Fields with a * before them are REQUIRED.
Draw a simple sketch of the object (Label any lights, colors, protrusions)
On a separate piece of paper, please sketch a simple map of the area showing your position and the object's position. Include an arrow denoting the direction of North. Indicate direction that the object was moving.
Please describe the incident as it happened, from beginning to end. Be sure that your narrative covers, though is not limited to, the following key areas and try to be as detailed as possible. You may add anything else you feel you would like to include to make your report as complete as you feel you can:
Environmental Situation (Check/Fill in as Applicable)
Object Description (Check/Fill in as applicable)
(Please elaborate on items checked below in space at bottom.)
How many other witnesses?
Did any other Agency Contact You? Yes No
Please provide the Names/Addresses/Phone Numbers of other witnesses and/or investigators or agencies if applicable and known.
You may may not use my name
I Hereby Declare the Information provided in this report is True and Accurate to the best of my knowledge.
SIGNATURE OF WITNESS (if hard copy):
Yes to the above Declaration
Date this form completed (Day - Month - Year)
(To be filled out by assigned New England UFO Research Organization Investigator)
NAME OF INVESTIGATOR: __________________________________________________
STREET ADDRESS: _________________________________________________________
TOWN/CITY: ___________________________ STATE: _________ ZIP CODE: _________
COUNTRY:__________________________ CASE NUMBER: _______________________