Enter your first name here for CaseID purposes. Gender? Male Female Which of these best describes what you saw? Triangle, or Box shaped Sphere, Oval, or Eliptical shaped Only a light Other Describe shape in detail: Did the object move? Yes No If yes, describe. Were there others present? Yes No Number of others present? 0 1 2 3 4 5+ What time of day was the occurance? 12:00 1:00 2:00 3:00 4:00 5:00 6:00 7:00 8:00 9:00 10:00 11:00 AM PM Was there light shining on or near the object?(check all that apply) Below Above Right Left ....front ...Behind What were the atmospheric conditions (cloud cover)? None Light Medium Heavy Overcast Foggy Was it raining? Yes No Was there anything between you and the object? Yes No Type of object? None Trees or forrest Telephone lines Radio tower Buildings Other Distance? N/A 5-10 feet 10-20 feet 20-50 feet 50-100 feet 100 feet or more Was there anything behind the object? Yes No Type of object? None Trees or forrest Telephone lines Radio tower Buildings Other Distance? N/A 5-10 feet 10-20 feet 20-50 feet 50-100 feet 100 feet or more Describe, in your own words exactly what happened. Would you like us to send you a case # ? Yes No If Yes, type your email address here.
