Date of Sighting day/month/year:
 

Sighting Time - Am/Pm + Time zone:
 

Duration - In the form of Seconds, Minutes or Hours:
 

Place of sighting - County - City/Town:
 

Describe briefly the physical appearance of the object(s):
 
 

Describe briefly the location of your sighting:
 
 

Where were you & what were you doing at the time?:
 
 

What made you first notice the object?:
 
 

What did you think the object was when you first saw it?: 
 
 

Describe your reaction/action during and after the sighting:
 
 

Describe the Object and its actions:
 
 

How did you lose sight of the Object?:
 

Did you record the event:

[  ] still image/s 

number of photographs: 
 

[  ] movie     [  ] video       [  ] audio

duration of sequence: 
 

Your Name & Age:

Street: 

City/Town/Village: 

Province/State: 

Postal Code:

Country: 
 

Your area code and home telephone number: 

E-Mail Address:

Your Occupation: 

Employed By: 

Education: 

Degree: 

Major: 

Special Training: 
 

Vision: 

[  ] colour-blind  [  ] wear eyeglasses: 
 

Hearing: 

[  ] Good          [  ] Fair        [  ] Poor         [  ] Use Aid: 
 
 

Health During Sighting: 
 
 

Health After Sighting: 
 
 

Environmental Situation

[Please select as many answers as apply]

Viewed From:

[  ] Outdoors  [  ] Indoors        [  ] Car                [  ] Aircraft 

[  ] Boat
 

Viewed Through:

[  ] Glasses    [  ] Window        [  ] Screen           [  ] Binoculars, 

[  ] Telescope [  ] Still Camera  [  ] Video Camera 

[  ] Movie Camera                          [  ] Theodolite      [  ] Radar
 

Area/Location:

[  ] City          [  ] Suburban      [  ] Rural             [  ] Industrial
 
 

Area/Terrain:

[  ] Fields        [  ] Woods         [  ] Hills              [  ] Mountains 

[  ] River         [  ] Pond            [  ] Lake
 
 

Area/Technical:

[  ] Airport       [  ] Power lines    [  ] Power Station

[  ] Railroad Tracks 

[  ] Other... Explain: 
 
 

Sky Conditions:

[  ] Clear          [  ] Partly Cloudy [  ] Overcast 

[  ] Foggy         [  ] Heavy           [  ] Medium 

[  ] Light
 

Precipitation:

[  ] None          [  ] Rain              [  ] Fog 

[  ] Sleet          [  ] Snow             [  ] Heavy 

[  ] Medium       [  ] Light
 
 

Direction of Object:

First seen in:

Last seen in: 
 

Elevation of Object when First seen:

[  ] 1/4       [  ] 1/2           [  ] 3/4 

and

[  ] Over Horizon               [  ] Overhead
 
 

UFO Elevation when Last seen:

[  ] 1/4       [  ] 1/2           [  ] 3/4 

and

[  ] Over Horizon or           [  ] Overhead
 
 

Object Distance when closest to you: 
 
 

Object Altitude when closest to ground: 
 
 

Object passed in front of _________ Which was __________ distance from you.

and 

Behind ___________ Which was _________ distance from you.
 
 

Also in Area:

[  ] Air plane            [  ] Helicopter       [  ] Balloon 

[  ] Searchlight        [  ] Other... explain 

[  ] Before              [  ] After              [  ] During Sighting
 
 

Observed: 

[  ] An Object         [  ] A light:
 
 

From above question: 

[  ] Number of        [  ]Shape of          [  ] colours of... 
 

Describe Sound if any: 
 

Describe Smell if any: 
 

Describe Speed if any: 
 

Real size -- Select which one applies.

[  ] Larger              [  ] Smaller          [  ] Same Size 

as

[  ] Basketball 

[  ] Compact car

[  ] Standard Car

[  ] House

[  ] Other.. if so, Explain:
 

How many times Larger or Smaller then the size of a star? 
 

How many times Larger or Smaller than Moon?
 

Bright as:

[  ] Star      [  ] Moon          [  ] or _____________ if placed same

distance: 
 

Did the Object(s) or Light(s) -- Choose as many as needed:
 
 

[  ] Change Direction             [  ] Hover 

[  ] Affect Radio/tv                [  ] Flutter 

[  ] Turn Abruptly                 [  ] Descend

[  ] Affect Electricity              [  ] Spin 

[  ] Fall like leaf                    [  ] Ascend

[  ] Affect Magnetism             [  ] Blink

[  ] Absorb Object(s)             [  ] Over Power lines

[  ] Affect Timepiece              [  ] Pulsate

[  ] Eject Object(s)                [  ] Over Building

[  ] Affect Engine                  [  ] Appear Solid 

[  ] Change Shape                 [  ] Land/ground

[  ] Affect vehicle                  [  ] Fuzzy Edges

[  ] Cast Shadow                   [  ] Land/Water,

[  ] Affect Animal                  [  ] Have Outline

[  ] Cast Light                      [  ] Carry Occupants

[  ] Affect Human                  [  ] Wobble

[  ] Reflect Light                   [  ] Communicate

[  ] Affect Water                   [  ] Vibrate 

[  ] Leave Trail                      [  ] Give Heat

[  ] Affect Ground                  [  ] Glow

[  ] Disintegrate                    [  ] Leave Residue

[  ] Affect Vegetation             [  ] Appear Transparent
 

How many other witnesses? 
 
 

Did any other agencies contact you? 

If Yes, enter agencies and person who contacted you:
 

[  ] You may use my name in any of your reporting of this case

[  ] You may not use my name in any of your reporting of this case
 

Today's Date: month/day/year