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.
^SEGRETZ/REL TO USA, FVEY
2015-006
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 Name, First Name Rank SIPREm aH Address Crew Position
This information is for contact only. (b)(1) sanitizes ail reports of identifying Information.
Absolutely no identifying information for aircrew or squadron will be recorded for analysis.
(b)(1)
Date (mmMdfyy) Tune of detection D ay/N ig h t
(hkm ncssZ)
Side No. Buna Mission Description (CAS, BFM, etc)
Contact Working Ama
(E x:W -721A )
Contact Latitute NfS Contact Longitude E /W
(D O M M S S ) (DD:MM:SS)
Confect Altitude
(Ex 22000)
Altitude
Constant?
Piaesaattem pt to determine a Let/Lo ng for the contact at initial detection Wk recommend
u ^ n g ^ Q to reference the sensor-derived bearing and range mtetorelo the bullseye you had
ir[ u s e ^ w t method is not available, any masonabia derivation o f location w& work, but please
h e as spectec as possible and make a note in tee comments section. Those Ibiieiions m ayb e
used to cue other m eansof tracking.
Wind Dir a t
Contact Ait
(From)
W a s the contact moving?
W nd
[(b)(1)
(b)(1)
HO { I
Direction/Speed
(Ex. 050/15)
Please check all that apply:
(b)(1)
# o f Contacts in "Group": ■ (b)(1)
Round.
Square:
BaBoonshaped
H fogaW rt& iw j
Other Shape
Apparent Prop r/ttmti
! hnn Moving Parts,
MetNlkx
MarkingK
Translucent.
Opaque
Reflective: I
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) H&H1S
reported wliaibxn ling. 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.