This form may be printed out for use.
UFO Sighting Questionaire

General Cases (Form 1)

(This is a reproduction for informational purposes (for the moment) only; MUFON Field Investigators should continue to use the version of "Form 1" as provided on pages 58 and 59 (fourth edition) of the MUFON Field Investigator's Manual until details of electronic submission are hashed out.)
NAME OF INVESTIGATOR: ___________________________________________


STREET ADDRESS: _________________________________________________


TOWN/CITY: ______________ STATE: ______ ZIP CODE: _______ COUNTRY:_______



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.)

Personal Account


Please describe the incident as it happened.  Be sure that
your narrative includes the following:


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























(Use additional pages as necessary)

Place of sighting
State/Province: 

County: 

City/Town: 

Country: 


Sighting Time

__________ PM( ) AM( ) Time Zone: _________

Durations: __________ Sec( )  Min( ) HRS( )


Date of Sighting
Day: ______ Month: ________  Year:_______


Environmental Situation (Check/Fill in as Applicable)

Viewed From:  Outdoors( ) Indoors( ) Car( ) Aircraft( ) Boat( ) 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: Airport( )  Powerlines( )  Power Station( )  

		Railroad Tracks( )  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 __________  Last Seen in ___________

		It Moved from ______ to ________

UFO Elevation:	First Seen - 1/4( )  1/2( ) 3/4( ) of the way up horizon
		
		Overhead( ) Other______________


		Last Seen -  1/4( )  1/2( ) 3/4( ) of the way up horizon

		Overhead( ) Other______________

UFO Distance:	When Closest to me ________  

UFO Altitude when closest to the ground __________

UFO Passed:	In-Front of ____________, 

		which was ____________ in distance from the witness.

		Behind __________________,

		which was ____________ in distance from the witness.

Also in 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

		Basketball( ) Compact Car( ) Standard Car ( )

		House( )  Other _____________

Apparent Size: 	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 by using a separate sheet.)


Change Direction?( )	Hover?( )	Affect Radio/TV?( )	Flutter?( )

Turn Abruptly?( )	Descend?( ) 	Affect Electricity?( )	Spin?( )

Fall like a leaf?( )	Ascend?( )	Affect Magnetism?( )	Blink?( )

Absorb objects?( )	Over Powerlines?( ) Affect Timepiece?( ) Pulsate?( )

Eject objects?( )	Over a building?( ) Affect Engine?( )	Appear Solid?( )

Change Shape?( ) 	Land on ground?( )  Affect vehicle?( )	Have fuzzy edges?( )

Cast Shadow?( )		Land in water?( )   Affect animal?( )	Have outline?( )

Cast Light?( )		Carry occupants?( ) Affect human?( ) 	Wobble?( )

Reflect Light?( ) 	Communicate?( )	    Affect water?( ) 	Vibrate?( ) 

Leave a trail?( )	Give off heat?( )   Affect ground?( ) 	Glow?( ) 

Disintegrate?( ) 	Leave Residue?( )   Affect Vegitation?( ) Appear Transparent?( )


How many other witnesses? ________________

Did any other Agency Contact You? ___________


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


Signature of Observer ____________________________

You may( ) may not( ) use my name

Date this form signed _______________________
			Day  Month     Year