CASE EVALUATION WORKSHEET
FORM FI-5AI
Witness ____________________ Investigator
___________________________________
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POTENTIAL SIGHTING OF INTEREST FOR UAP REPORTED NUFORC
__________________
DATE __________ TIME _________
(MILITARY) TIME ZONE _________
CONVERTED TO UTC ____________ [ ]
FOLLOWING DAY
CITY _______________________ STATE __________
Request nearest MADAR site direction and distance in measured miles
and time conversion to UTC.
Attach list of nodes in the state listed above.
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Latitude _______________ Longitude --
____________________
Tracer Node
______
Nearest MADAR nodes are as follows
MADAR site ______ City/state ____________________ is
____ miles ____ of sighting location
MADAR site ______ City/state ____________________ is
____ miles ____ of sighting location
MADAR site ______ City/state ____________________ is
____ miles ____ of sighting location
[ ] Copy of spreadsheet to "spreadsheet" data study file
[ ] Add report to CASE STATUS DATABASE
[ ] CIR submitted to NUFORC __________
approved ___________
[ ] Investigator assigned ____________________
___________
[ ] Node operator notified __________
[ ] Node operator (if the witness) witness is reminded
to file a report with NUFORC
[ ] NMR updated
[ ] NUFORC index obtained
[ ] Maps if appropriate (Node or Google)
[ ] MADAR data submitted to NUFORC by MOC
[ ] Add report narrative to Annual MATCH Report
ENDREP