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.
2015-014
■SECRETffRELTO USA, EVEY
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 o f 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 on a separate
form for data collection purposes. You should receive a response within 5 business days.
Last Name, First Nome Rank
H U H S lP R E m o i Address Craw Position
This information is for contact only. sanitizes all reports of identifying information.
Absolutely no identifying information for aircrew or squadron will be recorded for analysis.
(b)(1)
Data (mnMd/yy) T im ao f detecton Day? Night Side No. B u m
(h trm ip ssZ )
Mission Description {CAS, BFM etc)
Contact Working Ama
(E x W -7 2 1 A )
Contact latitute
(DD:M M SS)
NTS CoritactLongrtude E M
(DD:M M SS}
Contact Attitude
(Ex 22000)
Please attempt to determine a L et/L o n g for the contact at initial detection. W e recommend
to refarw icelhe sensor-derived bearing and range relative io the bullseye you had
in method is not aveitable^ any reasonable derivation allocation vrif work, but please
be as speckic as possitito and make a note in the comments caction. These locations may be
used to cue other means o f tracking.
(UH I
Altitude Wind Dir a t Wind
Constant? Contact Ait Speed
(From)
W as the contact moving?
Diraction/Speed
(Ex. 090/15)
(b )(1)
(b)(1)
(b)(1) (b)(1)
(b)(1)
FbTn
Please check all that apply:
Round:
Square
( " H l l
# o f Contacts in "Group”:
Balfoon-shaped.\
WJng&'Arrframal
Apparent Propuisiori
Moving Parts.
Metallic:
Markings
Translucent
Opaque.
Reflective.
Please use the field below to describe foe 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) B3 ( b ) ( 1 )
Reportedly briefed is for 2015 incidents; however^ may bge same incident at (b)(1) 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.