Date of sighting _______________  Time __________ AM  PM (Circle One)

City ______________________________________________  State _____________

DESCRIPTION:

Shape________________________________________________________________

Estimated size__________________________________________________________

How many witnesses? _______________________Sound________________________

Distance __________________________ Altitude_____________________________

How long did you watch it?________________________________________________

PHYSICAL CHARACTERISTICS: (Check appropriate boxes)
(  ) Light form only                                 (  ) Vehicle/device
(  ) Animal reaction                                 (  ) Physical trace
(  ) Psychological event                          (  ) Physiological event
(  ) Electromagnetic event                      (  ) Landing/touchdown
(  ) Humanoid or entity case                   (  ) Time loss/memory loss

FLIGHT CHARACTERISTICS:
(  ) Passed overhead                                (  ) Type 1, Within 200' of ground
(  ) Type 2, Under cloud ceiling              (  ) Type 3, Change in motion
(  ) Type 4, Continuous flight                  (  ) Type 5, Stationary target

REPORTING PARTY:

Name________________________________________________________________

Address______________________________________________________________

City/State/Zip:_________________________________________________________

Age _____ Home phone _________________ Office phone_____________________

Created by Francis Ridge.