| VIEWED FROM: OUTDOORS (
) INDOORS ( ) CAR ( ) AIRCRAFT ( ) OTHER:___________________________________ VIEWED THROUGH: GLASSES ( ) WINDOW ( ) SCREEN ( ) BINOCULARS ( ) TELESCOPE ( ) STILL/MOVIE CAMERA ( ) RADAR ( ) AREA/LOCATION: URBAN ( ) SUBURBAN ( ) INDUSTRIAL ( ) RESIDENTIAL ( ) RURAL ( ) AREA/TERRAIN: FIELDS ( ) WOODS ( ) MOUNTAINS ( ) RIVER ( ) LAKE ( ) OTHER:_____________________________ AREA/TECHNICAL: AIRPORT ( ) POWERLINES ( ) POWERSTATION ( ) OTHER:________________________________ SKY CONDITION: CLEAR ( ) PARTLY CLOUDY ( ) OVERCAST ( ) PRECIPITATION: NONE ( ) RAIN ( ) FOG ( ) SNOW ( ) (HEAVY/MEDIUM/LIGHT) OTHER:_________________________ UFO DIRECTION: FIRST SEEN IN :________________________ LAST SEEN : _________________________________ UFO DISTANCE: NEAREST AT: ____________ ALTITUDE WHEN CLOSEST TO GROUND:________________________ IN FRONT OF ____________________________ WHICH WAS _______________________AWAY FROM WITNESS UFO ELEVATION: NEAREST AT:________________ALTITUDE WHEN CLOSEST TO GROUND:___________________ UFO PASSED: IN FRONT OF ________________ WHICH WAS_______________________AWAY FROM WITNESS BEHIND_________________________________ WHICH WAS________________________AWAY FROM WITNESS ALSO SEEN: MOON ( ) SPECIFIC STAR/PLANET ( ) WHICH ONES:___________________________________________ METEOR ( ) STARS ( ) AIRCRAFT ( ) BALLOON ( ) OTHERS:________________________________________________ BEFORE UFO SIGHTING ( ) DURING SIGHTING ( ) AFTER SIGHTING ( ) |
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| OBSERVED: AN
OBJECT ( ) SHAPE: _______________________________ COLORS: ____________________________ A LIGHT ( ) COLORS:________________________________________________________________________________ SEQUENCE OF COLORS: ___________________________________________________________________________ REAL SIZE: LARGER ( ) SMALLER ( ) APPROX. ( ) THEN____________________________________________________ APPARENT SIZE: ___________________TIMES THE SIZE OF A FULL MOON BRIGHTNESS: BLINDING ( ) FAINT ( ) BRIGHTER THAN ( ) AS BRIGHT AS ( ) STAR ( ) AIRCRAFT LIGHTS ( ) MOON ( ) OTHER:_________________________________________________________ |
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| DID PHENOMENON | DID UFO AFFECT | |||||||
| CHANGE DIRECTION TURN ABRUPTLY DO ACROBATICS FALL LIKE A LEAF ABSORB OBJECTS EJECT OBJECTS CHANGE SHAPE CAST A SHADOW CAST LIGHT REFLECT LIGHT LEAVE A TRAIL DISINTEGRATE |
( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) |
HOVER DESCEND ASCEND OVER A BUILDING LAND ON GROUND LAND IN WATER MAKE A SOUND GIVE OFF SMELL GIVE OFF HEAT LEAVE RESIDUE CARRY OCCUPANTS COMMUNICATE |
( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) |
FLUTTER SPIN BLINK PULSATE APPEAR SOLID FUZZY EDGES HAVE OUTLINE WOBBLE VIBRATE GLOW CASE WITNESS PACE VEHICLE |
( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) |
RADIO/TV ELECTRICITY MAGNETISM TIMEPIECE ENGINE VEHICLE WATER GROUND VEGETATION HUMAN ANIMAL OTHER:_____________________________ |
( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) |
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| TEMPERATURE:___________________________ WIND DIRECTION:_________________________ WIND SPEED:_____________________________ VISIBILITY:_______________________________ CLOUD CEILING:___________________________ |
WHERE THERE ANY OTHER
WITNESSES?_________________ PLEASE PROVIDE THE NAMES, ADDRESS AND PHONE NUMBERS OF OTHER WITNESSES ON A SEPARATE SHEET IF APPLICABLE AND KNOWN. |
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| WITNESS INFO: | ||||||||
| OCCUPATION:_______________________________________________
AGE: _______________ SEX: _____________ EDUCATION:________________________________________________ DEGREES:_____________________________ SPECIAL TRAINING:________________________________________________________________________________ VISION:______________ COLORBLIND:_______________GLASSES:_______________ HEARING:_________________ |
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| YOU MAY/MAY NOT USE MY NAME. SIGNATURE WITNESS:_________________________________________ | ||||||||