to an unidentified flying object.
:ould you please complete the attoched AF it
in the envelope provided. If you were not a vitness to this
sighting, would you please make a statement to this effect on the
attached form. The information which you provide will be used in
eviluating this observation. Thank you for your assistance in this
matter.
HECTOR QUINTANILLA, Jr, Lt Colonel, USAF 1 Atch
Chief, Aeria Chief, Aerial enomena cnomena Office AF Form 117 w/envelope AF Form : 117 w/envelope
Aerospace Technologies Division
Production Directorate Production Directorate

AFR 80-17(C1)
TS. DRAW A PICTURE THAT WILL SHOW THE SHAPE OF THE PHENOMENON. INCLUDE AND LABEL ANY DETAILS THAT MIGHT
HAVE APPEARED AS WINGS OR PROTRUSIONS, AND INDICATE EXHAUST OR VAPOR TRAILS. INDICATE BY AN ARROW THE
DIRECTION THE PHENOMENON WAS MOVING.
15. WHAT WAS THE ANGULAR SIZE? 15. WHAT WAS THE ANGULAR SIZE? HOLD A MATCH AT ARM*S LENGTH IN FRONT OF A KNOWN OBJECT, SUCH AS A STREET
LAMP OR THE MOON. NOTE HOW MUCH OF THE OBJECT IS COVERED BY THE HEAD OF THE MATCH. NOW IF YOU HAD
BEEN ABLE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE BEEN ABLE TO PERFORM THIS EXPERIMENT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE
PHENOMENON WOULD HAVE BEEN COVERED BY THE MATCH HEAD. MATCHHEAO
OBJECT
THE WHOLE WAS
COLERED
PAGE6 9 PAGES

AFR 80-17((1)
BID YOU. OUSERVE THE PHENOMENON THROUGH ANY OF THE FOLLOWINGT INCLUDE INFORMATION ON MODEL.
TYPE. FILTER, LENS PRESCRIPTION OR OTHER APPLICABLE DATA.
EYEGLASSES CAMERA VIEWER
SUNGLASSES BINOCULARS
WINDSHIELD TELESCOPE
S DE WINDOW OF VEHICLE THEODOLITE
WINDOWPANE OTHER
A DO YOU ORDINARILY WEAR GLASSES? YES -INO B.DO YOU USE READING GLASSES LIYES IINO
18 WHAT WAS YOUR IMPRESSION OF THE SPEED OF THE 19. WHAT WAS YOUR IMPRESSION OF THE DISTANCE ODTHE
PHENOMENON? OhEH PHENOMENON7 GIVE ESTIMATE OF DISTANCE
20 IN ORDER THAT WE MAY OBTAIN AS CLEAR A PICTURE AS POSSIBLE OF WHAT YOU SAW. DESCRIBE IN YOUR OWN WORD:
A COMMON OBJECT OR OBJECTS WHICH, WHEN PLACED IN THE SKY, SIMILAR TO WHERE YOU NOTED THE PHENOMENON.
WOULD BEAR SOME RESEMBLANCE TO WHAT YOU SAW. DESCRIBE SIMILARITIES AND DIFFERENCES BETWEEN THE
COMMON OBJECT AND WHAT YOU SAW.
A STREET AAMP WITHA
WINGLIKE PROTRUSION ON TOP
2 21 DIO YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANAFING DID YOU NOTICE ANY ODOR. NOISE. OR HEAT EMANAFING FROM THE PHENOMENON OR ANY EFFECT ON YOURSELF THE PHENOMENON OR ANY EFFECT ON YOURSELF
ANIMALS OR MACHINERY IN THE VICINITY? ANIMALS OR MACHINERY IN THE VICINITY? D YES YES NO. IF YES. DESCRIBE. YES.DESCRIBE.
DIO THE PHENOMENON DISTURB THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. CYES NO.
IF ES. DESCRIBE.
PAGE 7 PAGES

wmMAmm
AFR 80-17(C1)
22. HAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENON BLFORE YES 1A GIVE DATE AND
LOCATION.
SE KLYN
4s
23 WAS ANYONE WITH YOU AT THE TIME YOU PHENOMENON? YES NO. IF *YES." DID THEY SEE IT TOO
CIYES NO.
A. LIST IM
TTH AUE 6.37
Hl n Hl
46 57
4657
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME. FIRSTN
AbbREss (sirect, City STare ane
BCOAKLYN2SNEWNYAEKIIAJO
AGE
15 MALE FEMALF
INDICATE ADDITION GING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
25. WHEN AND TO WHOM DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON?
Poict DAY30
NAME
26. DATE YOU COMPLETED THIS QUESTIONNAIRE.
DAY_ MONTH AU YEARLELS
PAGE 8 OF 9 PAGES

em
fill every
PAGE 9 OF 9 PAGES

AFR 80-17(C1)
SIGHTInG OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE BUDGET BUREAU APPROVAL
NUV0ER 21-2250
THIS QUESTIONNAIRE HAS BEEN PREPARED SO THAT YOU CAN GIVE THE U.S AIR FORCE AS MUCH INFORMATION
ANSWEE ALL OUESTION INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES
WITH ANY OE YOUR STAT ENTS OR CONCLUSIONS WITHOUT
YOUR PERMISSIGN.
PATTERSON AFB, OHIO 45433, IAW AFRBO-I7. (IF ADDITIONAL SHEETS ARE NEEDED FOR NARRATIVE OR SKETCHES
ATTACH SFCURELY TO THIS FORM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION.)
WHEN DID YOU SEE THE PHENOMENON?
DAY_ MONTH YEAR.
2 WH T M E DID YOU FIRS SIGH T TI PH HENOMENON 7
HOUR MINUTES CTA.M. LEFP.M.
3. WHAT TIME DID SIGHT THE PHENOMENON?
HOUR MINUTES CTA.M.
4. TIME ZONE I DAYLIGHT SAVINGS ]STANDARD
EASTERN CENTRAL MOUNTAIN PACIFIC JOTHER
5. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? IF IN CITY GIVE THE NEAREST STREET ADDRESS AND INDICATE ON
A HAND DRAWN MAP WHERE YOU WERE STANDING WITH REFERENCE TO THE AODRESS. IF IN THE COUNTRY, IDENTIFY THE
HIGHWAY YOU WERE ON OR NEAR AND TRY TO FIX A DISTANCE AND DIRECTION FROM SOME RECOGNIZABLE LANDMARK.
6 IMAGINE YOU ARE AT THE POINT SHOWN IN THE SXETCH. PLACE AN A ON THE CURVED LINE IMAGINE YOU ARE AT THE POINT SHOWN IN THE SXETCH. PLACE AN "A ON THE CURVED LINE TO SHOW HOW HIGH THE
PHENOMENON WAS ABOVE THE HORIZON. OR SKYLINE WHEN FIRST SEEN. PLACE A 3° ON THE SAME PHENOMENON WAS ABOVE THE HORIZON. OR SKYLINE WHEN EIRST SEEN. PLACEA 3°ON THE SAME CURVED LINE TO CURVED LINE TO
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
90 12
L
I I
|
|
| 30
1
1 15
1
K
OBSERVER
AF FORM 117
XUG 67

AFR 80-I7(C1)
DIRECTION TO THE PHENOMENON WHEN FIRST SZEH. PLACE A* ON THE COUPASS TOINDICATE THE DIHECTION TO
THE PHENOMENON WHEN LAST SEEN.
N
NNW NNE
-
NE
NW ENE
wSW ESE
sw SE
SSW SSE
7. IN THE SKETCH BELOW, PLACE AN "A* AT THE POSITION OF THE PHENOMENON WHEN FIRST SEEN, AND A B° AT THE
POSITION OF THE PHENOMENON WHEN LAST SEEN. CONNECT THE A* AND *3° WITH A LINE TO APPROXIMATE THE
MOVEMENT OF THE PHENOMENON BETWEEN *A" AND "B*. THAT IS, SCHEMATICALLY SHOW WHETHER THE MOVEMENT
APPEARED TO BE STRAIGHT, CURVED OR ZIG-ZAG. REFER TO SMALLER SKETCH AS AN EXAMPLE OF HOW TO COMPLETE
THE LARGER SKETCH.
PAGE 2 OF 9 PAGES
.

Since you have contacted the Secretary of the Air Force, Office of
Lnformation, and have told them that you want your pictures back, we
are inclosing them. Hovever, an analysis has not been accomplished
on them to date. If you desire the analyeis, please sure to return
the original negatives and original Polaroid photographs in the
envelope Analysis will take approximately to three
months.
2. Reference your unidentified observations that ere occurring almost
nightly. The Luty Officer has besn instructed not to The Euty Officer has been instructed not accept any nore .accept any nore
telephone calls from you, since the local Uro investigator is in a
far better position to conduct an on-the-spot investigation which
usually results in a more accurate an lysis You should contact either:
8. Stewart Stewart AFB, New York, srea code 914 JOhn 2-1300
b. Suffolk Suffoll County AFB, New York, area code 516, WEsthampton 4-1900.
Since you and your friends are observing these objects almost Since you and your friends are observing these objects almost
lightly, we feel that you are misinterpreting natural conventional
cbjects, such as astronouical bodies, aircraft, satellites, ete.

AFR 80-17(C1)
1O. IF THERE WERE MORE THAN ONE PHENOMENON. HOW MANY WERE THERE? DRAW A PICTURE TO SHOW HOW THEY WERE
ARRANGED. DID THIS ARRANGEMENT CHANGE DURING THE SIGHTING?
7
only
11. CONDiTioNs(Check appropriate blocks.)
A. SKY B. WEATHER
DAY CUMULUS CLOUDS (l.oW fluffy) FOG OR MIST
TWILIGHT CIRRUS CLouDS (High fleecy or Herring- HEAVY RAIN
NIGHT bone) LIGHT RAIN OR DRIZZLE
CLEAR NIMBUS CLOuDS (Rain) HAIL
PARTLY CLOUDY CUMULONIMBUS CLOUDS SNOW OR SLEET
COMPLETELYOVERCAST (Thunderstorms) UNKNOWN
HAZE OR SMOG NONE OF THE ABOVE
C. IF THE SIGHTING WAS AT TWILIGHT OR NIGHT, WHAT DID YOU NOTICE ABOUT THE STARS AND MOON?
(1) STARS (2) MOON
NONE BRIGHT MOONLIGHT NO MOONLIGHT
A FEW MOON WITH HALO UNKNOWN
MANY MOON HIDDEN BY CLOUDS
UNKNOWN PARTIAL (New or quarter)
D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLEI 0 YES NO. IF YES, WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON?
IN FRONT OF YOU FRONT OF YOU TO YOUR RIGHT OVERHEAD (New noon)
IN BACK IN BACK OF YOU OF YOU TO YOUR LEFT UNKNOWN
E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR
STREET LAMP. ETC. STREETLAMP.ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY FOR TERRESTRIAL ILLUMINATION. SPECIFY DISTANCE TO LIGHT SOURCE.
12. GIVE A BRIEF DESCRIPTION OF THE PHENOMENON, INDICATING WHETHER IT APPEARED DARK OR LIGHT, WHETHER IT
REFLECTEO LIGHT OR WAS SELF-LUMINOUS AND WHAT COLORS YOU NOTICED. DESCRIBE YOUR IMPRESSION OF WHETHER
IT WAS SOLID OR TRANSPARENT, WHETHER EDGES WERE SHARP OR FUZZY. DESCRIBE THE SHAPE OR INDICATE IF IT
APPEARED AS A POINT OF LIGHT. INDICATE COMPARISONS WITH OTHER OBSERVED OBJECTS, LIKE STARS, A LIGHT OR
OTHER OBJECT IN YOUR FIELD OF VIEW. OTHER OBJECT UR FIELD OF VIEW.
7
hnmny
PAGE4OF9PAGES

AFR 80-17(C1)
a WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (CAPCK uPPRODTINt- blOCKN.)
OUTDOORS IN BUSINESS SECTION OF CITY
IN BUILDING IN RESIDENTIAL SECTION OF GITY
IN CAR AS DRIVER AS PASSENGER IN OPEN COUNTRYSIDE
IN BOAT NEAR AIRFIELD
IN AIRPLANE AS PILOT AS PASSENGER FLYING OVER RCITY
OTHER FLYING OVER OPEN COUNTRY
OTHER
A. iF YOU WERE IN A VEHICLE. COMPLETE THE FOLLOWING:
WHAT DIRECTION MOVING? HOW FAST WERE YOU MOVING?
NORTH EAST
SOUTH WEST DID YOU STOP ANYTIME WHILE OBSERVING THE
PHENOMENON?
NOR THE AST SOUTHEAST
NORTHWEST SOUTHWEST YES No
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS YOUR SKETCHES IN ITEMS S AND 6
DESCRIBE TYPE OF VEHICLE YOU WERE IN AND TYPE OFI ROAD. TERRAIN OR BODY OF WATER YOU TRAVERSED DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN
HOW MUCH OTHER TRAFFIC WAS THERE?
DID YOU NOTICE ANY AIRPLANES? YES NO. IF YES."DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON AND WHERE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
above
pcow m3l
9. HOW LONG HOW LONG WAS THE PHENO MENON MENON IN SIGHT?
LENGTH OF TIME CERTAIN OF TIME NOT VERY SURE
FAIRLY CERTAIN JUST A GUESS A GUESS
HOW WAS TIME DETERMINED?
-
e
WAS THE PHENOMENON IN SIGHT CONTINUOUSLY? WAS THE PHENOMENON IN SIGHT CONTINUOUSLY? CYES NO. IF NO.^ INDICATE WHETHER THIS IS DUE TO YOUR
MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON, AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAP.
PEARANCES ON PREVIOUS SKETCHES.
PAGE3OF9PAGES
.

CHANGE SHAPE?
FLASH OR FLICKERI
DISAPPEAR AND REAPPEAR?
SPIN LIKE A TOP?
MAKE A NOISE?
FLUTTEROR WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
UFC
looLing
A. HOW DID IT FINALLY DISAPPEAR?
oud bite shattigsoff out
20 bhe shuattingofb
a lomp
B. DID THE PHENOMENON MOVE BEHIND OR IN FRONT OF SOMETHING, LIKE FRONT OF SOMETHING. LIKE ACLOUD. A CLOUD, TREE, OR BUILOING AT TREE. OR BUILOING AT ANY ANY TIME? TIME?
YES 1H0. NO. IF "YES,"DESCRIBE. IF "YES,DESCRIBE.
PAGK3OF9PAGE3
.
.

AFR 80-17(C1)
DRAW A PICTURE THAT WILL SHOW THE SHAPE OF THE DHENOMENON. INCLUDE ANO LABZL ANY DETAILS THAT MIGHT
HAVE APPEAREO AS WINGS OR PROTRUSIONS, AND INDICATE EAHAUST OR VAPOR TRAILS. INDICATE BY AN ARROW THE
DIRECTION THE PHENOMENON WAS MOVING.
1S. WHAT WAS THE ANGULAR SIZE? 1S. WHAT WAS THE ANGULAR SIZE? HOLD A MATCH AT ARM'S LENGTH IN FRONT OF A KNOWN OBJECT. SUCH AS A STREET HOLD A MATCH AT ARM*S LENGTH IN FRONT OF A KNOWN OBJECT. SUCH AS A STREET
LAMP OR THE MOON. NOTE HOW MUCH OF THE OBJECT IS COVERED BY THE HEAD OF THE MATCH. NOW IF YOU HAD LAMP OR THE MOON. NOTE HOW MUCH OF THE OBJECT IS COVERED BY THE HEAD OF THE MATCH. NOW IF YOU HAD
BEEN ABLE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE
PHENOMENON WOULD HAVE BEEN COVERED BY THE MATCH HEAD.
PAGE 6 OF 9 PAGES

AFR 80-17(C1)
17 DID YOU OBSERVE THE PHENOMENON THROUGH ANY OF THE FOLLOWING? (NCLUDE INFGRMATION ON MODEL
TYPE, EILTER, LENS PRESCRIPTION OR OTHER APPLICABLE OATA.
EYEGLASSES CAMERA VIEWER
SUNGLASSES BINOCULARS
WINDSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINDOWPANE OTHER
A. DO YOU ORDINARILY WEAR YESN B DO YOU USE READING GLASSES? YES [INO
19. WHAT WAS YOUR IMPRESSION OF THE SPEED OF THE 19. WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF IHE
PHENOMENONT GIVE ESTIMATE OF SPEED PHENOMENON? GIVE ESTIMATE OF DISTANCE
20. IN ORDER THAT WE MAY OSTAIN AS CLEAR A PICTURE AS POSSIBLE OF WHAT YOU SAW, DESCRIBE IN YOUR OWN WORDS
A COMMON OBJECT OR OSJECTS WHICH, WHEN PLACED IN THE SKY, SIMILAR TO WHERE YOU NOTED THE PHENOMENON.
WOULD DEAR SOME RESEMBLANCE TO WHAT YOU SAW. DESCRIBE SIMILARITIES AND DIFFERENCES BETWEEN THE.
COMMON OBJECT AND WHAT YOU SAW.
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON 21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT EFFECT ON YOURSELF.
ANIMALS OR MACHINERY ANIMALS OR MACHINERY IN THE VICINITY? IN THE VICINITY? DYES NO. IF YES.*DESCRIBE.
hunmns
A DID THE PHENOMENON DISTURB THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. YES NO.
IF"YES,- DESCRIBE.
PAGE 7OF 9 PAGE5
.

AFR 80-17(C1)
22 HAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENON BEFOPE GYES ONO. "GIVE DATE AND
LOCATION
Hilay A
23 WAS ANYONE WITH YOU AT THE TIME SAW PHENOMENONT YES 0 NO. IF YES. DID THEY SEEIT TOO'
YES NO.
LIST THEIR NAMES AND ADDRESSES
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LASTNAME
ADDRESS
TELEPRON AGE
MALE FEMALE
INDICATE ADOITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
25 WHEN AND TO WHOM DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON?
NAME DAY MONTH YEAR
26. DATE YOU COMPLETED THIS QUESTIONNAIRE.
DAY MONTH YEAR
PAGE 8 OF 9 PAGES

..
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT AIR FORCE BASE. OH1O 43433
1. AU01963
REPLY TO
ATTN OF TDPT (UFO)
SUBJECT
New York, New York 10001
name has been given to the Aerial Phenomena Office (Project
Your flying object.
Blue Book) as being a witness to an unidentified
25 Jul 68
sould you please complete the atteched AF Form li7 and return it
in the envelope provided. If you were not a witness to this
you please make a statement to this effect on the
sighting, would vill be used in
attached form. The information which you provide
observation. Thank you for your assistance in this
evaluating this
matter.
HECTOR QUINT HECTOR ILLA, Jr, Lt Colonel, USAF Lt Colonel, USAF 1 Atch
Chief, Aeria Chief, Aerial nenomena nomena Office Office AF Form 117 w/envelope
Aerospace Technologies Division
Production Directorate

AFR 80-17(CI)
SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE BUDGET HUREAU APPROVAL
NUMBER 21-R258
AS POSSIBLE CONCERNING THF
ANSWER ALI THE OUESTION IE INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES
ONNECTIONWITH
YOUR PERMISSION,
t WHEN DIDY YOU ISEE THE PHENOMENON?
DAY_ SAi MONTH ACi YEAREJ
2 A44 TIME DID YOU FIRST SIGHT THE PHENOMENON?
EATO ZCLE MINUTES AM.
3 WHAT TIME DID YOU LAST SIGHT THE PHENOMENON
HOUR MINUTES A,M, . TCPM
4R TIME CONE DAYLIGHT SAVINGS STANDARD
LPASTERN CENTRAL CIPACIFIC
5. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? IF IN CITY. GIVE THE NEAREST STREET ADDRESS AND INDICATE ON
A HAND DRAWN MAP WHERE YOU WERE STANDING WITH REFERENGE TO THE ADDRESS. IF IN THE COUNTRY, IDENTIFY THE
HIGHWAY YOU WERE ON OR NEAR TRY TO FIX A DISTANCE AND DIRECTION FROM SOME RECOGNIZABLE LANDMARK
OF 24. BCLKLy
N.X
coikut SOUTH
6 IMAGINE YOU ARE AT THE POINT SHOWN IN THE SKETCH, PLACE AN A ON THE CURVED LINE TO SHOW HOW HIGH THE POINT SHOWN IN THE SKETCH, PLACE AN A ON THE CURVED LINE TO SHOW HOW HIGH THE
PHENOMENON WAS ABOVE THE HORIZON. OR SKYLINE WHEN FIRST SEEN. PLACE A ON THE SAME CURVED LINE TO THE SAME CURVED LINE TO
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
SOUTH
MEVIe MEVIe
* * 9L 90
L
1 8
1
1
1
1 1
15
OBSERVER
AF$ AURMT FORM 117
.

AFR 80-I7(C1)
ABA2XS 4
NON IMAOINE YOU ARE AT THE CENTER OF THE COMPASS ROSE PACE AN A*GN THE COMPASS TO INDICATE THE
JIRECTIONTO THS PHENCMENON WHENFIAST SEEH VACTA  SN THEGONPASSTO INDHCATE THL OIPECTION TO
THE PHENOMENON WHEN LAST SEEN.
$\ra}$
NN E
WNW ENE
WSW ESE
SW SE
sSw SSE
A
7. IN THE SKETCH BELOW, PLACE AN *A* AT THE POSITION OF THE PHENOMENON WHEN FIRST SEEN, AND A *B"* AT THE
POSITION OF THE PHENOMENON WHEN LAST SEEN. CONNECT THE "A· AND B° WITH A LINE TO APPROXIMATE THE
MOVEMENT OF THE PHENOMENON BETNEEN *A ANG "B. THAT IS, SCHEMATICALLY SHOW WHETHER THE MOVEMENT
APPEAREC TO BE STRAIGHT, CURVEO CR ZIG-ZAG, REFER TO SMALLER SKETCH AS AN EXAMPLE OF HOW TO COMPLETE
THE LARGER SKETCH.
-
PAGE 2 OF 9 PAGES
.

AFR 80-17(C1)
WHERE WERE YOCWHEN YOU SAW THE SHENOMENON (ChORK APPrOPrIAtE blocks.)
OUTDOORS IN BUSINESS SECTION OF CITY
IN BUILDING TN RESIDENTIAL SECTION OF CITY
IN CAR AS DRIVER AS PASSENGER IN OPEN COUNTRYSIDE
IN BOAT NEAR AIRFIELD
IN AIRPLANE AS PILOT AS PASSENGER FLYING OVER CITY
OTHER FLYING OVER OPEN COUNTRY
OTHER
A. IF YOU WERE IN A VEHICLE, COMPLETE THE FOLLOWING:
WHAT DIRECTION WERE YOU MOVING? HOW FAST WERE YOU MOVING?
NORTH EAST
SOUTH WEST 010 YOU STOP ANYTIME WHILE OBSERVING THE
PHENOM ENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES 1NO
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS YOUR SKETCHESIN IT EMS 5 AND 6
DESCRIBE TYPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD. TERRAIN OR BODY OF WATER YOU TRAVERSED DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
1/.A
HOW MUCH OTHER TRAFFIC WAS THERE?
DID YOU NOTICE ANY AIRPLANES? YES 0 NO. IF *YES," DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON AND WHERE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
11
A.L AIRPLANE FLEW RIGHT OVER 1T
OBJEZT 0BJEZ FLEW UNDCR UNDCR AIRPCANE AIRPIANE
9. HOW LONG WAS WAS THE PHENO PHENOMENON M IENON IN SIGHT?
LENGTH OF TIME CERTAIN CERTAIN OF TIME NOT VERY SURE VERY SURE
HMINCTES 1MINUTES FAIRLY CERTAIN JUST A GUESS
HOW WAS HOW WAS TIME DETERMINED?
WAS THE PHENOMENON IN SIGHT CONTINUOUSLY PHENOMENON IN SIGHT CONTINUOUSLY? Y? ICVES NO. IF "NO. INDICATE WHETHER THIS IS DUE TO YOUR NO. IF "NO, INDICATE WHETHER THIS IS DUE TO YOUR
MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON, AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON, AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAP. INDICATE DISAR.
PEARANCES ON PREVIOUS SKETCHES.
PAGE 3 OF 9 PAGES
4

2

AFR 80-17(C1)
fwbnm
IF THERE HERE MORE THAN CNS PHENOMENON, HOW MANY WERE THERE? DRAW A PICTURE TO SHOW HON THEY WERE
ARRANGED. DID THIS ARRANGEMENT CHANGE DURING THE SIGHTING'
Only one
11. ConOiTiONs (Check appropriate blocks.)
A. SKY 8. WEATHER
DAY CUMULUS CLOUDS (LoW fluffy) FOG OR MIST
TWILIGHT CIRRuS CLouDs (High fleecy or Herring- HEAVY RAIN
C NIGHT bone) LIGHT RAIN OR DRIZZLE
CLEAR NIMSUS CLOUDS (Rain) HAIL
PARTLY CLOUDY CUMULONIMAUS CLOUDS SNOW OR SLEET
COMPLETELY OVERCAST (Thunderstorms) UNKNOWN
HAZE OR SMOG NONE OF THE ABOVE
C. IF THE SIGHTING WAS AT TWILIGHT OR NIGHT, WHAT DID YOU NOTICE ABOUT STARS AND MOON?
(1) STARS (2) MOON
NONE l BRIGHT MOONLIGHT NO MOONLIGHT
A FEW MOON WITH HALO UNKNOWN
t MANY MOON HIDDEN BY CLOUDS
UNKNOWN PARTIAL(New or quarter)
D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? YES NO. IF YES. WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON?
IN FRONT OF YOU IN FRONT OF YOU TO YOUR RIGHT OVERHEAD (NeW noON) OVERHEAD (NeW noon)
IN BACK OF YOU IN BACK OF YOU TO YOUR LEFT TO YOUR LEFT UNKNOWN
E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR
STREET LAMP. ETC. STREET LAMP, ETC. FOR TERRESTRIA FOR TERRESTRIAI ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE. ILLUMINATION, SPECIFY OISTANCE TO LIGHT SOURCE.
57 LAMPS ABEUT ! UZ !02
12. GIVE A BRIEF DESCRIPTION OF THE PHENOMENON, INDICATING WHETHER IT APPEARED DARK OR LIGHT WHETHER IT
REFLECTEO LIGHT OR WAS SELF-LUMINOUS AND WHAT COLORS YOU NOTICED. COESCRIBE YOUR IMPRESSION OF WHETHER
IT WAS SOLIO OR TRANSPARENTLWHETHER EDGES WERE SHARP OR FUZZV. DESCRIBE THE SHAPE OR INDICATE IF IT IT WAS SOLIO OR TRANSPARENTLWHETHER EDGES WERE SHARP OR FUZZV DESCRIBE THE SHAPE OR INDICATE IF IT
APPEARED AS A POINT OF LIGHT. INDICATE COMPARISONS WITH OTHER OBSERVED OBJECTS, LIKE STARS, A LIGHT OR
OTHER OBJECT IN YOUR FIELD OF VIEW.
A. LIGHT CORIGHTER CONIG-HTEN THAN STARS
B. B. SELF-LUMIOUS
THEN FROM ROO TO BLVE THEN FRCT ROO TO BLVE
C. TLOVOD FRCM c. TLOVEDi FREM Ci HITE TC
Q. SOLID
E. SHARD
WING-LIKE PROTRUSOU ON
F. CUAL LEITH
G 1T C.AS OUAi SHAP
LOCKEO LIKE A STREET LAUP BeAUsE
AGE 4 9 PAGES

AFR 80-17(C1)
13. DID THE PHENOMENON YES NO UNKNGWN
MOVE IN A STRAIGHT LINE?
STAND STILL AT ANYTIME?
SUDDENLY SPEED UP AND RUN AWAY?
—
BREAK UP IN PARTS AND EXPLODE?
CHANGE COLOR?
GIVE OFF SMOKE?
CHANGE BRIGHTNESS!
CHANGE SHAPE?
FLASH OR FLICKER?
DISAPPEAR AND REAPPEAR? CLCE FCR LESS THAN AMIUTE L
SPIN LIKE A TOP?
MAKE A NOISE? FAINT HCM
FLUTTEROR WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
MNn mhy becaese ty M
thing
thoght they
tfcei
Umd teden
mosing
B. DID THE PHENOMENON MOVE BEHIND ORIN FRONT OF SOMETHING, LIKE A CLOUD, TREE, OR BUILDING AT ANY TIME?
7NO. IF*YES-DESCRIBE.
PAGE 5 OF 9 PAGES

AFR 80-17(C1)
IS DRAW A PICTURE THAT WILL SHOW THE SHAPE OF THE PHENOMENON. INCLUDE ANO LABEL ANY DETAILS THAT MIGHT
HAVE APPEARED AS WINGS OR PROTRUSIONS AND INDICATE EXHAUST OR VAPOR TRAILS. INDICATE BY AN ARROW THE
DIRECTION THE PHENOMENON WAS MOVING.
—-
15. WHAT WAS THE ANGULAR SIZE? 15. WHAT WAS THE ANGULAR SIZE? HOLD A MATCH AT ARM'S LENGTH IN FRONT OF A KNOWN OBJECT, SUCH AS A STREET HOLD A MATCH AT ARM'S LENGTH IN FRONT OF A KNOWN OBJECT, SUCH AS A STREET
LAMP OR THE MOON. NOTE HOW MUCH OF THE OBJECT IS COVERED BY THE HEAD DF THE MATCH. NOW IF YOU HAD
BEEN ABLE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE BEEN A9LE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE
PHENOMENON WOULD HAVE BEEN COVERED BY THE MATCH HEAD.
$3
I
Could tille fant
.
PAGE 6 OF 9 PAGES

AFR 80-17(C1)
ofo
TYPE. FILTER, LENS PRESCRIPTION OR OTHER APPLICABLE DATA.
EYEGLASSES CAMERA VIEWER
SUNGLASSES BINOCULARS TASCE
WINDSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINDOWPANE 7 OTHER C
A. DO YOU ORDINARILY WEAR GLASSES? YES 0 NO 8. DD YOU USE READING GLASSES? TYES CINO
18. WHAT WAS YOUR IMPRESSION OF THE SPEED OF THE ME 204
PHENOMENON? GIVE ESTIMATE OF SPEED 22 PHENOMENON? GIVE ESTIMATE OF DISTANCE
20. IN ORDER THAT WE MAY OBTAIN AS CLEAR A PICTURE AS POSSIBLE OF WHAT YOU SAW, DESCRIBE IN YOUR OWN WORDS
A COMMON OBJECT OR DBJECTS WHICH, WHEN PLACED IN THE SKY, SIMILAR TO WHERE YOU NOTED THE PHENOMENON.
WOULD BEAR SOME RESEMBLANCE TO WHAT YOU SAW. DESCRIBE SIMILARITIES AND DIFFERENCES BETWEEN THE
COMMON OBJECT AND WHAT YOU SAW.
APNPEACH TE
8ied lift hll thio ny cutop
mees
trp thof awon
(Ocal stiet lap
Trpl)
REMEDY
P2ALL
Th 1
Go25
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM 21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON THE PHENOMENON OR ANY OR ANY EFFECT ON YOURSELF.
ANIMALS OR MACHINERY IN THE VICINITY? YES NO. IF *YES. DESCRIBE. NO. IF *YES.DESCRIBE.
NOISE LNOISE -HUM HUM
-STATIC —STATIC on TELEVISION TELEVSIUN in APEA
240p006
A. DID THE PHENOMENON DISTURB THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. YES N.
IFYES.OESCRIBE.
PAGE7OF PAGES

AFR 80-17(C1)
22 HAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENON BEFORE' YES  NO. IF YES," GIVE DATE AND 5
LOCATION,
YESTERDAY 13 SAVIEPLACE- AND FOL ABOUT
TCCUCEK5-ECPVNICHT
23. WAS ANYONE WITH YOU AT THE TIME YOU SAW THE PHENOMENON? 2YES D NO. 1F - YES, DID THE SEE IT TOO
EFYES NO. 4P1E 1.V A2 L
A. LIST THEIR NAMES
ORECKLYN, v.Y
16 7H S5T BRCCKLY
4CTH ST
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LASTNAN
AUDRESS (Street, City, State and Zip Code)
BROCKLYd, NY.
TELEPHONE/A AGE
1.5 MALE FEMALE
INDICATE ADDITIONAL INFORMATION INCLUDING OCCOPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
25 WHEN AND TO WHOM DID YOU REPORT THAT YOU HAD SIGH T ED THIS PHENOMENON?
NAME DAY_ MONTH YEAR
26. DATE YOU COMPLETED THIS QUESTIONNAIRE.
DAY MONTH YEAR
PAGE 8 OF 9 PAGES

AFR 80-17(C1)
ALTERNATIVELY PROVIDE A NARRATIVE EXPLANATION OF THE SIGHTING.
i Tely 2410
2.Hane a goletere T GPPT/OFO
A Heilsindt infbereneve
boveaed bil it setenod.
cefferint
A8T%%0R5RL08LL
If oo call bin 090-1200ctaly
inbt
REPERT TAKEN Bi PAGE 9 9 PAGES

AFR 80-17(C1)
SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE BUDGET BURFAU APPROVAL
NU4BER 21 2253
THIS QUESTIONNAIRE HAS BEEN PREPARED SO THAT YOU CAN GIVE THE U.S AIR FORCE AS MUCH INFORMATION
ANSWER THE THE INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES
YOU ME WILL NOT BE
YOUE PERMISSIGN.RETU
PATTERSON AFB,OHIO 45433,1
ATTACH SECURELY TO TH RM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION)
1 WHEN DID YOU SEE THE PHENOMENON'
. DAY 7 MONTH YEAR
2 WHAT TIME DID Y SIGHT THE PHENOMENON?
HOUR_ 2 MINUTES 3 CIA.M CIP.M.
3 WHA TIME DID L AST SIGHT T P H ENOMENON?
HOUR MINUTES A.M. CGP.M.
4 TIME ZONE DAYLIGHT SAVINGS STANDARD
2 EASTERN CENTRAL MOUNTAIN PACIFIC OTHER
5 WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? IF IN CITY GIVE THE NEAREST STREET ADDRESS AND INDICATE ON
A HAND DRAWN MAP WHERE YOU WERE STANDING WITH REFERENCE TO THE ADDRESS. IF IN THE COUNTRY, IDENTIFY THE
HIGHWAY YOU WERE ON OR NEAR AND TRY TO FIX A DISTANCE AND DIRECTION FROM SOME RECOGNIZABLE LANDMARK
46 T Cosgs apnmw
Forner
6 IMAGINE YOU ARE AT THE POINT SHONN IN THE SKETCH, PLACE AN "A ON THE CURVED LINE TO SHOW HOW HIGH THE 5. IMAGINE YOU ARE AT THE POINT SHONN IN THE SKETCH, PLACE AN A ON THE CURVED LINE TO SHOW HOW HIGH THE
PHENOMENON WAS ASOVE THE HORIZON, OR SKYLINE WHEN FIRST SEEN. PLACE A PHENOMENON WAS ASOVE THE HORIZON, OR SKYLINE. WHEN FIRST SEEN. PLACE A B ON THE SAME CURVED LINE TO B^ ON THE SAME CURVED LINE TO
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
90
B
I 8
1
|
I
1
1
I 15
-
OBSERVER
AF FORM 117
.

AFR 80-17(C1)
NOW IMAGINE YOU ANE AT THE CENTER OF THE COMPASS ROSE. PLACE AN A ON THE COMPASS TO INDICATE THE
OIREOWTON TO VHEPHENOIAENOAWHEN SIRSTEEEN TFLACEAASY SNFTHE GOMPASS TOINDICATETHF OIREGTION TO
THE PHENOMENON WHEN LAST SEEN.
NNW NNE
NW NE
WNW ENE
wSw ESE
sw SE
sSW SSE
7. IN THE SKETCH BELOW, PLACE AN A° AT THE POSITION OF THE PHENOMENON WHEN FIRST SEEN, AND A *B* AT THE
POSITION OF THE PHENOMENON WHEN LAST SEEN. CONNECT THE "A°AND B° WITH A LINE TO APPROXIMATE THE
MOVEMENT OF THE PHENOMENON BETWEEN A" AND "B, THAT IS, SCHEMATICALLY SHOW WHETHER THE MOVEMENT
APPEARED TO SE STRAIGHT, CURVED OR ZIG.ZAG. REFER TO SMALLER SKETCH AS AN EXAMPLE OF HOW TO COMPLETE
THE LARGER SKETCH.
E
PAGE 2 OF 9 PAGES
.

.
AFR 80-17(C1)
CLLLLNLLRA.IL.AALULLINLALLTNLAU0ULALNLUL
1O. IF THERE WERE MORE THAN ONE PHENOMENDN, HOW MANY WERE THERE? DRAM A PICTURE TO SHOW HOW THEY WERE
ARRANGEO. DID THIS ARRANGEMENT CHANGE DURING THE SIGHTING?
OAR
11. CONDiTIONs(Check appropriate blocks.)
A. SKY B. WEATHER
DAY CUMULUS CLOUOS(LoW fluffy) FOG OR MIST
TWILIGHT CIRRus CLOuDs (Hizh fleecy or Herring- HEAVY RAIN
NIGHT bone) LIGHT RAIN OR DRIZZLE
CLEAR NIMBUS CLOUDS (Rain) HAIL
PARTLY CLOUDY CUMULONIMBUS CLOUDS SNOW OR SLEET
COMPLETELY OVERCAST (Thunderstorms) UNKNOWN
HAZE OR SMOG NONE OF THE ABOVE
C.IF THE SIGHTING WAS AT TWILIGHT OR NIGHT. WHAT DID YOU NOTICE ABOUT THE STARS AND MOON?
(1) STARS (2) MOON
NONE BRIGHT MOONLIGHT NO MOONLIGHT
A FEW MOON WITH HALO UNKNOWN
MANY MOON HIDDEN BY CLOUDS
UNKNOWN PARTIAL(New or quarter)
O. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? YES NO. IF YES," WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON?
IN FRONT OF YOU TO YOUR RIGHT OVERHEAD(NeGR nOON)
IN BACK OF YOU TO YOUR LEFT UNKNOWN
E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR
STREET LAMP, ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE.
12. GIVE A BRIEF DESCRIPTION OF THE PHENOMENON, INDICATING WHETHER IT APPEARED DARK OR LIGHT, WHETHER IT
REFLECTED LIGHT OR WAS SELF-LUMINOUS ANO WHAT COLORS YOU NOTICED. DESCRIBE YOUR IMPRESSION OF WHETHER
IT WAS SOLID OR TRANSPARENT, WHETHER EDGES WERE SHARP OR FUZZY. DESCRIBE THE SHAPE OR INDICATE IF IT
APPEAREO AS A POINT OF LIGHT. INDICATE COMPARISONS WITH OTHER OBSERVED OBJECTS, LIKE STARS, A LIGHT OR
OTHER OBJECT IN YOUR FIELD OF VIEW. #
bieeT white solid sharp oval
brgto

AFR 80-17(C1)
CUTCOORS IN BUSINESS GECEIDN OF CITY
IN BUILDING IN RESIDENTIAL SECTION OF CITY
IN CAR AS DRIVER AS PASSENGER IN OPEN COUNTRYSIDE
IN BOAT NEAR AIRFIELD
IN AIRPLANE AS PILOT AS PASSENGER FLYING OVER CITY
OTHER FLYING OVER OPEN COUNTRY
OTHER
IF YOU WEREIN A VEHICLE, COMPLETE THE FOLLOWING:
WHAT DIRECTION WERE YOU MOVING? HOW FAST WERE YOU MOVING?
NORTH EAST
SOUTH WEST DID YOU STOP ANYTIME WHILE OBSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES INO
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS YOUR SKETCHES IN ITEMS S AND 6
NMA
DESCRIBE TYPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD, TERRAIN OR BODY OF WATER YOU TRAVERSED DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UPOR DOWN
1114
HOW MUCH OTHER TRAFFIC WAS THERE'
DID YOU NOTICE ANY AIRPLANES? TN ES NO. IF *YES." DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON AND WHERE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON
One aiscreft bader
9. HOW LONG HOW 0 NG WAS THE PH ENOMENON ENO MENON IN SIGHT? SIGHT?
LENGTH OF TIME LENGTH OF TIME CERTAIN OF TIME NOT NOTV V ERY SURE
FAIRLY CERTAIN JUST A GUESS JUST GUESS
HOW WAS TIME TIME DETERMINED?
watch
WAS THE PHENOMENON IN SIGHT CONTINUOUSLY? YES YES NO. IF *NO, INDICATE WHETHER THIS IS DUE TO YOUR IF NO INDICATE WHETHER THIS IS DUE TO YOUR
MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON, AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAR. INDICATE DISAP.
PEARANCES ON PREVIOUS SKETCHES. PEARANCES ON PREVIOUS SKETCHES.
PAGE 3 OF 9 PAGES

Camia i Ce Broume
maher e Castmon Nodak
dibm 127 Nodad Rilm
lend el Kahon len
2 filter
2o Triped at sodid stond
Comera 1 enhy morthwest
desfonel frm ajiet s00 ft.

AFR BO-IT(C1)
DIDFHEPHSNMESN
MOVE IN A STRAIGHE LINEY
STAND STILL AT ANYTIKE!
SUDOENLY SPEED UP AND RUN ARAY
HREAX UP IN PARTS AND EXPLODE?
CHANGE COLOR!
GIVE OFF SMOKEF
CHANGE ORIGHTNESSY
CHANSE SHAPE?
FLASH OR FLICAERI
DISAPPEAR AND REAPPEANT
SPIN LIXE A TOP!
MAXE APOISE
FLUTTER OR WOBNLE!
14 WHAT OREWYOUR ATTENTION TO THEPHENCMENON
eckrg
A HOX CIDIT FINALLY DISAPPEAN*
instanrly
B.DID THE 8.010 THE PHSNOMENON MOVE BEHINO PH SNOWENON MOVE BEHINO ORIN FRONT ORIN FRONT OF SOMETHING, LIKE A CLOUD, TREE, OR BUILDING AT OF SOMETHING, LIKZ A CLOUD, TREE, OR BUILDING AT AHY TIWE? TIMEY
YES C NO. IF*YES." OESCRIBE IF YES." DESCRIBE
PAGK SOFIPAGES

NLLYNR
AFR 80-17(C1)
22. HAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENON BEFORE? YES NO. GIVE DATE AND
LOCATION.
nire Tos
23 WAS ANYONE WITH YOU AT THE TIME YOU SA W PHENOMENON? YES NO. IF "YES.. DID THEY SEE IT TOO?
YES NO.
A. LIST Broklye
Cwblyr
Becklgn
24 GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LA
ADDRESS/SE 112
NY
TELEPHONE AGE
5 MALE FEMALE
INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
Highschool t grommar schoelstudents
from 1015
ayes
25. WHEN AND TO WHOMI DID YOU REPORT THAT YOU HAD SIGHTEO THIS PHENOMENON?
NAME DAY 7 MONTH YEAR
25. DATE YOU COMPLETED THIS QUESTIONNAIRE.
"7 MONTH YEAR C 5
DAY
PAGE 8 OF 9 PAGES
.

AFR 80-17(C1)
17. DID YOU OBSERVE THE PHENOMENON THROUGH ANY OF THE FOLLOWING? INCLUDE INFORMATIO: MONEL.
TYPE, FILTER. LENS PRESCRIPTION OR OTHER APPLICABLE DATA.
EYEGLASSES CAMERA VIEWER
SUNGLASSES BINOCULARS 7X35
WINDSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINDOWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? YES NO B. DO YOU USE READING GLASSES?
18. WHAT WAS YOUR IMPRESSION OF THE SPEED.OFT THE 7 19. WHAT WAS YOUR IMPRESSION OF THE DISTANCE
PHENOMENON? GIVE ESTIMATE OF SPEED PHENOMENON? GIVE ESTIMATE OF DISTANCE
2O IN ORDER THAT WE MAY OBTAIN AS CLEAR A PICTURE AS POSSIBLE OF WHAT YOU SAW, DESCRIBE IN YOUR OWN WORDS
A COMMON OBJECT OR OBJECTS WHICH, WHEN PLACED IN THE SKY, SIMILAR TO WHERE YOU NOTED THE PHENOMENON.
WOULD BEAR SOME RESEMBLANCE TO WHAT YOU SAW. DESCRIBE SIMILARITIES AND DIFFERENCES BETWEEN THE
COMMON OBJECT AND WHAT YOU SAW.
top
/
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT ON YOURSELF, 21. DID YOU NOTICE ANY ODOR, NOISE. OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT ON YOURSELF,
ANIMALS OR MACHINERY IN THE VICINITY? ANIMALS OR MACHINERY IN THE VICINITY? YES No. 1NO. IF *YES," DESCRIBE. IF "YES," DESCRIBE.
A. DID THE PHENOMENON DISTURB THE QR LEAVE ANY PHYSICAL EVIDENCE. YES NO.
IF *YES." DESCRIBE.
PAGE 7 OF9 PAGES

AFR 80-17(C1)
I7. INPONNATION RHICH YOU FEEL IS PERTINENT BUT WHICH IS NOT ADEQUATELY COVERED IN THIS Q1J
ALTZANATIVELY PROVIDE A NARRATIVE EXPLANATION OF THE SIGHTING.
PAGE9OF 9 PAGES

AFR 80-I7((1)
17 DID YOU OBSERVE THE PHENOMENON THROUGH ANY OF THE FOLLOWING? INCLUDE INFORMATION ON MODEL.
TYRE. FILTER, LENS PRESCRIPTION OR OTHER APPLICABLE DATA.
EYEGLASSES CAMERA VIEWER
SUNGLASSES BINOCULARS
WINDSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINDOWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? CNO B. YOU USE READING GLASSES? YES NO
19 WHAT WAS YOUR IMPRESSION OF THE SPEED OF THE 19 WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE
PHENOMENON? GIVE ESTIMATE OF DISTANCE.
2O. IN ORDER THAT WE MAY OBTAIN AS CLEAR A PICTURE/AS POSSISLE OF WHAT YOU SAW, DESCRIBE IN YOUR CWN WORDS
A COMMON OBJECT OR OBJECTS WHICH, WHEN PLACED IN THE SKY, SIMILAR TO WHERE YOU NOTED THE PHENOMENON.
WOULD BEAR SOME RESEMBLANCE TO WHAT YOU SAW. DESCRIBE SIMILARITIES AND DIFFERENCES BETWEEN THE
COMMON OBJECT AND WHAT YOU SAW.
21. DID YOU NOTICE ANY ODOR, NOISE 21. DID YOU NOTICE ANY ODOR, NOISE OR HEATEMANATIN HEATMANATIN NG FROM THE PHENOMENON OR ANY EFFECT ON GFROM THE PHENOMENON OR ANY EFFECT O YOURSELF, YOURSELF.
ANIMALS OR MACHINERY IN TI VICINITY? VICINITY? YES NO. IF *YES,*DESCRIBE. IF *YES,"DESCRIBE.
A. DID THE PHENOMENON DISTURB GROUND OR LEAVE ANY PHYSICAL EVIDENCE. YES LNO.
IF *YES,* DESCRIBE.
PAGE 7 OF 9 PAGES

AFR 80-17(C1)
M HAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENON BEFORE YES HO.IFYES GIVE DATE AND
LOCATION. Limls C
-
23 WAS AN YONE WITH YOU AT THE TIME YOU SAW HE PHENOMENON? CIYES NO. IF DID THEY SEE IT TOOT
DYES CI NO.
A. LIST THEIR NAMES AND ADDRESSES
Beookylegally
1 1
24. LOWING INFORMATION ABOUT YOURSELF
LAST NAME, FIRST NA
ADDRESSYS
TELEPHONE(Area code and numbeD) AGE
MALE FEMALE
INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
25 THAT YOU HAD SIGHTED THIS PHENOMENON?
NAME DAY14 MONTH YEAR /
25. DATE YOU COMPLETED THIS QUESTIONNA
DAY 14
PAGE 8 OF9 PAGES

DISAPPEAR AND REAPPEAR?
SPIN LIKE TOP?
MAKE A NOISE?
FLUTTER OR WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
looking for
A. HOW DID IT FINALLY DISAPPEAR?
.
went
lg
B. DID THE DID THER PHENOMENON MOVE BEHIND OR IN PHENOMENON MOVE BEHIND OR IN FRONT OF FRONT SOMETHING, LIKE A CLOUD, TREE, OR BUILDING AT ANY TIME?
YES NO. IF *YES."DESCRISE. NO. IF *YES,"DESCRIBE.
f
alh
na an
PAGE S OF9 PAGES
4

AFR 80-17(C1)
I5: DRAW A PICTURE THAT WILL SHOW THE SHAPE OF THE PHENOMENON. INCLUDE AND LABEL ANY DETAILS THAT MIGHT
HAVE APPEAREO AS WINGS OR PROTRUSIONS, AND INDICATE EXHAUST OR VAPOR TRAILS. INDICATE BY AN ARROW THE
DIRECTION THE PHENOMENON WAS MOVING
A
16. WHAT WAS THE ANGULAR SIZE? HOLD A MATCH AT ARM*S LENGTH IN FRONT OF A KNOWN OBJECT, SUCH AS A STREET 16. WHAT WAS THE ANGULAR SIZE? HOLD A MATCH AT ARM'S LENGTH IN FRONT OF A KNOWN OBJECT, SUCH AS A STREET
LAMP OR THE MOON. NOTE HOW MUCH OF THE OBJECT IS COVERED BY THE HEAD OF THE MATCH. LAMP OR THE MOON. NOTE HOW MUCH OF THE OBJECT IS COVERED BY THE HEAD OF THE MATCH. NOWIF YOU HAD NOW IF YOU HAD
BEEN ABLE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE
PHENOMENON WOULD HAVE BEEN COVEREO BY THE MATCH HEAD.
PAGE 6 OF9PAGES

AFR 80-17(C1)
DUTDOORS IN BUSINESS SECTION OF CITY
IN BUILDING IN RESIDENTIAL SECTION OF CITY
IN CAR AS DRIVER AS PASSENGER IN OPEN COUNTRYSIDE
IN BOAT NEAR AIRFIELD
IN AIRPLANE AS PILOT AS PASSENGER FLYINGOVER CITY
OTHER FLYING OVER OPEN COUNTRY
OTHER
IF YOU WERE IN A VEHICLE, COMPLETE THE FOLLOWING:
WHAT DIRECTION WERE YOU MOVING? HOW FAST WERE YOU MOVING?
NORTH EAST
SOUTH WEST DID YOU STOP ANYTIME WHILE OBSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES D7NO
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS YOUR SKETCHES IN ITEMS 5 AND 6.
DESCRIBE TYPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD TERRAIN OR BODY OF WATER YOU TRAVERSED DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
HOW MUCH OTHER TRAFFIC WAS THERE?
DID YOU NOTICE ANY AIRPLANES? YES NO. IF "YES." DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON AND WHERE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
9. HOW L HOW WAS THE PH ENOMENON IN SIGHT?
LENGTH OF TIME CERTAIN OF TIME NOT VERY SURE
LOMIN IOMIN FAIRLY CERTAIN JUST A GUESS
HOW WAS HOW WAS TIME DETERMINED?
1n OL1A
WAS THE PHENOMENON IN SIGHT CONTINUOUSLY? YES NO. IF *NO.INDICATE WHETHER THIS IS DUE TO YOUR
MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON, AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAR. MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON, AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAD_
PEARANCES ON PREVIOUS SKETCHES.
PAGE 3OF 9 PAGES

AFR 80-17(C1)
D. IF THEREWERE MORE THAN ONE PHENOMENON, HOW MANY WERE THERE? DRAW A PICTURE TO SHOW HOW THEY WERE
ARRANGED. DID THIS APRANGEMENT CHANGE DURING THE SIGHTINGY
/
only a
aamievas
11. CONOiTiONs (Check appropriate blocks.)
A. SKY B. WEATHER
DAY CUMULUS cLOUDS (LOW fluffy) FOG OR MIST
TWILIGHT CIRRUs CLouDS (High fleecy or Herring- HEAVY RAIN
NIGHT bone) LIGHT RAIN OR DRIZZLE
CLEAR NIMBUS CLOUDS (Rain) HAIL
PARTLY CLOUDY CUMULONIMBUS CLOUDS SNOW OR SLEET
COMPLETELY OVERCAST (Thunderstorms) UNKNOWN
HAZE OR SMOG NONE OF THE ABOVE
C.IF THE SIGHTING WAS AT TWILIGHT OR NIGHT. WHAT DID YOU NOTICE ABOUT THE STARS AND MOON?
(1) STARS (2) MOON
NONE BRIGHT MOONLIGHT NO MOONLIGHT
AFEW MOON WITH HALO UNKNOWN
MANY MOON HIDDEN BY CLOUDS
UNKNOWN PARTIAL (New or quarter)
D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? 0 YES NO. IF "YES, WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON?
IN FRONT OF YOU FRONT OF YOU TO YOUR PIGHT TO YOURF PIGHT OVERHEAD (NeGr noon) OVERHEAD (NeGr noon)
IN BACK OF YOU IN BACK OF YOU TO YOUR LEFT UNKNOWN
E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR E.SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR
STREET LAMP, ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE.
12. GIVE A SRIEF DESCRIPTION OF THE PHENOMENON, INDICATING WHETHER IT APPEARED DARK OR LIGHT, WHETHER IT
REFLECTEO LIGHT OR WAS SELF-LUMINOUS AND WHAT COLORS YOU NOTICEO. DESCRIBE YOUR IMPRESSION OF WHETHER
IT WAS SOLID OR TRANSPARENT, WHETHER EDGES WERE SHARP OR FUZZY. DESCRIBE THE SHAPE OR INDICATE IF IT IT WAS SOLIO OR TRANSPARENT, WHETHER EDGES WERE SHARP OR FUZZY. DESCRIBE THE SHAPE OR INDICATE IF IT
APPEARED AS A POINT OF LIGHT. INDICATE COMPARISONS WITH OTHER OBSERVED OBJECTS, LIKE STARS, A LIGHT OR
OTHER OBJECT IN YOUR FIELD OF VIEW. OTHER OBJECT IN ELD OF VIEW.
C
with a wing wng on Top
shaped with a
owal shoped
PAGE 4 OF 9 PAGES

DEPARTMENT OF THE AIR FORCE
OFFICE OF THE SECRETARY
MEMORANDUM
September 1, 1963
TDPT/UFO:
A Mr. of i New York City called ebout
3:30 p.m. today.
He claimed that he sent you gome alleged
UFO pictures about three weeks ago, and now he
wants them returned.
I asked him why he had not called you,
and he further cleimed that he'd tried, but
could not get you.
If you have his TI you have his pix, suppose you cen send pix, suppose you san send
them back to him (he them back to him (he s sounded all stook, ut
about what I haven't ubout what I haven't the foggiest). the foggiest).
Jo T. Jo T.

4
AFR 80-17(C1)
A.NOW IMAGINE YOU ARE ATTHEGENTER t t t
OF THE COMFASSROSEHLSCE AN  A*OA THE GOMPASS TS INDICATE THE
DIRECTICN TO THE PHENOWENON WHEN FIPSTILEEN. PLACE / **ON THE COMDASS TOINDICATE THF DIPECTION TO
THE PHENCVENON WHEN LAST SEEN.
NNW NNE
NW NE
WNY ENE
A
WSW ESE
SW SE
SSW SSs
7. IN THE SKETCH BELOW, PLACE AN "A* AT THE POSITION OF THE PHENOMENON WHEN FIRST SEEN. AND A *B* AT THE
POSITION OF THE PHENOMENON WHEN LAST SEEN. CONNECT THE "A* AND *B° WITH A LINE TO APPROXIMATE THE
MOVEMENT OF THE PHENOMENON BETWEEN *A" AND "B*, THAT IS, SCHEMATICALLY SHOW WHETHER THE MOVEMENT
APPEARED TO BE STRAIGHT, CURVEO OR ZIG-ZAG. REFER TO SMALLER SKETCH AS AN EXAMPLE OF HOW TO COMPLETE
THE LARGER SKETCH.
J
PAGE 2 OF 9 PAGES

San
AFRS0-17(C1)
SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE BUDCRT BUREAU APPPOVAL
NUMDER 21.R253
ANSWER ALD
YOUR NAME WILL NO
YOUR PERMISSIGN. RE
ATTACH SECURELY TO THIS FORM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION.)
1. WHEN DID YOU SEE THE PHENOMENON?
DAY. 14/ AUG YEAR./068
MONTH
2. WHAT TIME DI Y ou F IRST SIGH T THE PHENOMENON?
HOUR2/0O MINUTES CIA.M. DFPTM.
3 WHAT TIME DID YOU AST SIGHT THE PHENOMENON?
10 A.M. P.M.
HOUR MINUTES
4. TIME ZONS M DAYLIGHT SAVINGS STANDARD
VEASTERN CENTRAL MOUNTAIN PACIFIC OTHER
5 WHERE WERE YOU WHEN YOU SAW THE PHENOMENON' IF IN CITY. GIVE THE NEAREST STREET ADDRESS AND INDICATE ON
A HAND DRAWN MAP WHERE YOU WERE STANDING S WITH REFERENCE TO THE ADDRESS. IF IN THE COUNTRY, IDENTIFY THE
HIGHWAY YOU WERE ON OR NEAR DISTANCE AND DIRECTION FROM SOME RECOGNIZABLE LANDMARK.
Comer .
6: IMAGINE YOU ARE AT THE POINT SHOWN IN THE SKETCH, PLACE AN A ON THE CURVED LINE TO SHOW HOW HIGH THE 6 IMAGINE YOU ARE AT THE POINT SHOWN IN THE SKETCH., PLACE AN A ON THE CURVED LINE TO SHOW HOW HIGH THE
PHENOMENON WAS ABOVE THE HORIZON, OR SKYLINE. WHEN FIRST SEEN. PLACE A PHENOMENON WAS ABOVE THE HORIZON. OR SKYLINE. WHEN FIRST SEEN. PLACE A BR 3T ON THE SAME CURVED LINE TO ON THE SAME CURVED LINE TO
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN. SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
90 $90 15
| 80 8
1
1
1
30
1 —
——-
1
1
K
OBSERVER
AF FORM 117
AUJGA7

AFR 80-17(C1)
ALTERNATIVELY PROVIDE A NARRATIVE EXPLANATION OF THE SIGHTING.
stor 5t11
approaihed under it
PAGE 9 OF 9 PAGES
.

AFR 80-I7(C1)
NOM IMAGINE YOU ARE ATTHE CENTER OE THE COMPASS ROSE, PLACE AN *A* GN THE COMPASS TO INDICATE THE unt
DIAECTION TO THE PHENOMENON WHEN FIRLT SEEN. PLACEA 'SON THECOMPASTO MHDI E THE OIRECTION TO
THE PHENGMENON WHEN LAST SEEN.
7
N
NNW NNE
NW
WNW ENE
WSW ESE
Sw SE
sSW SSE
7. IN THE SKETCH BELOW, PLACE AN *A* AT THE POSITION OF THE PHENOMENON WHEN FIRST SEEN. AND A *B° AT THE
POSITION OF THE PHENOMENON WHEN LAST SEEN CONNECT THE A* AND B° WITH A LINE TO APPROXIMATE THE
MOVEMENT CF THE PHENOMENON BETWEEN A" AND "B. THAT IS, SCHEMATICALLY SHOW WHETHER THE MOVEMENT
APPEARED TO BE STRAIGHT, CURVED OR ZIG-ZAG. REFER TO SMALLER SKETCH AS AN EXAMPLE OF HOW TO COMPLETE
THE LARGER SKETCH.
B3
D
PAGE 2 OF 9 PAGES

AFR 80-17(CI)
SIGHTING OF UNIDenTIFIEd PHenoMeNa QUESTIONNAIRE BUDGET BUREAU APPROVAL
NU4N8R 21-R238
ANSWER
YOUR
YOUR PERMISSION. RET AIR FOPCE BASE INVESTIGATOR FOR FORWARDING TO FTD (TDETR) WRIGHIT
PATTERSON AFB,OHIO 45433
ATTACH SFCURELY TO THI FORM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION)
WHEN DID YOU SEE HE PHENOMENON?
DAY_13 MONTH 41 YEAR 1942
2 WHAT TIME DID YOU FIRST SIGHT THE PHENOMENON?
HOUR MINUTES A.M. XP
WHAT TIME DID YOU LAST SIGHT THE PHENCMENON
HOUR 1 MINUTES A.M P.M
4 TIME ZONE IDAYLIGHT SAVINGS STANDARO
VEASTERN CENTRAL PACIFIC JOTHER
5 WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? IF IN CITY GIVE THE NEAREST STREET ADDRESS AND INDICATE ON
A HAND DRAWN MAP WHERE U WERE STANDING WITH REFERENCE TO THE ADDRESS. IF IN THE COUNTRY.IDENTIFY THE
HIGHWAY YOU WERE ON AR AND TRY TO FIX A DISTANCE AND DIRECTION FROM SOME RECOGNIZABLE LANOMARK
AVE
BKUKLIN
6. IMAGINE YOU ARE AT THE POINT SHOWN IN THE SKETCH, PLACE AN "A ON THE CURVED LINE TO SHOW HOW HIGH THE POINT SHOWN IN THE SKETCH, PLACE AN A ON THE CURVED LINE TO SHOW HOW HIGH THE
PHENOMENON WAS ABOVE THE HORIZON, GR SKYLINE. WHEN FIRST SEEN. PLACE A 3' ON THE SAME CURVED LINE TO THE SAME CURVED LINE TO
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
90 90 15
L
1 60
I
1
1 30
1
1
1 15
1
OBSERVER
AF FORM 117
AUGW
.

AFR 80-17(C1)
IF THERE WERE MORE THAN OHE PHENOMENON, HOW MANY WERE THERE? DRAW A PICTURE TO SHOWHOV WERE
ARRANGEO. DID THIS ARRANGEMENT CHANGE DURING THE SIGHTING?
Thre olgit
11. CONDITiONs (Check appropriate blocks.)
A. SKY B. WEATHER
DAY CUMULUS CLOUDS (LOW fluffy) FOG OR MIST
TWILIGHT CIRRus CLouDS (High fleecy or Herring- HEAVY RAIN
NIGHT bone) LIGHT RAIN OR DRIZZLE
CLEAR NIMBUS CLOUDS (Rain) HAIL
PARTLY CLOUDY CUMULONIMBUS CLOUDS SNOW OR SLEET
COMPLETELY OVERCAST (Thunderstorms) UNKNOWN
HAZE OR SMOG NONE OF THE ABOVE
C.IF THE SIGHTING WAS AT TWILIGHT OR NIGHT, WHAT DID YOU NOTICE ASOUT THE STARS AND MOON?
(1) STARS (2) MOON
NONE BRIGHT MOONLIGHT NO MOONLIGHT
A FEW MOON WITH HALO UNKNOWN
MANY MOON HIDDEN BY CLOUDS
UNKNOWN PARTIAL (New or quarter)
O. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? YES NO. 1F "YES, WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON?
IN FRONT OF YOU TO YOUR RIGHT OVERHEAD(NeW nooN)
IN BACK OF YOU IN BACK OF YOU TO YOUR LEFT UNKNOWN
E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN. HEADLIGHTS OR E.S SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN. HEADLIGHTS OR
STREETLAMP, ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE.
12. GIVE A BRIEF DESCRIPTION OF THE PHENOMENON, INDICATING WHETHER IT APPEARED DARK OR LIGHT, WHETHER IT GIVE A BRIEF DESCRIPTION OF THE PHENOMENON, INDICATING WHETHER IT APPEARED DARX OR LIGHT, WHETHER IT
REFLECTED LIGHT OR WAS SELF-LUMINOUS AND WHAT COLORS YOU NOTICED. DESCRIBE YOUR IMPRESSION OF WHETHER
IT WAS SOLID OR TRANSPARENT. WHETHER EDGES WERE SHARP OR FUZZY. DESCRIBE THE SHAPE OR INDICATE IF IT IT WAS SOLID OR TRANSPARENT, WHETHER EDGES WERE SHARP OR FUZZY. DESCRIBE THE SHAPE OR INDICATE IF IT
APPEARED AS A POINT OF LIGHT. INDICATE COMPARISONS WITH OTHER OBSERVED OBJECTS, LIKE STARS. A LIGHT OR
OTHER OBJECT IN YOUR FIELD OF VIEW.
hiht bylt Rel Red K Wd
mal sgad wit wi lihe
with wig the
anA
PAGE 4 OF 9 PAGES
-

AFR 80-17(C1)
H WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (CACCK uppropriatablocks)
OUTDOORS IN BUSINESS SECTION OF CITY
IN BUILOING IN RESIDENTIAL SECTION OF CITY
IN CAR AS ORIVER AS PASSENGER IN OPEN COUNTRYSIDE
IN BOAT NEAR AIRFIELD
IN AIRPLANE AS PILOT AS PASSENGEP FLYINGOVER CITY
+
OTHER FLYING OVER OPEN COUNTRY
OTHER
A. IF YOU WERE IN A VEHICLE. COMPL ETE THE FOLLOWING:
WHAT DIRECTION YOU HOW FAST WERE YOU MOVING?
NORTH EAST
SOUTH WEST DID YOU STOP ANYTIME WHILE OBSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES NO
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS YOUR SKETCHES IN ITEMS 5 AND 6.
DESCRISE TYPE OF VEHICLE YOU WEREIN AND TYPE OF ROAD. TERRAIN OR BODY OF WATER YOU TRAVERSED DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
HOW MUCH OTHER TRAFFIC WAS THERE'
DID YOU NOTICE ANY AIRPLANES? MYES NO. IF "YES," DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON ANDWHERE THEY WERE IN THS SKY RELATIVE TO THE POSITION OF THE PHENOMENON
It flr unbe
9. HOW LONG WAS THE PHENOMENON IN SIGHT?
LENGTH OF TIME CERTAIN OF TIME CERTAIN OF TIME NOT V VERY ERY SURE
10 FAIRLY CERTAIN JUST A GUESS
HOW WAS TIME TIME DETERMINED? DETERMINED'
Clock ston wn dow ston wndow
WAS THE PHENOMENON IN SIGHT CONTINUOUSLYI M YES PHENOMENON IN SIGHT CONTINUOUSLY MYES S NO. IF *NO.INDICATE WHETHER THIS NO. IF *NO  INDICATE WHETHER THIS IS DUE TO YOUR IS DUE TO YOUR
MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON, AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON, AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAR. INDICATE DISAP.
PEARANCES ON PREVIOUS SKETCHES.
PAGE3OF9 PAGES
.
4

AFR 80-17(C1)
15. DRAW A PICTURE THAT WILL SHOW THE SHAPE OF THE PHENOMENON. INCLUDE AND LABEL ANY DETAILS THAT MIGHT
HAVE APPEAREO AS WINGS OR PROTRUSIONS, AND INDICATE EXHAUST OR VAPOR TRAILS. INDICATE BY AN APROW THE
DIREGTION THE PHENOMENON WAS MOVING.
/
16. WHAT WAS THE ANGULAR SIZE? HOLD A MATCH AT ARM'S LENGTH IN FRONT OF A KNOWN OBJECT, SUCH AS A STREET
LAMP OR THE MOON. NOTE HOW MUCH OF THE OBJECT IS COVERED BY THE HEAD OF THE MATCH. HOW IF YOU HAD
BEEN ABLE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE
PHENOMENON WOULD HAVE BEEN COVERED BY THE MATCH HEAD.
tho the whol able
mtel waId Cawe
PAGE6OF PAGES
.

AFR 80-17(C1)
13 DIO THE PHENOMENON YES NO UNKHOWN
MOVE IN A STRAIGHT LINE?
Zi7o
STAND STILLAT ANYTIME?
SUDDENLY Y SPEED UP AND RUN AWAY?
BREAK UP IN PARTS ANO EXPLODE?
CHANGE COLOR?
GIVE OFF SMOKE?
CHANGE BRIGHTNESS?
CHANGE SHAPE?
FLASH OR FLICKER?
DISAPPEAR AND REAPPEAR?
SPIN LIKE A TOP?
MAKE A NOISE?
FLUTTER OR WOBELE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
Cort for UFO How aun it t  g
A. HOW
out Lihe out Lhe Camp
Camp
B. DID THE B. DID THE PHENOMENON MOVE SEHIND OR IN FRONT OF SOMETHING. LIKE A CLOUD, TREE, OR BUILDING AT ANY OF SOMETHING. LIKE A CLOUD, TREE, OR BUILDING AT ANY TIME?
YES NO. IF *YES.DESCRIBE. IF*YES,"DESCRIBE.
fud a gatat b
PAGE 5 OF9 PAGES

AFR 80-17((1)
17 DID YOU COSERVE THE PHENOMENON THROUGH ANY OE THE FOLLOWINGL INGLUDE INFORMATION ON MODEL,
TYPE : ILTER. LENS PAESCRIPTION CR OTHER APPLICARLE OATA.
EYEGLASSES CAMERA VIEWER
SUNGLASSES BINOCULARS
WINDSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINDOWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? YES NO B. DO YOU USE READING GLASSES? ATYES INO
18 WHAT WAS YOUR IMPRESSION OF THE SPEEDOF THE 19. WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE
PHENOMENON? GIVE ESTIMATE OF SPEED 120 MPK PHENOMENON? GIVE ESTIMATE OF DISTANCE
A COMMON OBJECT OR OBJECTS WHICH, WHEN PLACED IN THE SKY, SIMILAR TO WHERE YOU NOTED THE PHENOMENON.
WOULD BEAR SOME RESEMBLANCE TO WHAT YOU SAW. DESCRIBE SIMILARITIES AND DIFFERENCES BETWEEN THE
COMMON OBJECT AND WHAT YOU SAW.
091
on fo
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY THE PHENOMENON OR ANY EFFECT ON YOURSELF. EFFECT ON YOURSELF,
ANIMALS OR MACHINERY IN THE VICINITY? YES 8 NO. IF *YES." DESCRIBE. "YES." DESCRIBE.
A DID THE PHENOMENON DISTURS THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. YES XNO.
IF *YES. DESCRIBE.
/
PAGE 7OF9 PAGES
.

BRO022YN20N
AUOUST 9, 1968
H.Q. FOREION TECHNOLOGY DIdISION
ATTENTION TOPT(UFO)
WRICHT-PATTERSON AFB
DAYTON, 0H18 45433
Dear des.
qitew of what e beln to be a
tno tijpes one
Ghback iadan Pogeit

CWT
46 2that
4
"
41
23 WHEN AND TOY WHOM DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON?
NAMEmdd S NIA HTo DAY_ MONTH YEAR
26 CATE YOU COMPLETED THIS QUESTIONNAIRE.
DAYL MONTH_A YEAR
PAGE8 OF 9 PAGES

AFR80-17(C1)
27 INFONMATION WHICH YOU FEEL IS PERTINENT BUT WHICH IS NOT ADEQUATELY COVERED IN THIS QUESTIONNAIRE ALTZANATIVELY PROVIDE A NARRATIVE EXPLANATION OF THE SIGHTING.
17 =
18 11
Cat Tars eneden he be 2n the bif.
un delogeal filn on it
tz
Ho warts to hew
PAGE9OF9 PAGES
a

AFR 80-17(C1)
NOW IMAGINE YOU ARE ATTHE CENTEH OF PHE COMPAIS ROSC. PLAOE AN A" ON THE COMPASS TO INDICATE THE
DIRECTION TO THE PHENOMENON WHEN FIRST SEEN PLACE MTS*ON TNE COMPASS TO INOICATE THE DIRECTION TO
THE PHENJMENON WHEN LAST SEEN.
$$
NNW NNE
NW NEAB
WNW ENE
wSw ESE
Sw SE
ssw SSE
7. IN THE SKETCH BELOW, PLACE AN A* AT THE POSITION OF THE PHENOMENON WHEN FIRST SEEN. AND A *B* AT THE
POSITION OF THE PHENOMENON WHEN LAST SEEN. CONNECT THE "A° AND B* WITH A LINE TO APPROXIMATE THE
MOVEMENT OF THE PHENOMENON BETWEEN A" AND "B". THAT IS, SCHEMATICALLY SHOW WHETHER THE MOVEMENT
APPEARED TO BE STRAIGHT, CURVED OR ZIG-ZAG. REFER TO SMALLER SKETCH AS AN EXAMPLE OF HOW TO COMPLETE
THE LARGES SKETCH.
A-
PAGE 2 OF 9 PAGES
a

Lepot
AFR 80-17(C1)
SIGNTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE BUDGET BUREAU APPROVAL
NUMNER 21 8254
ANSWER ALL OF THR OUESTION INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES
YOUR NAME WILL NOT BE YOUR STATEN NCLUSIONS WITHOUT
YOUR PERMISSIdN.RETURN FORCE BASE INVESTIGATOR FOR FORWARDING TO (TDETR). WRIGHT.
PATTERSON AFB, OHIO 4S433,IAN AFR BO-17. (IF ADDITIONAL SHEETS ARE NEEDED FOR NARRATIVE OR SKETCHES
ATTACH SECURELY TO THIS FORM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION.)
WHEN DID YOU SEE THE PHENOMENON?
DAY ///2 DUC MONTH AUGUST YEAR 68
2 WH AT TIME DID SIGH T TH 4 N NOMENON?
HOUR 22O MINUTES 20 EIA.M. DP.M.
3 WHAT TIME DID YOU LAST SIGHT THE PHENOMENON?
HOUR 2.2 MINUrES 15 AM, P.M.
4. TIME ZONE XDAYLIGHT SAVINGS STANDARD
X EASTERN CENTRAL MOUNTAIN PACIFIC
5 WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? IF IN CITY GIVE THE NEAREST STREET ADDRESS AND INDICATE ON
A HAND DRAWN MAP WHERE YOU WERE STANDING WITH REFERENCE TO THE ADDRESS. IF IN THE COUNTRY, IDENTIFY THE
HIGHWAY YOU WERE ON OR NEAR AND TRY TO FIX A DISTANCE AND DIRECTION FROM SOME RECOGNIZABLE LANDMARK.
Corner of recklyw,NewYorK
2
40
6.IMAGINE 6. IMAGINE YOU ARE AT THE POINT SHOWN IN THE SKETCH, PLACE AN *A ON THE GURVED LINE TO SHOW HOW HIGH THE YOU ARE AT THE POINT SHOWN IN THE SKETCH, PLACE AN *A ON THE CURVED LINE TO SHOW HOW HIGH THE
PHENOMENON WAS ABOVE THE HORIZON OR SKYLINE WHEN FIRST SEEN. PLACE A PHENOMENON WAS ABOVE THE HORIZON. OR SKYLINE WHEN FIRST SEEN. PLACE A 3" 3* ON THE SAME CURVED LINE TO
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
More thas owe object.(10) object strzight-cp strxight-cp
$\fa0}$ 90 S2- S2
A
|
1 1 45
1
! I
1
- 15
-
OBSERVER
AF FORM 117
Atre

AFR 80-17(CI)
WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (Cheek appeopriatr blocks)
X OUTDOORS IN BUSINESS SECTION OF CITY
IN DUILDING IN RESIDENTIAL SECTION OF CITY
IN CAR AS DRIVER AS PASSENGER IN OPEN COUNTRYSIDE
IN DOAT NEAR AIRFIELD
IN AIRPLANE AS PILOT AS PASSENGER FLYING OVER GITY
OTHER FLYING OVER OPEN COUNTRY
OTHER
A. IF YOU WERE IN A VEHICLE, COMPLETE THE FOLLO WING
WHAT DIRECTION YOU MOVING? HOW FAST WERE YOU MOVING?
NORTH EAST C
SOUTH WEST DID YOU STOP ANYTIME WHILE OBSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES No
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS YOUR SKETCHES IN ITEMS 5 AND6
DESCRIBE TYPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD. TERRAIN OR BODY OF WATER YOU TRAVERSED DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN
HOW MUCH OTHER TRAFFIC WAS THERE?
BLIGHT TRAFFIC
D'D YOU NOTICE ANY AIRPLANES? AYES NO. IF YES.DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON AND WHERE THEY WERE IN THE SKY RELATIVE TO THE POSITION QF THE PHENOMENON.
Airplane w75 flying directly above the objectin ts
approach Kewwedy Airport for a landing.
9 HOW LONG WAS TH E PHENO MENON IN SIGHT?
LENGTH OF TIME CERTAIN OF TIME NOT VERY SURE
10 minutes FAIRLY CERTAIN JUST A GUESS
HOW WAS TIME DETERMINED?
8:20- 830 5 SeeN on 7
WAS THE PHENOMENON IN SIGHT CONTINUOUSLY? YES NO. IF *NO, INDICATE WHETHER THIS IS DUE TO YOUR
MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON, AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAR.
PEARANCES ON PREVIOUS SKETCHES.
PAGE 3 OF 9 PAGES
'

AFR 80-17(C1)
IO F THERS WERE MORE THAN ONE PHENOMENON, HOW MANY WEPE THERE? DRAW A PICTUPE TO SHOW HOW THEY WERE
ARRANGED DID THIS AHRANGEMENT CHAHGE DURING THE SIGHTINGT
1
1 object sighted actly
not in partelae patters, scattered aceoss the
aNY
Ky.
11. CONDiTiONS(Check appropriase blocks.)
A. SKY B. WEATHER
DAY CUMULUS CLOUDS (LOW fluffY) FOG OR MIST
TWILIGHT CIRRus CLouDs (High fleecy or Herring- HEAVY RAIN
NIGHT bone) LIGHT RAIN OR DRIZZLE
CLEAR NiMAuS CLouDS (Rain) HAIL
PARTLY CLOUDY CUMULONIMBUS CLOUDS SNOW OR SLEET
COMPLETELY OVERCAST (Thunderstorms) UNKNOWN
HAZE OR SMOG NONE OF THE ABOVE
C. IF THE SIGHTING WAS AT TWILIGHT OR NIGHT. Y WHAT DID YOU NOTICE ABOUT THE STARS AND MOON?
(1) STARS (2) MOON
NONE BRIGHT MOONLIGHT NO MOONLIGHT
A FEW MOON WITH HALO UNKNOWN
MANY MOON HIDDEN BY CLOUDS
UNKNOWN PARTIAL(New or quarter)
D. IF SIGHTING WAS IN DAYLIGHT. WAS THE SUN VISIBLE? YES NO. WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON?
IN FRONT OF YOU TO YOURE PIGHT OVERHEAD (NeC nOON)
IN BACK OF YOU IN SACK OF YOU TO YOUR LEFT UNKNOWN UNKNOWN
E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR
STREET LAMP, ETC. FOR TERRESTRIALILLUMINATION. SPECIFY DISTANCE TO LIGHT SOURCE.
Nearest Nearest LAMp
12. GIVE A BRIEF DESCRIPTION OF THE PHENOMENON. INDICATING 12. GIVE A BRIEF DESCRIPTION OF THE PHENOMENON, INDICATING WHETHER IT APPEARED DARK OR LIGHT, WHETHER IT WHETHER IT APPEARED DARK OR LIGHT, WHETHER IT
REFLECTEO LIGHT OR WAS SELF-LUMINOUS AND WHAT COLORS YOU NOTICED. DESCRIBE YOUR IMPRESSION OF WHETHER
IT WAS SOLID OR TRANSPARENT, WHETHER EDGES WERE SHARP OR FUZZY. DESCRIBE THE SHAPE CR INDICATE IF IT
APPEARED AS A POINT OF LIGHT. INDICATE COMPARISONS WITH OTHER OBSERVED OBJECTS, LIKE STARS, A LIGHT OR APPEARED AS A POINT OF LIGHT. INDICATE COMPARISONS WITH OTHER OBSERVED OBJECTS, LIKE STARS, A LIGHT OR
OTHER OBJECT IN YOUR FIELD OF VIEW.
light Jource schid scid
Light Light in tone
shaped like a feotball, all objects shaped like a foot ball, all objects
edges Apfedred affeared sharp
the same sAme shape
possessed
PAGE 4 OF 9 PAGES
.

AFR 80-17(C1)
15 DRAW A PICTURE THAT WILL SHOW THE SHAPE OF THE PHENOMENON. INCLUDE AND LABEL ANY DETAILS THAT MIGHT
HAVE APPEARED AS WINGS OR PROTRUSIONS, AND INDICATE EXHAUST OR VAPOR TRAILS. INOICATE BY AN ARRON THE
DIRECTION THE PHENOMENON WAS MOVING.
D
-¸
15. WHAT WAS THE ANGULAR SIZE? HOLD A MATCH AT ARM*S LENGTH IN FRONT OF A KNOWN OBJECT, SUCH AS A STREET 15. WHAT WAS THE ANGULAR SIZE? HOLD A MATCH AT ARM'S LENGTH IN FRONT OF A KNOWN OBJECT, SUCH AS A STREET
LAMP OR THE MOON. NOTE HOW MUCH OF THE OEJECT IS COVERED BY THE HEAD OF THE MATCH. NOW IF YOU HAD
BEEN ABLE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE BEEN ABLE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE
PHENOMENON WOULD HAVE BEEN COVERED BY THE MATCH HEAD. PHENOMENON WOULD HAVE BEEN CO VERED BY THE MATCH HEAD.
1
As large 3s the largest star. appreximately one-halfofit.
PAGE 6 OF9 PAGES

FLASH OR
DISAPPEA R AND REAPPEAR?
SPIN LIKE A TOP?
MAKE A NOISE?
FLUTTER OR WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
LIFO
LooKing previously sighted
had turned off a lamp had turned offalamp
As though As though Someone
B. DID THE PHENOMENON MOVE BEHIND B. DID THE PHENOMENON MOVE BEHIND ORIN FRONT FRON OF SOMETHING, LIKE SOMETHING. LIKE A CLOUD. A CLOUD, TREE, OR BUILDING AT ANY TREE, OR BUILDING AT ANY TIME? TIME?
YES YES NO. IF YES,DESCRIBE. NO. IF YES," DESCRIBE.
khivs
FLew behind apartment bilding.
dN
PAGISOFD PAGE3

THEO
AFR 80-17(C1)
17. OID YOU OBSERVE THE PHENCMENON THROUGH ANY OF THE FOLLOWING? INCLUDE INFORMATION ON MODEL,
TYPE, FILTER. LENS PRESCRIPTION OR OTHER APPLICABLE DATA.
EYEGLASSES X CAMERA VIEWER
SUNGLASSES BINOCULARS
WINDSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WIMDOWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? XYES NO B. DO YOU USE READING GLASSES? tKYES 1INO
1B. WHAT WAS YOUR IMPRESSION OF THE SPEED OF THE 19 WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE
GIVE ESTIMATE OF SPEED 900mph PHENOMENON?
20 IN ORDER THAT WE MAY OBTAIN AS CLEAR A PICTURE AS POSSIBLE OF WHAT YOU SAW, DESCRIBE IN YOUR OWN WOROS
A GOMMON OBJECT OR OBJECTS WHICH, WHEN PLACED IN THE SKY, SIMILAR TO WHERE YOU NOTED THE PHENOMENON,
WOULD BEAR SOME RESEMBLANCE TO WHAT YOU SAW. DESCRIBE SIMILARITIES AND DIFFERENCES BETWEEN THE
COMMON OSJECT AND WHAT YOU SAW.
look like stut lp tif
Would a
sighted.)
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM 21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT ON EFFECT ON YOURSELF,
ANIMALS OR MACHINERY IN THE VICINITY? ANIMALS OR MACHINERY IN THE VICINITY? YES NO. IF *YES. DESCRIBE. NO. IF *YES. DESCRIBE.
A. CID THE PHENOMENON DISTURB THE GROUND OR PHYSICAL EVIDENCE. YES ANO.
IF YES," DESCRIBE.
PAGE 7 OF 9 PAGES

N009
AFR 80-17(C1)
22. HAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENON BEFORE? YES NO. IF YES, GIVE DATE AND
LOCATION. veryday Nevee 2419E chrti Wtotier
23. WAS ANYONE WITH YOU AT THE TIME YOU SAW THE YES NO.IF *YES. THEY SEE IT TOOI
XYES NO.
A. LIST THEIR NAMES AND ADDRESSES
Brooklyw, Now York 15
11 " 1 15
' 11 15
.3
10
2
11
24. GIVE THE FOLLOWING INF FORMATION ABOUT YOURSELF
LASTNA NAME. MIDOLE NAME
ADDRESS
BROOKLYNNeNYoRk
TELEPHONE(Area code and number) AGE
? NOT GIVEN 15 years X MALE FEMALE
AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
High School Student. No to these
sightiogs.
25. WHEN AND TO WHOM DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON?
NAME 6E " frecint DAY3043, th July 68
MONTH YEAR
:6. DATE YOU COMPLETED THIS QUESTIONNAIRE. th
DAY7 MONTH AuGust YEAR G E
PAGE8 OF 9 PAGES

pitures,
Thank you for Thank you foe
.

AFR 80-17(C1)
27 INFORMATION WHICN YOU FEEL IS PERTINENT BUT WHICH IS NOT AOEQUATELY COVERED IN THIS QUESTIONNAIRE,
ALTERNATIVELY PROVIDE A NARRATIVE EXPLANATION OF THE SIGHTING.
PAGE9 OF9 PAGES
.

AFR 80-17(C1)
NOWIMNGINE YOU ARE STTHE CENTESOF THIE CONPASS SOFE PLAGE AN WA*SN THP COMPASS TO INOICATE YHE TAU
DIRECTION TO THE PHEMOMENON WHEN FIASF AEEH. PLACE A 'U*ON THE COMP-SS TOINDICATETHE DIRECTION TO
THE PHENOMENON WHSN LAST SEEN.
A
NNW
WNW ENE
WSW ESE
Sw SE
sSw SSE
7. IN THE SKETCH BELOW, PLACE AN A° AT THE POSITION OF THE PHENOMENON WHEN FIRST SEEN, AND A *B* AT THE
POSITION OF THE PHENOMENON WHEN LAST SEEN. CONNECT THE "A* AND B* WITH A LINE TO APPROXIMATE THE
MOVEMENT OF THE PHENOMENON BETWEEN A" AND "B". THAT IS, SCHEMATICALLY SHOW WHETHER THE MOVEMENT
APPEAREO TO BE STRAIGHT, CURVED OR ZIG-ZAG. REFER TO SMALLER SKETCH AS AN EXAMPLE OF HOW TO COMPLETE
THE LARGER SKETCH.
PAGE 2 OF 9 PAGES

AFR 80-17(CI)
SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE DUDGET BUREAU APPROVAL
NUMBER 21-R258
THE UNIDENTIFIED PHENOMENON THAT YOU HAVE OBSERVED PLEASE TRY TO
ANSWER AL
YOUR CTION WITH ANY OF YOUR STATEMENTS OR CONCLUSIONS WITHOUT
YOUR P.ERMISSION.
PATTERSON AFB,OHIO 4S433,1 AW AFR BO-I7. (IF ADDITIONAL SHEETS ARE NEEDED FOR NARRATIVE OR SKETCHES
ATTACH SECURELY TO THIS FORM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION.)
T. WHEN DID YOU SEE THE PHENOMENON?
DAY_ MONTH YEAR
2. WHAT TIME DID YOU SIGH T TH E P H NOMENON 7
HOUR MINUTES CIA.M. P.M.
3. WHAT TIME DID YOU LAST SIGHT THE PHENOMENON
Sigtx HOUR MINUTES A.M. P.M.
4 TIME ZONE 7 DAYLIGHT SAVINGS STANDARD
EASTERN CENTRAL MOUNTAIN 1PACIFIC COTHER
5 WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? IF IN CITY. GIVE THE NEAREST STREET ADDRESS AND INDICATE ON
A HAND DRAWN MAP WHERE YOU WERE STANDING WITH REFERENCE TO THE ADDRESS. IF IN THE COUNTRY, IDENTIFY THE
HIGHWAY YOU WERE ON OR NEAR AND TRY TO FIX A DISTANCE AND DIRECTION FROM SOME RECOGNIZABLE LANDMARK.
yu dOkIT frsklys
6 IMAGINE YOU ARE AT THE POINT SHOWN IN THE SKETCH. PLACE AN A ON THE CURVED LINE TO SHOW HOW HIGH THE YOU ARE AT THE POINT SHOWN IN THE SKETCH. PLACE AN A ON THE CURVED LINE TO SHOW HOW HIGH THE
PHENOMENON WAS ABOVE THE HORIZON. OR SKYLINE, WHEN FIRST SEEN. PLACE A B ON THE SAME CUPVED LINE TO
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
O SL-
| 8
|
I I
I |
1
I 15
/
-
V /
OBSERVER
AF FORM 117
10647
.
M

AFR 80-17(C1)
1O. IF THERE WERE MORE THAN ONE PHENOMENON, HOW MANY WERE THERE? DRAW A PICTURE TO SHOW HOW THEY WERE
ARRANGEO. DID THIS ARRANGEMENT CHANGE DURING THE SIGHTING?
Sugha 1..
11. CONOITIONS(Check appropriate blocks.)
A SKY B. WEATHER
DAY CUMULUS CLouDS (LoW /luffy) FOG OR MIST
TWILIGHT CIRRUs CLouDs (High leecy or Herring- HEAVY RAIN
HIGHT bone) LIGHT RAIN OR DRIZZLE
CLEAR NIMBUS CLOUDS (Rain) HAIL
PARTLY CLOUDY CUMULONIMBUS CLOUDS SNOW OR SLEET
COMPLETELY OVERCAST (Thunderstorms) UNKNOWN
HAZE OR SMOG NONE OF THE ABOVE
C. IF THE SIGHTING WAS AT TWILIGHT OR NIGHT. WHAT DID YOU NOTICE ABOUT THE STARS AND MOON?
(1) STARS (2) MOON
NONE BRIGHT MOONLIGHT NO MOONLIGHT
A FEW MOON WITH HALO UNKNOWN
MANY MOON HIDDEN BY CLOUDS
UNKNOWN PARTIAL (New or quarter)
D. IF SIGHTING WAS IN DAYLIGHT. WAS THE SUN VISIBLE? C YES ES. WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON?
IN FRONT OF YOU TO YOUR RIGHT OVERHEAD (NeC noon)
IN BACK OF YOU TO YOUR LEFT UNKNOWN
E. SPECLEY THEMAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR
STREET LAMP,ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE.
12. GIVE A BRIEF DESCRIPTION OF THE PHENOMENON, INDICATING WHETHER IT APPEARED DARK OR LIGHT, WHETHER IT
REFLECTED LIGHT OR WAS SELF-LUMINOUS-AND WHAT COLORS YOU NOTICED. DESCRIBE YOUR IMPRESSION OF WHETHER
IT WAS SOLID OR TRANSPARENT, WHETHER EDGES WERE SHARP OR FUZZY. DESCRIBE THE SHAPE OR INDICATE IF IT
APPZARED AS A POINT OF LIGHT. INDICATE COMPARISONS WITH OTHER OBSERVED OBJECTS, LIKE STARS, A LIGHT OR
OTHER OBJECT IN YOUR FIELD OF VIEW.
PAGE 4 OF 9 PAGES
.

AFR 80-17(C1)
8 WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (Chrck appruprinte blocks.)
OUTOOORS IN BUSINESS SECTION OF CITY
IN BUILDING IN RESIDENTIAL SECTION OF CITY
IN CAR AS DRIVER AS PASSENGER IN OPEN COUNTRYSIDE
IN BOAT NEAR AIRFIELD
IN AIRPLANE AS PILOT AS PASSENGER FLYING OVER CITY
OTHER FLYING OVER OPEN COUNTRY
OTHER
A. IF YOU WERE IN A VEHICLE.. COMP PLETE THE FOLLOWING:
WHAT DIRECTION HOW FAST WERE YOU MOVING?
NORTH EAST
SOUTH WEST DID YOU STOP ANYTIME WHILE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES NO
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS YOUR SKETCHES IN ITEMS 5 AND 6
DESCRIBE TYPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD. TERRAIN OR BODY OF WATER YOU TRAVERSED DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
HOW MUCH OTHER TRAFFIC WAS THERE?
D'D YOU NOTICE ANY AIRPLANES? YES NO. IF YES " DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON AND WHERE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
9. 9. HOW LONG HOW LONG WAS THE PHENOMENON PHENOMENON IN SIGHT? IN SIGHT?
LENGTH LENGTH OF TIME F TIME CERTAIN OF TIME CERTAIN OF NOT VERY SURE
3min 3min FAIRLY FAIRLY CERTAIN CERTAIN JUST A GUESS
HOW WAS TIME DETERMINED?
WAS THE PHENOMENON IN SIGHT CONTINUOUSLYT WAS THE PHENOMENON IN SIGHT CONTINUOUSLY YES NO. IF "NO, INDICATE WHETHER THIS IS OUE TO YOUR NO," INDICATE WHETHER THIS IS DUE TO YOUR
MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON, AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAP MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON, AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAP_
PEARANCES ON PREVIOUS SKETCHES.
Ai ****
PAGE3 OF 9 PAGES

AFR 80-17(C1)
BRAW A PICTURE THAT WILL SHOW THE SHAPE OF THE PHENOMENON. INCLUDE AND LABEL ANY DETAILS THAT MIGHT
HAVE ABSEAREO AS WINGS ON PROTRUSIONS, AND INDICATE EXHAUST OR VAPOR TRAILS. INDICATE DY AN ARROW THE
DIRECTION THE PHENOMENON WAS MOVING.
7
C LtE
16. WHAT WAS THE ANGULAR SIZE? HOLD A MATCH AT ARM'S LENGTH IN FRONT OF A KNOWN OBJECT, SUCH AS A STREET 16. WHAT WAS THE ANGULAR SIZE? HOLD A MATCH AT ARM'S LENGTH IN FRONT OF A KNOWN OBJECT, SUCH AS A STREET
LAMP OR THE MOON. NOTE HOW MUCH OF THE OBJECT IS COVERED BY THE HEAD OF THE MATCH. NOW IF YOU HAD
BEEN ABLE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE
PHENOMENON WOULD HAVE BEEN COVERED BY THE MATCH HEAD.
/L
PAGE5OF 9 PAGES

GIVE OFI F SMOKE?
CHANGE BRIGHTNESS?
CHANGE SHAPE?
FLASH OR FLICKER?
DISAPPEAR AND REAPPEAR?
SPIN LIKE A TOP?
MAKE A NOISE?
FLUTTER OR WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
Loskiny Tev Pr=e.o- phssousst
A. HOW DID IT FINALLY DISAPPEAR?
OUT & sight sight
B. DIO THE PHENOMENON MOVE BEHIND OR IN FRONT B. DIO THE PHENOMENON MOVE BEHIND OR IN FRONT OF SOMETHING, LIKE A CLOUD, TREE, OR BUILDING AT ANY TIME?
CIYES CYES 0 NO. NO IF *YES," DESCRIBE. IF *YES." DESCRIBE.
Building
PAGE 5 OF 9 PAGES
.

AFR 80-17((1)
1/ DID YOU OBSERVE THE PHENOMENON THROUGH ANY OF THE FOLLOWING? INCLUDE INFORMATION IODEL,
TYPE, FILTER. LENS PRESCRIPTION OR OTHER APPLICABLE DATA.
EYEGLASSES CAMERA VIEWER
SUNGLASSES BINOCULARS
WINDSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINDOWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? YES NO B. DO YOU USE READING GLASSES? IYES INO
13. WHAT WAS YOUR IMPRESSION OF THE SPEED OF THE 19. WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE
PHENOMENON' GIVE ESTIMATE OF SPEED_L PHENOMENON? GIVE ESTIMATE OF DISTANCEL
2O. IN ORDER THAT WE MAY OBTAIN AS CLEAR A P!CTURE AS POSSIBLE OF WHAT YOU SAW, DESCRIBE IN YOUR OWN WORDS
A COMMON OBJECT OR OSJECTS WHICH, WHEN PLACED IN THE SKY, SIMILAR TO WHERE YOU NOTED THE PHENOMENON.
WOULD BEAR SOME RESEMBLANCE TO WHAT YOU SAW. DESCRIBE SIMILARITIES AND DIFFERENCES BETWEEN THE
COMMON OBJECT AND WHAT YOU SAW.
RO
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON 21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT ON YOURSELF. EFFECT ON YOURSELF.
ANIMALS OR MACHINERY IN THE VICINITY? YES D NO. IF *YES,  DESCRIBE. IF *YES, DESCRIBE.
A. DID THE PHENOMENON DISTURB THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. CYES NO.
IF*YES. DESCRIBE.
PAGE 7 OF 9 PAGES
.

AFR 80-17(C1)
22. HAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENON BEFORE? LIYES [NO. IF *YE GIVE DATE AND
LOCATION.
23. WAS ANYONE WITH YOU THE TIME YOU SAW THE PHENOMENON? LIYES NO. IF E S DID THEY SEE IT TOOI
CIYES 0 NO.
A. LIST THEIR NAMES AND ADDRESSES
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME. FIRST NAME, MIDDLE NAME
ADDRESS SgeeCian ad Zin Code)
TELEPPONE number) AGE
I5 MALE FEMALE
INDICATG XDOITTONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
25. WHEN AND TO WHOM DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON?
NA DAY MONTH YEAR 16
26. DATE YOU COMPLETED THIS QUESTIONNAIRE.
DAY MONTH YEAR
PAGE 8 OF 9 PAGES
a

bese.However, they are continuing to call.
that the Duty Officer not accept any UFO reports from the Brooklym,
New York area. Inform the caller that if he wishes to report en
unidentified flying object sighting he should contact the nearest Air
Force base which would be elther:
SIL
, se" soray arsd cote sir, bo a
hb. bb.s Suffolk County A Suffolk County AFB, New York, area code 5l6, WEsthampton 4-1900 , New York area code.5 Esthampton 4-1900
3. If the caller is persistent, please inform him in a kindly manner
that this is in accordance with Air Force Regulation So-l7, which with Air Force Regulation 8o-l7, which governs governs
the reporting cf UFOs. the reporting cf UFC In addition, the local UFo investigator is in a
ar better position to conduct an ar better position to conduct on-the-spot investigation which usually
results in a more accurate analysis. results in a more accu urate analysis.
4. Attached is a listing of those persons who have been calling from 4. Attached is a listing of those persons who have been calling from
the Brooklyn, New York aree. aree
ECTOR QUIMTANILLA, Jr, Lt Colonel, USAF 1 Atch
Chief, Aerial nenomena Office Listing of. UFO Observers
Aeroepace Technologies Division
Production Directorate
.

be glad to of this fact.
19 August 1968
On 19 August 1963 Mrs again called Airman Davis to inform him that
we are still receiving numerous J yn, New York, from a
group of youngsters. Mrse group of youngsters. Mrs asked asked Airman Davis to leave a note with
,
these youngaters calling from Brooklyn New York. these youngaters calling from Brooklyn New York. T They should be referred
to either S to either Suffolk County Suffolk County or or Stewart AFB, New York, in accordance - with AFR 80-17. AFR 80-17.

-

mY the aNEO anel
H le srdd wute
O latle
sQheal
ihMiten ho
lelle
gain clled clled
27Augi8 t 458.Col fuxtail
ltent
waid he woull yout if vito
asiting

AFR 80-17(C1)
NOW IMAGINE YOU ARE AT THE CENTER OF THE COMPASS ROSE. PLACE AN A* ON THE COMPASS TO INDICATE THE
DIRECTION TO THE PHENOMENON WHEN FIRST SEEN. PLACE A B*ON THE COMPASS TO INDICATE THE DIPECTION TO
THE PHENOMENON WNEN LAST SEEN
N
NNW NNE
NW NE
WNW ENE
WSW ESE
SW SE
SSW SSE
IN THE SKETCH BELOW, PLACE AN *A AT THE POSITION OF THE PHENOMENON WHEN FIRST SEEN, AND A B° AT THE
POSITION OF THE PHENOMENON WHEN LAST SEEN. CONNECT THE "A° AND B* WITH A LINE TO APPROXIMATE THE
MOVEMENT OF THE PHENOMENON BETWEEN A" AND *B". THAT IS, SCHEMATICALLY SHOW WHETHER THE MOVEMENT
APPEARED TO BE STRAIGHT, CURVED OR ZIG-ZAG. REFER TO SMALLER SKETCH AS AN EXAMPLE OF HOW TO COMPLETE
THE LARGER SKETCH.
3
9 apy
PAGE 2 OF 9 PAGES

AFR 80-17(C1)
SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE BUDGET BUREAU APPROVAL
NUMBER 21-R253
THIS QUESTIONNAIRE HAS BEEN PREPARED SO THAT YOU CAN GIVE THE U.S AIR FORCE AS MUCH INFORMATION
ANSWER ALL OF IE OUESTIONS. THE INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES
USED IN CONNECTION WITH ANY OF YOUR STATEM IENTS OR CONCLUSIONS WITHOUT
YOUR PERMISSIGN. KETURN TO AIR FORCE BASE INVESTIGATOR FOR FORWARDING TO FTD (TDETR), WRIGHIT
if 8 7.50 15
1. WHEN DID YOU SEE PHENOMENON?
DAY MONTH YEAR.
2 WHAT TIME DID YOU FIRST SIGHT THE PHENOMENON?
HOUR MINUTES CIA,M. LnIP.M,
3. WHAT TIME DID YOU L AST SIGHT THE PHENOMENON?
HOUR MINUTES CA.M. C]P.M.
4 TIME ZONE DAYLIGHT SAVINGS STANDARD
CEASTERN CENTRAL MOUNTAIN PACIFIC COTHER
5. WHERE WERE YOU WHEN YOU SAW THE RNOMENON? IF IN CITY. GIVE THE NEAREST STREET ADDRESS AND INDICATE ON
A HAND DRAWN MAP WHERE YOU WERE STANDING WITH REFERENCE TO THE ADDRESS. IF IN THE COUNTRY. IDENTIFY THE
HIGHWAY YOU WERE ON OR NEAR AND TRY TO FIX A DISTANCE AND DIRECTION FROM SOME RECOGNIZABLE LANDMARK.
Brookly N.T
IL
TT
6 IMAGINE YOU ARE AT THE POINT SHOWN IN THE SKETCH, PLACE AN A ON THE CURVED LINE TO SHOW HOW HIGH THE
PHENOMENON WAS ABOVE THE HORIZON. OR SKYLINE WHEN FIRST SEEN. PLACE A 3 ON THE SAME CURVED LINE TO
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
90 17 703 753
$90$ L
1
1
1
1
I
| 15
1
OBSERVER
AF FORM 117
42D 67

AFR 80-17(C1)
U.A
IO. IF THERE WERE MORE THAN ONE PHENOMENON, HOW MANY WERE THERE? DRAW A PICTURE TO SHOW HOW THEY WERE
ARRANGED. DID THIS ARRANGEMENT CHANGE DURING THE SIGHTING'
11. COND!TiONs(Check cppropriate blocks.)
A. SKY B. WEATHER
DAY CUMULUS CLOUDS (LOW flujfY) FOG OR MIST
TWILIGHT CIRRUs CLouDs (High fleccy or Herring HEAVY RAIN
NIGHT bone) LIGHT RAIN OR DRIZZLE
X CLEAR NIMBUS CLOUDS (Rain) HAIL
PARTLY CLOUDY CUMULONIMBUS CLOUDS SNOW OR SLEET
COMPLETELY OVERCAST (Thunderstorms) UNKNOWN
HAZE OR SMOG NONE OF THE ABOVE
C.IF THE SIGHTING WAS AT TWILIGHT OR NIGHT. WHAT DID YOU NOTICE ABOUT THE STARS AND MOON?
(1) STARS (2) MOON
X NONE BRIGHT MOONLIGHT NO MOONLIGHT
A FEW MOON WITH HALO UNKNOWN
MANY MOON HIDDEN BY CLOUDS
UNKNOWN PARTIAL (New or quarter)
D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? YES WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON?
IN FRONT OF YOU TO YOUR RIGHT TO YOUR RIGHT OVERHEAD(Nea NOON) OVERHEAD(Ned NOON)
IN BACK OF YOU TO YOUR LEFT UNKNOWN
E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR
STREET LAMP. ETC. FOR TERRESTRIAL RIAL JLLUMINATION. SPECIFY UMINATION, SPECIF DISTANCE TO LIGHT SCURCE. DISTANCE TO LIGHT SOURCE.
SON WAS WAS st MAIN MA1N 0
12. GIVE A BRIEF DESCRIPTION OF THE PHENOMENON, INDICATING WHETHER IT APPEARED DARK OR LIGHT, WHETHER IT
REFLECTEO LIGHT OR WAS SELF-LUMINOUS AND WHAT COLORS YOU NOTICED. DESCRIBE YOUR IMPRESSION OF WHETHER REFLECTEO LIGHT OR WAS SELF-LUMINOUS ANO WHAT COLORS YOU NOTICED. DESCRIBE YOUR IMPRESSION OF WHETHER
IT WAS SOLID OR TRANSPARENT, WHETHER EDGES WERE SHARP OR FUZZY. DESCRIBE THE SHAPE OR INDICATE IF IT IT WAS SOLID OR TRANSPARENT. WHETHER EDGES WERE SHARP OR FUZZY. DESCRIBE THE SHAPE OR INDICATE IF IT
APPEARED AS A POINT OF LIGHT. INDICATE COMPARISONS WITH OTHER OBSERVED OBJECTS, LIKE STARS, A LIGHT OR APPEAREO AS A POINT OF LIGHT. INDICATE COMPARISONS WITH OTHER OBSE VED OBJECTS, LIKE STARS, A LIGHT OR
OTHER OBJECT IN YOUR FIELD OF VIEW.
Do
/
PAGE 4 OF 9 PAGES

AFR 80-17(C1)
9 WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (CiAorA eppropriate blocks.)
QUTDOORS IN BUSINESS SECTION OE CITY
IN BUILDING IN RESIDENTIAL SECTION OF CITY
IN CAR AS DRIVER AS PASSENGER IN OPEN COUNTRYSIDE
IN BOAT NEAR AIRFIELD
IN AIRPLANE 1 AS PILOT AS PASSENGER FLYING OVER CITY
OTHER FLYING OVER OPEN COUNTRY
OTHER
A IF YOU WERE IN A VEHICLE, COMPLETE THE FOLLOWING:
WHAT DIRECTION N HOW FAST WERE YOU MOVING?
NORTH EAST
SOUTH WEST DID YOU STOP AN YTIM E WHILE OBSERVING THE
PHENOMENON?
NOR THEAST SOUTHEAST
NORTHWEST SOUTHWEST YES NO
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS YOUR SKETCHES IN ITEMS 5 AND 6
AIRCRAfT ABoViE
DESCRIBE TYPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD. TERRAIN OR BODY OF WATER YOU TRAVERSED DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
HOW MUCH OTHER FIC WAS THERE?
Ligh5
DID YOU NOTICE ANY AIRPLANES? YES NO. IF *YES," DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON AND WHERE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
9. HOW LONG WAS AS THE PH E F O M NON NO IN SIGHT?
LENGTH LENGTH OF OF X CERTAIN OF CERTAIN OF TIME TIME NOT VERY SURE VERY SURE
2MIN FAIRLY CERTAIN FAIRLY CERTAIN JUST A GUESS
HOW WAS TIME DETERMINED?
clockin clockin STORFE STORF window
WAS THE PHENOMENON IN SIGHT CONTINUOUSLY7 WAS THE PHENOMENON IN SIGHT CONTINUOUSLY CYES NO. IF *NO. INDICATE WHETHER THIS IS DUE TO YOUR CYES NO. IF NO.INDICATE WHETHER THIS IS DUE TO YOUR
MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON, AND DESCRIBE SUCH MOVEMENT MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON, AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. OR BEHAVIOR. INDICATE DISAD. INDICATE DISAR.
PEARANCES ON PREVIOUS SKETCHES.
cctofst cctofst=
oum
A
.
PAGE 3 OF 9 PAGES
.

AFR 80-17(C1)
15. DRAN A PICTURE THAT WILL SHOW THE SHAPE OF THE PHENOMENON INCLUDE AND LABEL ANY DETAILS THAT MIGHT
HAVE APPEARED AS WINGS OR PROTRUSIONS, AND INDICATE EAHAUST OR VAPOR TRAILS. INDICATE RY AN ARROW THS
DIRECTION THE PHENOMENON WAS MOVING.
foutball. with
wing AS Bhaon.
16. WHAT WAS THE ANGULAR SIZE? HOLD A MATCH AT ARM'S LENGTH IN FPONT OF A KNOWN CBJECT, SUCH AS A STREET
LAMP OR THE MOON. NOTE HOW MUCH OF THE OBJECT IS COVERED BY THE HEAD OF THE MATCH. NOW IF YOU HAD
BEEN ABLE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE
PHENOMENON WOULD HAVE BEEN COVERED BY THE MATCH HEAD.
hAlf 0
oksjeat
1
PAGE6 OF 9 PAGES
.

AFR 80-17(C1)
13 DID THE PHENOMSNON YES NO
MOVE IN A STRAIGHT LINE?
STANO STILL AT ANY TIME? L0icB3C3Ep2
SUDDENLY SPEED UP AND RUN AWAY
BREAK UP IN PARTS AND EXPLODE?
CHANGE COLOR? REd rcwhitE X
GIVE OFF SMOKE'
CHANGE BRIGHTNESS?
CHANGE SHAPE?
FLASH OR FLICKER? xxxxx
DISAPPEAR AND REAPPEAR?
SPIN LIKE A TOP?
MAKE A NOISE? NUMMED
FLUTTER OR WOBSLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
Looking foR OWE thej SAW
,
SAm= As B=foRE
A. HON DID IT FINALLY DISAPPEAR?
out out lik= lik=
B. DID THE PHENOMENON MOVE BEHIND OR IN 3. DID THE PHENOMENON MOVE BEHIND OR IN FRONT OF SOMETHING, LIKE A CLOUD, TREE, OR FRONT OF so G. LIKE A CLOU TREE, OR BUILDING AT ANY TIME? BUILDING AT ANY TIME?
OYES TOYES 0 NO. IF *YES," DESCRIBE. IF *YES,"DESCRIBE.
Blds
school Bld
PAGE5OF 9 PAGES
.

AFR 80-17(C1)
17.010 YOJ OGSERVE THE PHENOMENDN THROUGH ANY OF THE FOLLOWING! INCLUDE INFORMATION ON MODEL
TYPE FILTER, LENS PRESCRIPTION OR OTHER APPLICABLE DATA.
EYEGLASSES + CAMERA VIEWER
SUNGLASSES BINOCULARS
WINDSHIELD TELESCOPE
SIDE WINDON OF VEHICLE THEODOLITE
WINDOHPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES! LYES 8. DO YOU USE READING GLASSES? YES NO
19 WHAT WAS YOUR IMPRESSION OF THE SPEEO OF THE 19 WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE
PHENOMENON GIVE ESTIMATE OF SPEED wi PHENOMENON? GIVE ESTIMATE OF DISTANCE
2O. IN ORDER THAT WE MAY OBTAIN AS CLEAR A PICTURE AS POSSIBLE OF WHAT YOU SAW, DESCRIBE IN YOUR OWN WORDS
A COMMON OBJECT OR OBJECTS WHICH, WHEN PLACED IN THE SKY, SIMILAR TO WHERE YOU NOTED THE PHENOMENON.
WOULD BEAR SOME RESEMBLANCE TO WHAT YOU SAW. DESCRIBE SIMILARITIES AND DIFFERENCES BETWEEN THE
COMMON OBJECT AND WHAT YOU SAW.
fao brll
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT ON YOURSELF, EFFECTON YOURSELF,
ANIMALS OR MACHINERY IN THE VICINITY? ANIMALS OR MACHINERY IN THE VICINITY? TYES CYES C NO. IF *YES, DESCRIBE. YES, DESCRIBE.
HUMMINg HUMmi
A DID THE PHENOMENON DISTURB THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. 0 YES ENO.
IF *YES."DESCRIBE.
PAGE 7 9 PAGES
.

24224
AFR 80-17(C1)
22 HAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENON BEFORE
LOCATION.
V
FUERY 810e3 24 Joly 68 SAME
PIACE
23. WAS ANYONE WITH YOU AT THE TIME SAW PHEN OMENON? IF D.D THEY SEE IT TOO!
CYES INO.
A. LIST TH EIRNA
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME. FIRST NAME, MIDDLE NAME
ADDRESS(S
TELE AGE
15 MALE FEMALE
INOI INCLUD AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
3whs.
25. WHEN AND TO WHOM DID YOU REPORT THAT YOU HADS SIGHTED THIS PHENOMENON?
NAME DAY_ MONTH YEAR
26 DATE YOU COMPLETED THIS QUESTIONNAIRE.
DAY MONTH YEAR
PAGE 8 OF 9 PAGES

AFR 80-17(C1)
SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE DUDG-T DUREAU APPROVAL
NUMUER 21-8253
THE UNIDENTIFIED PHENOMENON THAT YOU HAVE OBSERVED. PLEASE TRY TO
ANSWER ALL OI THE INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES
ECTION WVTH ANY OF YOUR STAT
YOUR PERMISSION. RE TO AIR FORCE BASE INVESTIGATOR FOR FORWARDING TO FTD (TDETR), WRIGHT-
1 WHEN DID YOU SEE THE PHENOMENON? JKYD
DAY, MONTH YEAR 1968
2. WHAT TIME DID YOU SIG T THE PHENOMENON? -VC2Y24
HOUR 9:00 .IA.M. XP.M
MINUTES
3. WHAT TIME DID OU LAST SIGHT THE PHENOMENON?
HOUR 10:15MINUTES AUCUST A.M.
4 TIME ZONE DAYLIGHT SAVINGS STANDARD
KAEASTERN CICENTRAL MOUNTAIN PACIFIC OTHER
YX
5 WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? IF IN CITY. GIVE THE NEAREST STREET ADDRESS AND INDICATE ON
A HAND DRAWN MAP WHERE YOU WERE STANDING WITH REFERENCE TO THE ADDRESS. IF IN THE COUNTRY. IOENTIFY THE
HIGHWAY YOU WERE ON OR NEAR AND TRY TO FIX A DISTANCE AND DIRECTION FROM SOME RECOGNIZABLE LANDMARK.
S
OBJECT
6 IMAGINE YOU ARE AT THE POINT SHOWN IN THE SKETCH. PLACE AN A ON THE CURVED LINE TO SHOW HOW HIGH THE
PHENOMENON WAS ABOVE THE HORIZON. OR SKYLINE. WHEN FIRST SEEN. PLACE A PHENOMENON WAS ABOVE THE HIORIZON. OR SKYLINE. WHEN FIRST SEEN. PLACE A BON THE SAME CURVED LINE TO 3"ON THE SAME CURVED LINE TO
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
$90 90 157 15
L
2 8
1
|
|
| 3
1
1
1 15
K
OBSERVER
2
$AF$ FORM 117
AUG67

AFR 80-J7(C1)
GA: NOW IMAGINE YOU ARE AT THE CENTER OF THE COMPASS ROSE PLACE AN *A" ON THE COMPASS TO INDICATE THE
OIRECTION TO THE PHENOMENON WHEN FIRST SREN, PLACF A CB' ON THE COMPAGS TO INDICATE THE DIRECTION TO
THE PHENOMENON WHENLASTSEEN.
N
NNW NNE
NW NE
WNW ENE
wSw ESE
SE
ssw SSE
7. IN THE SKETCH BELOW, PLACE AN "A" AT THE POSITION OF THE PHENOMENON WHEN FIRST SEEN. AND A B* AT THE
POSITION OF THE PHENOMENON WHEN LAST SEEN. CONNECT THE "A* AND B" WITH A LINE TO APPROXIMATE THE
MOVEMENT OF THE PHENOMENON SETWEEN "A" AND "B. THAT IS, SCHEMATICALLY SHOW WHETHER THE MOVEMENT
APPEARED TO SE STRAIGHT, CURVED OR ZIG-ZAG. REFER TO SMALLER SKETCH AS AN EXAMPLE OF HOW TO COMPLETE
THE LARGER SKETCH.
PAGE 2OF 9 PAGES

AFR 80-17(C1)
SIGHTING OF I UNIDENTIFIED PHENOMENA QUESTIONNAIRE BUDGET BUREAU APPROVAL
NUWBER 21-R258
THIS QUESTIONNAIRE HAS BEEN PREPARED SO THAT YOU CAN GIVE THE U.S. AIR FORCE AS MUCH INFORMATION
ANSWER ALL OF INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSKS
YOUR NAME WILL NOT BE
YOUR PERMISSIGN. RET
ATTICHSECURELY TO THIS FORA NOTATE WITH YOUR NAME FOR IDENTIFICATION.)
1 WHEN DIO YOU SEE TH E PHENOMENON?
DAY16 MONTH AUCYEAR
2 WHAT TIME DID YOU FIRST SIGHT THE PHENOMENONT
HOUR_ O0 MINUTES 200 [IA.M. 4P.M.
3. WHAT TIME DID YOU M AST SIGH T HE PHEN OMENON?
HOUR MINUTES 35 A.M. [4P.M.
4. TIME ZONE C DAYLIGHT SAVINGS STANDARD
DEASTERN CENTRAL MOUNTAIN PACIFIC OTHER
5 WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? IF IN CITY. GIVE THE NEAREST STREET ADDRESS AND INDICATE ON
A HAND DRAWN MAP WHERE YOU WERE STANDING WITH REFERENCE TO THE ADDRESS. IF IN THE COUNTRY, IDENTIFY THE
HIGHWAY YOU WERE ON OR NEAR AND TRY TO FIX A DISTANCE AND DIRECTION FROM SOME RECOGNIZABLE LANDMARK
ST )+2 7 La
46 BETWEEN $ 8
46
6 IMAGINE YOU ARE AT THE POINT SHOWN IN THE SKETCH. PLACE AN *A ON THE CURVED LINE TO SHOW HOW HIGH THE IMAGINE YOU ARE AT THE POINT SHOWN IN THE SKETCH, PLACE AN *A ON THE CURVED LINE TO SHOW HOW HIGH THE
PHENOMENON WAS ABOVE THE HORIZON. OR SXYLINE WHEN FIRST SEEN. PLACE A PHENOMENON WAS ABOVE THE HORIZON. OR SXYLINE. WHEN FIRST SEEN. PLACE A 3° ON THE SAME CURVED LINE TO 3*ON THE SAME CURVED LINE TO
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
36 5 15
| Og
1 45
45
|
1
30
1
|
- 15
-
OBSERVER
AF FORM 117
AUG57

AFR 80-17(C1)
TO. IF THERE HERE MORE THPN ONE PHENDMENON. HOW MANY WERE THEHE? DRAW A PIGTURE TO THEY WERE
ARRANGED. DID THIS ARRANGEMENT CHANGE DURING THE SIGHTING?
CME
11. CONDITIONS (Check approprinte blocks.)
A. SKY B. WEATHER
DAY CUMULUS CLOUDS (LOW flulfy) FOG OR MIST
TWILIGHT CIRRus CLouDs (ligh fleecy or Herring- HEAVY RAIN
L NIGHT bone) LIGHT RAIN OR DRIZZLE
CLEAR NIMBUS CLOUDS (Rain) HAIL
L PARTLY CLOUDY CUMULONIMBUS CLOUDS SNOW OR SLEET
COMPLETELY OVERCAST (Thunderstorms) UNKNOWN
HAZE OR SMOG NONE OF THE ABOVE
C.IF THE SIGHTING WAS SAT TWILIGHT OR NIGHT. WHAT DID YOU NOTICE ABOUT THE STARS AND MOON?
(1) STARS (2) MOON
L+NONE BRIGHT MOONLIGHT NO MOONLIGHT
A FEW MOON WITH HALO ONKNOWN
MANY MOON HIDDEN BY CLOUDS
UNKNOWN PARTIAL (New or quarter)
D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? YES IF "YES. WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON?
IN FRONT OF YOU IN FRONTOF YOU TO YOURS TO YOUR RIGHT RIGHT OVERHEAD(Near noon) OVERHEAD(NeGr noOn)
IN BACK OF YOU TO YOURE TO YOUR LEFT LEFT UNKNOWN
E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR
STREET LAMP. ETC. STREET LAMP. ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE.
A
12. GIVE A BRIEF DESCRIPTION OF THE PHENOMENON, INDICATING WHETHER IT APPEARED DARK OR LIGHT, WHETHER IT
REFLECTED LIGHT OR WAS SELF-LUMINOUS AND WHAT COLORS YOU NOTICED. DESCRISE YOUR IMPRESSION OF WHETHER
IT WAS SOLID OR TRANSPARENT, WHETHER EDGES WERE SHARP OR FUZZY. DESCRIBE THE SHAPE OR INDICATE IF IT IT WAS SOLID OR TRANSPARENT, WHETHER EDGES WERE SHARP OR FUZZY. DESCRIBE THE SHAPE OR INDICATE IF IT
APPEARED AS A POINT OF LIGHT. INDICATE COMPARISONS WITH OTHER OBSERVED OBJECTS, LIKE STARS. A LIGHT OR
OTHER OBJECT IN YOUR FIELD OF VIEW. OTHER OBJECT IN YOUR FIELD OF VIEW.
□ Ywht
Ywht
1 nid
light
PAGE 4OF 9 PAGES

AFR 80-17(C1)
a WHERE WERE YOU WHEN YOU SAW THE PHENCMENON (Checkappropeiate blocka.)
OUTDOORS IN BUSINESS SECTION OF CITY
IN SUILDING IN RESIDENTIAL SECTION OF CITY
IN CAR AS DRIVER AS PASSENGER IN OPEN COUNTRYSIDE
IN BOAT NEAR AIRFIELD
IN AIRPLANE AS PILOT AS PASSENGER FLYING OVER CITY
OTHER FLYING OVER OPEN COUNTRY
OTHER
IF YOU WERE IN A VEHICLE, COMPLETE THE FOLLOWING:
WHAT DIRECTION WERE YOU MOVING? HOW FAST WERE YOU MOVING?
NORTH EAST
SOUTH WEST DID YOU STOP ANYTIME WHILE OBSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES No
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS YOUR SKETCHES IN ITEMS 5 AND 6.
DESCRIBE TYPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD, TERRAIN OR BODY OF WATER TRAVERSED DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
HOW MUCH OTHER TRAF FIC WAS THEREA
hisht
DID YOU NOTICE ANY AIRPLANES? YEs NO. IF *YES." DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON AND WHERE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON
9. HOW LONG WAS WAS THE THE PHENOMENON IN SIGHT?
LENGTH OF O F CERTAIN OF TIME NOT NOT VERY SURE VERY SURE
sn?in o10pw sn?in or10pm FAIRLY CERTAIN JUST A GUESS
HOW WAS HOW WAS TIME DETERMINED?
Wstcnt itct
WAS THE PHENOMENON IN SIGHT CONTINUOUSLY? ZYES EYES NO. IF *NO, INDICATE WHETHER THIS IS OUE TO YOUR NO. IF NOINDICATE WHETHER THIS IS OUE TO YOUR
MOVEMENT OR THE BEHAVIOR OF THE PHENOMENO MOVEMENT OR THE BEHAVIOR OF THE PHENOMENO! N. AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAR. INDICATE DISAP.
PEARANCES ON PREVIOUS SKETCHES.
Then Vaiishid Thee varishif
PAGE 3 OF 9 PAGES

AFR 80-17(C1)
1S. DRAW A PICTURE THAT WILL SHOW THE SHAPE OF THE PHENOMENON. INCLUDE AND LABEL ANY DETAILS THAT MIGHT
HAVE APPEARED AS WINGS CR PROTRLSIONS, AND INDICATE EXHAUST OR VAPOR TRAILS. I INDICATE BY AN ARPOW THE
DIRECTION THE PHENOMENON WAS MOVING.
I6. WHAT WAS THE ANGULAR SIZE? 16. WHAT WAS THE ANGULAR SIZE? HOLD A MATCH AT ARM'S LENGTH IN FRONT OF A KNOWN OBJECT, SUCH AS A STREET
LAMP OR THE MOON. NOTE HOW MUCH OF THE OBJECT IS COVERED BY THE HEAD OF THE MATCH. NOW IF YOU MAD LAMP OR THE MOON. NOTE HOW MUCH OF THE OBJECT IS COVERED BY THE HEAD OF THE MATCH. NOW IF YOU HAD
BEEN ABLE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE
PHENOMENON WOULD HAVE BEEN COVERED BY THE MATCH HEAD.
PAGE 6OF 9 PAGES
.
E

MAKE A NOISE?
FLUTTER OR WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
Clib lodi f the
A. HOW DID IT FINALLY DISAPPEAR?
fodde
foded
3. DID THE PHENOMENON MOVE BEHIND OR IN FRON SOMETHING, LIKE A CLOUD, TREE, OR BUILDING AT ANY TIME?
YES 0 NO. IF *YES," DESCRIBE.
PAGES OF 9 PAGES
.

AFR 80-17((1)
17 DIO YOU VBSERVE THE PHENOMENON ERROUGH ANY UE THE FOLLOWINGL INCLUDE INFORMATION ON MODEL
TYPE FILTER, LENS PRESCRIPTION OR OTHER APPLICABLE DATA.
EYEGLASSES CAMERA VIEWER
SUNGLASSES BINOCULARS
WINDSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINDOWPANE OTHER
A. DO YOU CRDINARILY WEAR GLASSES? YES NO B. DO YOU USE READING GLASSES? YES INO
18. WHAT WAS YOUR IMPRESSION OF THE SPEED OF THE WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE
PHENOMENON? GIVE ESTIMATE OF SPEED. PHENOMENONZ GIVE ESTIMATE OF DISTANCE
A COMMON OSJECT OR OBJECTS WHICH, WHEN PLACED IN THE SKY, SIMILAR TO WHERE YOU NOTEO THE PHENOMENON.
WOULD BEAR SOME RESEMBLANCE TO WHAT YOU SAW. DESCRIBE SIMILARITIES AND DIFFERENCES BETWEEN THE
COMMON OBJECT AND WHAT YOU SAN.
21. DID YOU NOTICE ANY ODOR, NOISE. OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT 21. DID YOU NOTICE ANY ODOR, NOISE. OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT ON YOURSELF, RSELF,
ANIMALS OR MACHINERY IN THE VICINITY? YES NO. IF *YES,DESCRIBE. NO. IF *YES,DESCRIBE.
A. DID THE PHENOMENON DISTURB THE GROUNI OR LEAVE ANY PHYSICA EVIDENCE. 0 YES NO.
IF*YES. DESCRIBE.
PAGE 7 OF 9 PAGES
.

AFR 30-17(C1)
22. HAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENON BEFORE? YES C NO 11 GIVE DATE AND
LOCATION.
23. WAS ANYONE WITH YOU AT THE TIME SAW THE PHENOMENON? YES C NO. IF HEY SEE IT TOO
YES NO.
A. LIST THEIR NAMES AND ADDRESSES
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME. MIDOLE NAME
ADDeEas(Street, City, State and Zip Code)
TELEPHO AGE
12 LMALE FEMALE
INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
25. WHEN AND TO WHOM DID YOU REPORT THAT YOU HAO SIGHTED THIS PHENOMENON? /
NAME DAY MONTH YEAR
26.DATE YOU COMPLETED THIS QUESTIONNAIRE.
DAY. MONTH YEAR
PAGEBOF PAGES

AFR 80-I7(C1)
SA,NOVIMAGINF VOU ARE ATTHE CENTZP OF THE COMPASL ROSEL PLACE AN A*ON THE COMPASS TO INOICATE THE
OIRECTION TO THE PHENOMENON WHEH FIRST SEEN. PLACS A "B*GN THE COMPASG TOINDICATE THE DIPECTION YO
THE PHENOMENON WHEN LAST SEEN.
N
NNW NNE
NW NE
WNW ENE
wSw ESE
SW SE
sSw SSE
7. IN THE SKETCH BELOW, PLACE AN A° AT THE POSITION OF THE PHENOMENON WHEN FIRST SEEN, AND A B* AT THE
POSITION OF THE PHENOMENON WHEN LAST SEEN. CONNECT THE *A* AND B° WITH A LINE TO APPROXIMATE THE
MOVEMENT OF THE PHENOMENON BETWEEN *A° ANO "B. THAT IS, SCHEMATICALLY SHOW WHETHER THE MOVEMENT
APPEARED TO BE STRAIGHT, CURVED OR ZIG-ZAG. REFER TO SMALLER SKETCH AS AN EXAMPLE OF HOW TO COMPLETE
THE LARGER SKETCH.
09
PAGE 2OF 9 PAGES
I

AFR 80-17(C1)
SIGHTING OF UNIDENTIFIED PHEMOMENA QUESTIONNAIRE PUDGET BUREAU APPROVAL
NUMBER 21-R253
AS POSSIBLE CONCERNING THE INTIFIED
ANSWER ALD OUESTONS. RESEARCH PURPOSES
TS OR CONCLUSIONS WITHOUT
YOUR PERMISSIGN. RETURN TO AIR FORCE BASE INVESTIGATOR FOR FORWARI NG TO FTD (TDETR). WRIGHT
PATTERSON AFB, OHIO 4S433, IAW AFR3O-[7. (IF ADDITIONAL SHEETS ARE NEEDED FOR NARRATI E OR SKETCHES
ATTACH SECURELY TO THIS FORM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION.)
1 WHEN DID YOU SEE THE PHENOMENON? WLy25 -Hugast5
1968
DAY. MONTH YEAR
2 WHAT TIME DID SIGH T THE PHENOMENON 7 July-5
9.00-
HOUR MENIPES C]A,M. LP.M.
3 WHAT TIME DID ou SIGH THE PH NOMENON? 49457
HOUR. 10:00 A.M. SP M,
MINU
4 TIME ZONE DAYLIGHT SAVINGS C STANDARD
X EASTERN CENTRAL 0 MOUNTAIN PACIFIC COTHER
5. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? IF IN CITY GIVE THE NEAREST STREET ADDRESS AND INDICATE ON
A HAND DRAWN MAP WHERE YOU WERE STANDING WITH REFERENCE TO THE ADDRESS. IF IN THE COUNTRY, IDENTIFY THE
HIGHWAY YOU WERE ON OR NEAR AND TRY TO FIX A DISTANCE AND DIRECTION FROM SOME RECOGNIZABLE LANDMARK
JUE BrooklyN, NY.11220
5. 5 IMAGINE YOU ARE AT YOU AREAT THE POINT SHOWN IN THE SKETCH, PLACE AN AON THE CURVED POINT SHOWN IN THE SKETCH, PLACE AN *A"ON THE CURVED LINE TO SHOW HOW HIGH THE LINE TO SHOW HOW HIGH THE
PHENOMENON WAS ABOVE THE HORIZON, OR SKYLINE. WHEN FIRST SEEN. PLACE A PHENOMENON WASABOVE THE HORIZON, OR SKYLINE. WHEN FIRST SEEN. PLACE A 3ON 3' ON THE SAME CURVED LINE TO
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
90 90 S∠-
|
| 1
| |
1 1 30
|
1
1 15
1
0BSERVER
AF$ FORM 117
AUG 67
.