X-FILE No. C014SAMPLE BLANK UFO REPORT FORM (PG 2)
DATE: WEDNESDAY FEBRUARY 18, 1953
REF: Reel T-3291 Record Group 24 Vol 17984 HQC-940-105 Part 1
- 2 - 12. Describe what you saw as briefly as possible in the following spaces: a. Sound ___________________ b. Shape ____________________ c. Colour __________________ d. Size _____________________ e. Number __________________ f. Light brightness _________ g. Light Color _____________ h. Motion ___________________ i. Speed ___________________ j. Other ____________________ 13. How did object disappear from view: Suddenly or Gradually _______________________ Circle One 14. At any time did the object: a. Change direction. b. Change speed. c. Move behind something; Cloud, House, Tree, _______________ d. Blend with background. Other e. Decrease in size. f. Decrease in brightness. g. Move in front of something. h. __________________________________________________ Other 15. When you first looked at the object, what direction were you facing? ________________ 16. When you last saw the object, what direction were you facing? _______ 17. In the following Sketch A; draw lines from the observer's eye to the circular are to show the apparent elevation of the object in the sky. Directly Overhead A. When first seen, label a. |. | \ B. When last seen, label b. | \ | \ | \ ---|0---------------------- Observerr's Horizon Eye SKETCH "A"
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