Sighting ID: ____________________________________

Sighting location: ________________________________

Received on: ___________________________________


The report of a claimed UAP sighting witnessed by ________________ has been evaluated:

INITIATOR:   [   ] MUFON      [   ] NUFORC      [   ]  Other 

NUFORC: Electronic copy of questionnaire attached, this date ____________________

COMMENTS: (Attach report)




_______________________________________
NICAP Case Certification Officer