IDENTIFICATION Name Gender (M/F) Age Street Number City, State, Zip Code Country Home Phone Work Phone E-Mail Address DESCRIPTION OF EVENT Event Location (City/State/Country) Date of Event Time of Event Duration of Event Weather Conditions Has this event been reported by you to any other agency (Y/N)? (If Yes, please name) Previous UFO Experience Additional Witnessess DESCRIPTION OF UFO Number of UFOs Shape Color Size Sound Distance Altitude Direction of Travel Details/Markings WAS THE UFO's BEHAVIOR: passive friendly hostile other Photo(s)/Film/Video/Sketch available? YES No PHYSICAL CHARACTERISTICS: (Check appropriate boxes) Light form only Vehicle/Device Animal reaction Physical traces Atmospheric traces Psychological event Bodily or Anatomical event Electromagnetic event Landing/Touchdown Humanoid or entity event Time loss/Memory loss FLIGHT CHARACTERISTICS: (Check appropriate boxes) Passed overhead Within 200 feet of ground Within 200 feet of witnesses Under cloud ceiling Change in motion Continuous flight Stationary target Other details you wish to include:
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