Second Navy range fouler release

5e6REfdML 'f6 1:ISJIc. f'fEY Tracking Number (Internal Use Only)/L ________-'
Please do not use the purple
"submil" button above. Save and
Range Fouler Reporting Form 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 on a separate form for data collection
purposes. Please recogn ize that this form is classified '8CORE'fIJREt. and treat your inputs as you would any
other classified government information. You should receive a response within 7 business days.
Lsst Name, First Name Rank Squadron SIPR Email Add,.ss Crew Position
'---_____--'1 1--1---II <--I__--'I .....1____----'1 .....1_--'
UAPTF sanitizes all reports of Identifying Information. YOllr person.,lnrormatioll will remain completely private, and is
reqflf:st€'d (or f'0tenlial future c/elJriefing purposes only. All Intel and Ops addte5se£<s have signed confidentiality statements to
protect your identities and th a- ill/ormation in tflese repol1.s.
II ICJI 1/ IIDDto(mmlddlyy) LT=ime-~Of:-d:-e:-te~ct~io...Jn Day I Mgl,1 Sido No. '---:B:-II-no---' Mission Doseriplioll (CAS. BFM. olc) 1-"""IWD.UJn.mm-~
(b) (1) I
(hh:mm:ss Z)
~~~~I~I~~~I[]~I~~~I[J~I~--'Geographic fo ctltion Contact Latitude NlS Contact. Longilude EM' Platform Altitude Wind Dir / Wind Speed
(a l Conlact All)(Ex: W·72 1A) (DDMM;SS) (D D.MMSS) (Ex: 22000)
Ple a s~pt to determine l) Lat I Long (or ti,e contact at initial detection. We recommend
us ;ng~o reference til e sensor*derived bearing Dnd range relative to the bullseye you fwd
;n USB. If tlwt meffJod is fIOt available. Dny reasonable deriva tion of locallon will work, but
plellse be as $pecific os possible and make a note III the comments section. Tl1ese 10catIOI/s
moy 00 lIsed to cue other means of tracking.
(b) (1)
# of Contacts in
"Group":
Was the contact moving? I
:====:Direction/Speed I(Ex. 090115) L..___-'
Please check all that apply:
Round-
Square:
Balloon-Sf)Oped:
WingS/Ailframe.
DIller Shape:
(b)( 1) Apparant PlOpU/.,;o,.; '
Please use the field below to describe the contact and what happened in your own words with as much detail as
possible. Please be sure to include any detail not included in questions above.
----------------------~UAP event documented in NAVAIR brief from(b) (1) (b) (1 )
with filename "Date Locatlon_Squadron_RF.pdf' and
the at
in the global). For troubleshooting, cal (b)(1 )
Thank you for your time. Please ensure all ~!) I ay tapes are ripped for the entire time of interaction and saved as
a .wmv intel personnel shall upload those files to the repository
located at
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