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General Sighting Cases (MU KAU For ‘ Report Form #1. (Page 1 of 3) Case Number: Photographs And Drawings a Dra ASRS Here OT WRAY Aa Us, Clos, rotons, ‘On Separate Sheet, Please Sketch A Map OF The Area Showin Your Postion And The Objects Postion Tada siructores, tees, roads, power Ines ad an arrow pointing to North Indicate the direction of the objects movements] ersonal Aczount Of Vour SUE, Please Deserve The cident A Happened. Be Sure Your Description Ineudes What You Were Doing At The Time, What ‘Made You Notice The Object, What You Thought I Was, Your Reactions During And After The Sighting, A Description ‘OF The Object (Along With Any Maneuvering Or Action), Detals On How You Lot Sight OF The Object Ee. “The More Complete Your Report, The More Data Wil Be Avalable To MUFON Researchers. “Arach additional sheets Wecessary General Sighting Cases oo /AMUFG@N Report Form #1 (Page 2 of 3) Environmental Data [Check /Firin As Applicable ‘Outdoors(_) Indoors) Automobile(_) Alera (_) Boat) Other: “Glases( ) Window{ ) — Seren( ) Binoculars() Telescope()SullGamara) Movie Camera) Theodolite(_} Radar(_) Other: Gey) Suburban{ )—Raral()_ tnduseial(] Commercial) Rendentan( ) Felés() Woods()—Hile()—-Mountaine()—Rver()—Pond(-) Lake) ‘eport(_) Powerines(_) PowerStation( ) Rallroad( ) Miltary(_) Other: Gear( J PartyGowdy(}__Overeast( Fou) — Meaw( ) Medhum( ) ught( ) None( ) _fain(_) __Foa(_) _Sleet(_}__Snow(_) = Weaw(_) Mediom( )_ushe(_) rst Seen {st ean ne Moved From: Te FratSeen: 4/4{ ) 4/2( ) 3/4( ) OFTheWayAbove Horizon. Overhead( ) Other, lastSeen: 4/4( ) 2/2() 3/4( } OF TRe Way Above Horizon. Overhead ( ) Other: When Covert To Witness: ‘UFO Altitude (when closest tothe ground In Front oF Wich was Distance Away eh Wich We Distance Away ‘Also in The Area: Airplane( ) Welicopter( ) Balloon( ) searchight( ]Miltary() Other Before UFO Sighting (_) During UFO Sighting (_) ‘After UFO Sighting (_) ‘Object Description (check /filhin as applicable) Observed: AnObject () Number Of: Shape OF Colors: Auighe (Number of shape OF Colors: Sound: ‘me Larger() Smaller() Somesize( ) As The Object st Below: Basketboll( ) Compact Car() Standard Car( ) House( ) Oth ‘Apparent Size: Mow Many Time Larger{ ) OrSmaller( ) if Put ln The Sky Beside The Object Below Ties The Sie OFA Star, Or, ‘Ties The Sze OFA Full Moon. AsBright As: _AStar(_)_TheMoon( ) OA. Light Placed At The Same Distance Away. ‘Did The Object(a) Or Lights): (check as applicable) {pease elaborate on tems checked below by using a separate sheet) Change Direction? —[] Hover? [1 AffectRadioftv? (| luter? fay Tum Abratpty? [|] Descend? 11 Aftect eecwity? 11 Soin ia) FallUke Ataf? [ ]_Ascond? 11 AffectMagnetism? =] alin? ia] ‘Absorb Objects}? []_ Over Powerlines? [1 AflceTimepiece? J lbate? ia] Hlectobiects)? [Over A Bung? [1 Affect engine? 11 Appear sobs? o Change Shape? [|] Land OnGround? 11 Afect Vehicle? 1 Moverucy edges? =f) ostAShadow? [Land InWater? [1 Alfect Animals? 11 Have Outine? ul cost ine? (1 cany Occupants? 11 Afoct Humans)? 11 Wobbier ia] Reflect Ugh? = []__Communiate? [1 Attocewater? 11 Wiorater 1 leaveATaI? [Ge Off Heat? [1 Aftect Ground? 11 Gow? 1 Disintegrate? [Leave Redue? [1 Affecrvogetaton? =] Appear Transparent? { ] Project Beam? —[ ]__RemoveAnything? [J] AffectCallphone? [J on ary General Sighting Cases (t AJFOQy ‘ Report Form #1 (Page 3 of 3) Return These Forms To MUFON Investigator. . MUFON Investigator Address ..: MUFON Investigator Phone. . Email: Date of Sighting . wont Tear Place of Sighting . cay TTawn county, Tae J rownes, Coan Sighting Time . (yam (PM Time Zone: Duration of Sighting .....-.. Seconds Minutes Hours Witness Information Witness Name: he: Town/City Phone State / Province: country ccupation Employed By Witness Data Eauestion: Special or Advanced Training: Vision Coloring? Eyeglasses or Contacts? Hearing: Good) aie) Poort) Use Hearing Aid? eatin: Before Sighting? During Signing? ‘Aer Signing? ‘Weather information ety: Wind Direction: Wind Speed ‘witness Confidentiality (check one}: ‘Yes, You May Use My Name=(_ ) ‘No, lease Do Not Use My Neme=( )

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