Electronic version. Copy and paste data bel;ow dotted line and
paste into email
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Date of sighting
Time AM PM (Circle One)
City
State
Shape of UAP
Number of objects
Estimated size
Size at arm's length
Number of supporting witnesses
Sound
Duration
Distance
AltitudeObserved/recorded using NVG (night vision goggles)
Yes No
Or with polarized sun glasses (check for Faraday rings) Yes
No
PHYSICAL
CHARACTERISTICS: (Check appropriate boxes)
( ) Light form
only
( ) Vehicle/device
( ) Animal
reaction
( ) Physical trace
( ) Electromagnetic
event
( ) Images or videos taken
( ) Confirmed by
radar
( ) Pilot report
FLIGHT
CHARACTERISTICS:
( ) Passed
overhead
( ) Within 200' of ground
( ) Under cloud
ceiling
( ) Change
in motion
( ) Continuous
flight
( )
Stationary target
REPORTING MADAR OP:
Name
Node #
Address
City/State/Zip
Home phone
Office phone
Created
by Francis Ridge.