I.C.A.R.
Report an Abduction
Information about you
(The personal information below is required if you want I.C.A.R. to contact you for further information about your abduction.)
Name:
Address:
City, State, Zip:
Phone(s):
E-mail:
Information about your experience
Month Day, Year:
Approximate Time:
Please use military form for the time. For example, 00:20 is 12:20 a.m., and 23:30 is 11:30 p.m.
How long did the experience last (hrs):
Details of the weather where this experience happened please check all that apply:
If other, please explain :
Did the experience happen near any landmarks/establishments:
If other, please explain :
Enter the country in which the experience occurred:
Enter the state and county in which this experience happened:
Enter the name of the town or city nearest to where the experience occurred:
Were any electromagnetic signals affected during this experience:
If other, please explain:
Were any lights affected during the experience:
If other, please explain:
Were there any engines affected during the experience:
If other, please explain:
What were you doing at the time of the expereience:
Was the operation of any vehicle affected during the experience:
If other, please explain:
Was the functionality of any instrument or device affected during the experience:
If other, please explain:
Were there differences in the environment during the experience:
If other, please explain:
Were there any animals present at the time of the experience:
If other, please explain:
What, if any, was their reaction to the experience:
If other, please explain:
What color was the Extraterrestrial Entity (ET):
How tall was the ET:
Have you ever been in psychiatric care at all in the past 10 years:
Age in years when the abduction happened:
Are you male or female?:
Did you hear any sounds associated with your experience:
If other, please explain:
If you had contact with ET, what did they feel like:
Were there any physical marks left by your experience:
If yes, please explain:
If you have any photographic evidence of what happened, you can send a copy to us by E-mail at icar@cox.net.
During the experience what kind of psychological effects did you have:
After the experience what kind of psychological effects did you have:
If other, please explain:
If other, please explain:
During the experience what kind of physical effects did you have:
After the experience what kind of physical effects did you have:
If other, please explain:
If other, please explain:
Did they appear to be wearing clothing? If so, please describe:
Describe what the ET you came in contact with looked like:
What do you remember seeing:
Has anything like this ever happened to you before? If so, please describe:
Have you had any other odd experiences, even if they don't seem to be linked with your most recent experience? If so, please describe:
Please provide any additional information, as detailed as possible:
Explain your abduction in as much detail as you can. Please try and recall every detail. What does not seem significant to you may be significant to I.C.A.R.:
Do you feel/hear a buzzing noise when you turn on or are around any electronic equipment (i.e., television, computer, telephone, etc)?
International Community for Alien Research
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ICAR Abduction Report Form
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