Date of sighting __________  Time ______ AM  PM (Circle One)  Time Zone __________

City ___________________________________  State ______   UTC ________________

Shape of UAP ______________________ Number of objects ____ __________________

Estimated size_______________  Size at arm's length ____________________________

Number of supporting witnesses? ________Sound____________   Duration ___________

Distance ___________________________ Altitude_______________________________

Observed/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 (FR24)              (  ) Color

FLIGHT CHARACTERISTICS:
(  ) Passed overhead                             (  ) Within 200' of ground
(  ) Under cloud ceiling                          (  ) Change in motion
(  ) Continuous flight                              (  ) Stationary target

WITNESS OR REPORTING MADAR OP:

Name_______________________________________ Node # _________

Address___________________________________________________________

City/State/Zip:______________________________________________________

Home phone _________________ Office phone_____________________

FOR MADAR USE:
MADAR Alert Search ____  Node Tracer ____  Map Check  ____  NUFORC Submit _____
Created by Francis Ridge