Documents / Report
This Black Vault mirror compiles heavily redacted, SECRET//REL TO USA, FVEY Navy "Range Fouler Reporting Forms" dated from 2004 to 2021. The first form covers a 14 November 2004 event about 30 nautical miles off Mexico, southwest of San Diego, involving the Nimitz Carrier Strike Group. It describes a solid white, smooth object about 46 feet long with no wings, and notes that reporting ended at 3rd Fleet. Later forms describe unidentified small aircraft, suspected UAS and a near mid-air collision.
SEGRETfflEbTOUSA.FVEY
2014-007
Range Fouler Reporting Form
please do not use the purple
'"submit" button above. Save and
email the complete file manually
(see below).
Please complete this form to the best of your ability. If you do not have the requested information,
please leave the field blank. If there was more than one "group," please report each oh a separate
form for data collection purposes. You should receive a response within 5 business days.
Last N aim , Fast Name
(b) (6)
Raff# SIPR Email Address Craw Position
This information is for contact only. (b)(1) sanitizes all reports of identifying information.
Absolutely no identifying information for aircrew o r squadron will be recorded for analysis.
(b)(1)
Date (mm/dd/yy) Time of detection
(h tu n m s s Z )
Day
u a y r Night
(b)(1)
Side No. B u m Mission Description (CAS, STM etc) (b> 11)|
(b)(1)
Contact Working Area
(Ex: W -721A)
Contact Latituta N/S Contact Longitude E /W
(D D M M S S ) (D D M M S S )
Contact Altitude
(Err 22000)
Altitude
Constant?
Please attempt to determine a L at/L o n g for the contact at initial detection. Werecommend
using uailllo reference the sensor-derived bearing and range relative to the bullseye you had
in use If that method is not available, any reasonable derivation o f location will work, but please
W indD irat
Contact AM
(From)
Wind
Speed
W as the contact moving?
be as specific as possible and make a note In the comments section. These locations may be
used to cue other means o f tracking
(b)(1)
(b)(1)
(b)(1) |(bHi)
(b )(1 )
(b )(1 )
Dlrection/Speed
(Ex. 090/15)
Please check all that apply
# o f Contacts m "Group": (b)(1)
1(b)(1) (Check all that apply):
(b) ( ' l ) ^ ( i l ( b ) (1)
Round
Square
Balloon-shaped:
Wings/Airframe
Other Shape
Apparent Propulsion.
Moving Parts.
Metallic
Markings
Translucent
Opaque
Reflective
Please use the field below to describe the contact and any interaction in your own words with as much
detail as possible. Please be sure to include any detail not included in questions above.
(b)(1) Near mid-air.
unnga
the aooroximate size of a
at
object
here was
a wingman of a three-plane fom ttion.obsei d
object, ss between
as descnbed as a
nd appeared to have a{|« Report, cited by the archive. The PDF is mirrored here; the original link is above. 91 pages are in the text index: search them above, or from the library's search.