Name______________________________
Address_______________________________________________
Phone______________________________
E-mail______________________________
Primary method of contact_________________________
Date__________________ Time_________a.m./p.m.
Duration_____________________________________
How did you know the time and duration of the sighting? (e.g. wristwatch)
_________________________________________________________________
Where were you when you saw the object?
Nearest address/street/intersection/City/State/Province_________________________________________
Additional location details________________________________________________
_____________________________________________________________________
____________________________________________________________________
What were you doing at the time you saw the object, and how did you happen to notice it?
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
What did you initially think the object was?____________________________________________
How did you feel during and after witnessing the object?____________________________________________________________________________________________
If you saw the object during daylight, twilight, or dawn, where was the sun when you observed the object? (circle one)
If you saw the object at night, twilight, or dawn, what did you notice concerning the stars?
Stars (circle one)
Moon (circle one)
Weather Conditions
What were the weather conditions at the time you saw the object?
Clouds (circle one)
Wind (circle one)
Precipitation (circle one)
Temperature (cicle one)
Object
If there was more than one object, how many were there?________________________ ____________________________________________________________________ ____________________________________________________________________
Draw a picture of how they were arranged, and add an arrow to show the direction in which they were traveling.
Draw a picture that shows the motion of the object(s). Place an “A” at the beginning of the path, and a “B” at the end. Note any changes in the direction during the course.
How large did the object(s) appear as compared with one of the following objects held in the hand at arm’s length? (circle one)
If possible, try to estimate what the actual size of the object was in its longest dimension _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________
The edges of the object were: (circle one)
Did the object: (circle one response in each case)
Did the object appear: (cicle one)
Do you think you can estimate the speed of the object? (circle one)
If yes, please estimate the speed__________________________________________ __________________________________________________________________
Do you think you can estimate how far you were from the object? (circle one)
If yes, please estimate the distance________________________________________ __________________________________________________________________
Place an “X” on the curved line to show how high the object was when you first saw it.

Place an “A” at the position the object was when you first saw it, and a “B’ Where you last saw it.

Was anyone else with you at the time you saw the object? (circle one)
If yes, did they see the object(s), too? (circle one)
Please list their names, addresses, and telephone numbers (or other contact information). below. __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________
Did you obtain any evidence of your sighting? (photographs, video, etc.)_____________________________________________________
Do you desire an investigation?
Has anyone else been notified about this sighting (paranormal groups, U.F.O. reporting sites)
Name_______________________________
Signature_____________________________
Date________________________________