Minnesota MUFON UFO Sighting Report

Fields with a * before them are REQUIRED.

(Info given here is for Minnesota MUFON ONLY and will be kept in confidence unless you give permission.)

Fields with a * before them are REQUIRED.

* Witness' Name:
Age:
* Street Address:
* Town/City:
* State/Province:
Country:
* Telephone Number:
* E-Mail Address:
Occupation:
Education:
Eyeglasses?:	Yes No
Hearing:	Good? Fair? Poor? Use Hearing Aid?

Personal Account

Please describe the incident:

1. Where were you and what were you doing at the time?
2. What made you first notice the object?
3. What did you think the object was when you first noticed it?
4. Describe your reactions and actions, during and after sighting the object.
5. Describe the object and its actions.
6. How did you lose sight of the object?

Environmental Situation (Check/Fill in as Applicable)

Viewed From:	Outdoors Indoors Aircraft Boat Car
Other:

Viewed Through:	Glasses Window Screen Binoculars Telescope Still Camera Movie Camera Theodolite Radar
Other:

Area/Location:

City Suburban Rural Industrial Commercial Residential

Area/Terrain:

Fields Woods Hills Mountains River Pond Lake

Area/Technical:	Powerlines Power Station Railroad Tracks Airport
Other:

Sky Condition:	Clear Partly Cloudy Overcast Foggy
	Heavy Medium Light

Precipitation:	None Rain Fog Sleet Snow
	Heavy Medium Light

UFO Direction:	First Seen in the Last Seen in the
	It Moved from to

UFO Elevation:	First Seen    1/4 1/2 3/4   of the way up from the horizon
	Overhead Other
	Last Seen    1/4 1/2 3/4   of the way up from the horizon
	Overhead Other

UFO Distance:	When Closest to me      feet     meters
	UFO Altitude when closest to the ground                                                        feet     meters

UFO Passed:	In Front of , which was in distance from the witness.
	Behind , which was in distance from the witness.

Also in the Area:	Airplane Helicopter Balloon Searchlight
	Other:
	Before witness sighted UFO During UFO sighting After UFO sighting

Object Description (Check/Fill in as applicable)

Observed:

An Object

	Number of
	Shape of
	Color(s)

A Light

	Number of
	Shape of
	Color(s)

Describe:	Sound
	Smell
	Speed

Real Size:	Larger Smaller Same Size       as the object listed below:
	Compact Car Standard Car Basketball House Other

Apparent Size:	How many times   Larger Smaller if put in the sky beside object below?
	Times the size of a star Times the size of a full moon

Bright as:	A Star The Moon
	Or a light if placed at the same distance away.

Did the Object(s) or Light(s):

(Please elaborate on items checked below in space at bottom.)

Change Direction?	Hover?	Affect Radio/TV?
Turn Abruptly?	Descend?	Affect Electricity?
Fall like a leaf?	Ascend?	Affect Magnetism?
Absorb objects?	Over Powerlines?	Affect Timepiece?
Eject objects?	Over a building?	Affect Engine?
Change Shape?	Land on ground?	Affect vehicle?
Cast Shadow?	Land in water?	Affect animal?
Cast Light?	Carry occupants?	Affect human?
Reflect Light?	Communicate?	Affect water?
Leave a trail?	Give off heat?	Affect ground?
Disintegrate?	Leave Residue?	Affect Vegetation?
Flutter?	Spin?	Blink?
Pulsate?	Appear Solid?	Have fuzzy edges?
Have outline?	Wobble?	Appear Transparent?
Glow?	Vibrate?

How many other witnesses?

Did you contact any other org.? Yes No

Please provide the Names/Addresses/Phone Numbers of other witnesses and/or investigators or agencies if known.

You may may not      use my name

Date this form completed (Month/Day/Year)