Ghost / Haunting Report Form     Complete this form and return to: Jim Brown 254 Smithfield Highhouse Rd. Smithfield, Pa. 15478 (Investigator use Only) Case Code Number:_______________ Detail Request Sent:______________ Resolution:______________________ ---------------------------- 1. Witness Contact Information: Name:__________________________________________________ Address:________________________________________________ City:________________________________State:_______________ Phone:____-____-______ E-mail_____________________________ 2. Type of Sighting. Check all that apply. _____ Feeling like something is present _____ Lights or Mist observed _____ Sounds, smells, or wind present _____ Felt physical contact _____ Feeling of nausea _____ Animals / pets reacting abnormally _____ Doors / Windows slamming shut / open _____ Magnetic or Electrical disturbances _____ Psychic or telepathic effects present _____ Other ______________________________ 3. General Sighting Summary When Seen: Day: _______ Month: _______ Year: _______ Time: ____:____ [__]AM[__]PM Location (city / state) :_________________________________________________________ Weather conditions: __________________________________________________________ Type of Area where seen: [__]Indoors [__]Outdoors Number of Times seen:_______      How often seen: [__]Daily[__] Weekly [__] Monthly Are You requesting an On-Site Investigation? ___NO ___YES: Please Note, On site investigations are limited due to the costs involved with travel and time constraints. I will do some investigations in cases where events dictate it could be needed, however those decisions are based on location and other information related to the case itself. I reserve the right to determine whether or not I will conduct an on-site investigation. If I decide to NOT do an onsite investigation, do you want me to forward your request to another local group who may be able to do so? [__] YES [__] NO 4. Collaborating Evidence Other Witnesses:___________________________ Relationship:_____________________ Other Evidence Available:   [__]Photos [__]Video [__]Audio Recording [__]Physical samples

5. Narrative:
       Please use the back of this form to describe, in your own words, what you saw or experienced.