302530814.pdf

|  1. DATE | 2. LOCATION | 13. CONCLUSIONS  |
| --- | --- | --- |
|  28 Oct 1963 | Greece, New York | ☐ Was Balloon ☐ Probably Balloon ☐ Possibly Balloon  |
|  3. DATE-TIME GROUP Local 1150AM GMT 29/1650 Z | 4. TYPE OF OBSERVATION ☑ Ground-Visual ☐ Ground-Radar ☐ Air-Visual ☐ Air-Intercept Radar | ☐ Was Aircraft ☐ Probably Aircraft ☐ Possibly Aircraft  |
|  5. PHOTOS ☐ Yes ☑ No | 6. SOURCE Civilian (2) | ☐ Was Astronomical ☐ Probably Astronomical ☐ Possibly Astronomical  |
|  7. LENGTH OF OBSERVATION 1 Min 30 Seconds | 8. NUMBER OF OBJECTS 2 | 9. COURSE N-NW  |
|  10. BRIEF SUMMARY OF SIGHTING…

22001
SAF-OIPB/H.Gaiser/75630/7Nov63
DRAFT

Dear [redacted]

The Office of the President has asked the Air Force to reply to your letter concerning two Unidentified Flying Objects you both sighted on October 23, 1963.

We are inclosing two Forms FTD 164 which we would like to have you fill out and return to this office. These forms will give us a clearer idea of the description of the objects you saw, their location in the sky, and any details of the weather, all of which are important in making an investigation of the report. Be sure to diagram the location of the crane and the church and how…

U.S. AIR FORCE TECHNICAL INFORMATION

This questionnaire has been prepared so that you can give the U.S. Air Force as much information as possible concerning the unidentified aerial phenomenon that you have observed. Please try to answer as many questions as you possibly can. The information that you give will be used for research purposes. Your name will not be used in connection with any statements, conclusions, or publications without your permission. We request this personal information so that if it is deemed necessary, we may contact you for further details.

|  1. When did you see the o…

Page 2

8. IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON?

8.1 STARS (Circle One):
a. None
b. A few
c. Many
d. Don't remember

8.2 MOON (Circle One):
a. Bright moonlight
b. Dull moonlight
c. No moonlight - pitch dark
d. Don't remember

9. What were the weather conditions at the time you saw the object?

CLOUDS (Circle One):
a. Clear sky
b. Hazy
c. Scattered clouds
d. Thick or heavy clouds

WEATHER (Circle One):
a. Dry
b. Fog, mist, or light rain
c. Moderate or heavy rain
d. Snow
e. Don't remember

10. The object appeared: (Circle One):
a. Solid
b. Transparen…

Page 3

14. Did the object disappear while you were watching it? If so, how?

15. Did the object move behind something at any time, particularly a cloud?
(Circle One): ☑ Yes ☐ No ☐ Don't Know. IF you answered YES, then tell what it moved behind: Cloud.

16. Did the object move in front of something at any time, particularly a cloud?
(Circle One): ☐ Yes ☑ No ☐ Don't Know. IF you answered YES, then tell what in front of:

17. Tell in a few words the following things about the object:
a. Sound: no sound
b. Color: a bright, shiny, silver

18. We wish to know the angular size. Hold a match stick at…

2.5.4

20. Do you think you can estimate the speed of the object?
(Circle One) ☐ Yes ☑ No
IF you answered YES, then what speed would you estimate? _______________

21. Do you think you can estimate how far away from you the object was?
(Circle One) ☐ Yes ☑ No
IF you answered YES, then how far away would you say it was? _______________

22. Where were you located when you saw the object? (Circle One):
a. Inside a building
b. In a car
c. Outdoors
d. In an airplane (type)
e. At sea
f. Other _______________

23. Were you (Circle One)
a. In the business section of a city?
b. In the residential sect…

Page 5

27. In the following sketch, imagine that you are at the point shown. Place an "A" on the curved line to show how high the object was above the horizon (skyline) when you first saw it. Place a "B" on the same curved line to show how high the object was above the horizon (skyline) when you last saw it. Place an "A" on the compass when you first saw it. Place a "B" on the compass where you last saw the object.

28. Draw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the path, a "B" at the end of the path, and show any changes in dire…

Page 6

30. Have you ever seen this, or a similar object before. If so give date or dates and location.
☐ Yes ☑ No

31. Was anyone else with you at the time you saw the object? (Circle One) ☑ Yes ☐ No
31.1 IF you answered YES, did they see the object too? (Circle One) ☑ Yes ☐ No
31.2 Please list their names and addresses:

32. Please give the following information about yourself:
NAME
Last Name First Name Middle Name
ADDRESS
City State
TELEPHONE NUMBER AGE 10 SEX male

Indicate any additional information about yourself, including any special experience, which might be pertinent.

33. When and …