|
|
|
Appendix A
AMMUNITION FIRE UNIT-MISSION FIRED REPORT [AFU.MFR] (CONTINUED)
REPORT NUMBER: A065 {USMTF # C241}
Table A-14. Ammunition Fire Unit-Mission Fired Report acronym and abbreviation key
DTG
date-time group
KM
kilometers
MGRS
military grid reference system
Mils
milli-radians
NO.
number
RDS
rounds
TEC
target element casualties
TRA
target report accuracy
UTM
universal transverse mercator
A-22
FM 6-99
19 August 2013
Voice Message Format Templates
ARTILLERY TARGET INTELLIGENCE-ARTILLERY TARGET
CRITERIA [ATI.CRIT]
REPORT NUMBER: A070 {USMTF # D281}
GENERAL INSTRUCTIONS: Use to disseminate the commander’s established targeting criteria. Reference:
FM 6-20-30 and FM 6-20-40.
LINE 1 - DATE AND TIME ____________________________________ (DTG)
LINE 2 - UNIT _______________________________________________ (unit making report)
LINE 3 - POI ________________________________________________ (primary option indicator: ADD,
AMEND, or CANCEL)
LINE 4 - REQUEST ___________________________________________ (request number or target criteria)
LINE 5 - ZONE ONE __________________________________________ (zone of fire [responsibility])
LINE 6 - ZONE TWO _________________________________________ (zone of fire [responsibility])
LINE 7 - GRID ZONE _________________________________________ (UTM grid zone and
100 KM
square)
LINE 8 - QUADRANGLE ______________________________________ (UTM 1-meter easting and UTM
1-meter northing)
LINE 9 - UTM _______________________________________________ (UTM 1-meter easting and UTM
1-meter northing)
LINE 10 - WIDTH ____________________________________________ (search zone width in meters)
LINE 11 - CIRCLE ____________________________________________ (UTM 1-meter easting and UTM 1
meter northing)
LINE 12 - RADIUS ___________________________________________ (circular radius in meters)
LINE 13 - FLOT DISTANCE ___________________________________ (minimum distance)
LINE 14 - MAX ______________________________________________ (maximum distance)
LINE 15 - FORMAT __________________________________________ (output report category)
LINE 16 - TARGET TYPE _____________________________________ (target type and subtype)
LINE 17 - PROTECTION ______________________________________ (degree of personnel protection)
LINE 18 - PERMANENCE _____________________________________ (target permanence)
LINE 19 - LOWER STRENGTH _________________________________ (lower strength limit)
LINE 20 - UPPER STRENGTH __________________________________ (upper strength limit)
LINE 21 - LOWER SIZE _______________________________________ (lower length limit in meters)
LINE 22 - UPPER SIZE ________________________________________ (upper length limit in meters)
LINE 23 - LOWER WIDTH_____________________________________ (lower width limit in meters)
LINE 24 - UPPER WIDTH _____________________________________ (upper width limit in meters)
LINE 25 - ACCURACY ________________________________________ (target report accuracy in meters)
LINE 26 - RELIABILITY ______________________________________ (evaluation of reliability)
LINE 27 - NARRATIVE _______________________________________ (free text for additional information
required for report clarification)
**Continued on next page
19 August 2013
FM 6-99
A-23
Appendix A
ARTILLERY TARGET INTELLIGENCE-ARTILLERY TARGET CRITERIA [ATI.CRIT]
(CONTINUED)
REPORT NUMBER: A070 {USMTF # D281}
LINE 28 - AUTHENTICATION __________________________________(report authentication)
Table A-15. Artillery Target Intelligence-Artillery Target Criteria acronym and abbreviation key
DTG
date-time group
FLOT
forward line of troops
KM
kilometers
MAX
maximum
POI
primary option indicator
UTM
universal transverse mercator
A-24
FM 6-99
19 August 2013
Voice Message Format Templates
ARTILLERY TARGET INTELLIGENCE-ARTILLERY TARGET
REPORT [ATI.ATRI]
REPORT NUMBER: A075 {USMTF # C281}
GENERAL INSTRUCTIONS: Use to exchange artillery target information among fire support agencies.
Reference: FM 6-20-30 and FM 6-20-40.
LINE 1 - DATE AND TIME ____________________________________ (DTG)
LINE 2 - UNIT _______________________________________________ (unit making report)
LINE 3 - POI ________________________________________________ (primary option indicator: ADD,
AMEND, or CANCEL)
LINE 4 - TARGET NO. ________________________________________ (fire support target number)
LINE 5 - EFFECTS ___________________________________________ (effects [percent damage] required)
LINE 6 - ZONE ______________________________________________ (UTM grid zone and
100 KM
square)
LINE 7 - GRID _______________________________________________ (UTM or six-digit grid coordinate
with MGRS grid zone designator)
LINE 8 - TARGET ELEMENTS _________________________________ (number of target elements)
LINE 9 - TARGET ____________________________________________ (target type and subtype and degree
of personnel protection)
LINE 10 - RADIUS ___________________________________________ (target radius in meters)
LINE 11 - LENGTH ___________________________________________ (target length in meters)
LINE 12 - WIDTH ____________________________________________ (target width in meters)
LINE 13 - ALTITUDE _________________________________________ (altitude in mils)
LINE 14 - CREDIBILITY ______________________________________ (target acquisition agency)
LINE 15 - TARGET ACCURACY _______________________________ (target report accuracy in meters)
LINE 16 - RELIABILITY ______________________________________ (evaluation of reliability)
LINE 17 - PERMANENCE _____________________________________ (target permanence)
LINE 18 - TARGET STATUS ___________________________________ (mission fired indicator or
confirmed target indicator)
LINE 19 - MASK _____________________________________________ (personnel clothing and mask
indicator)
LINE 20 - PROFICIENCY ______________________________________ (enemy CBRN proficiency level)
LINE 21 - VEGETATION ______________________________________ (target vegetation)
LINE 22 - CASUALTIES_______________________________________ (number of target element
causalities)
LINE 23 - TGT DISPOSITION __________________________________ (fire support target disposition)
LINE 24 - CATEGORY ________________________________________ (information request category)
LINE 25 - SRI________________________________________________ (standing request for artillery target
information number)
**Continued on next page
19 August 2013
FM 6-99
A-25
Appendix A
ARTILLERY TARGET INTELLIGENCE-ARTILLERY TARGET REPORT [ATI.ATRI]
(CONTINUED)
REPORT NUMBER: A075 {USMTF # C281}
LINE 26 - NARRATIVE ________________________________________(free text for additional information
required for report clarification)
LINE 27 - AUTHENTICATION __________________________________(report authentication)
Table A-16. Artillery Target Intelligence-Artillery Target Report acronym and abbreviation key
DTG
date-time group
CBRN
chemical, biological, radiological, and nuclear
KM
kilometers
MGRS
military grid reference system
Mils
milli-radians
NO.
number
POI
primary option indicator
SRI
standing request of information
TGT
target
UTM
universal transverse mercator
A-26
FM 6-99
19 August 2013
Voice Message Format Templates
ASSET/MULTIPLE ASSET STATUS REPORT [ASTSTATREP]
REPORT NUMBER: A080
GENERAL INSTRUCTIONS: Use to convey status of the unit’s intelligence collectors. Reference: TC 2-33.4.
LINE 1 - DATE AND TIME ____________________________________ (DTG)
LINE 2 - UNIT _______________________________________________ (unit making report)
LINE 3 - T/O ________________________________________________ (task organization of intelligence
collectors)
LINE 4 - COLLECTOR ________________________________________ (collector by team or system)
LINE 5 - GRID _______________________________________________ (UTM or six-digit grid coordinate
with MGRS grid zone designator)
LINE 6 - ACTIVITY __________________________________________ (brief summary of activity)
LINE 7 - NARRATIVE ________________________________________ (free text for additional information
required for report clarification)
LINE 8 - AUTHENTICATION __________________________________ (report authentication)
Table A-17. Asset/Multiple Asset Status Report acronym and abbreviation key
DTG
date-time group
MGRS
military grid reference system
T/O
task organization
UTM
universal transverse mercator
19 August 2013
FM 6-99
A-27
Appendix A
AVIATION (ARMY ROTARY WING) MISSION/SUPPORT REQUEST
[AVIAREQ]
REPORT NUMBER: A085
GENERAL INSTRUCTIONS: Use to request Army aviation units for support. Reference: FM 1-100.
LINE 1 - DATE AND TIME _____________________________________(DTG)
LINE 2 - UNIT _______________________________________________(unit making report)
LINE 3 - ASSETS _____________________________________________(assets required)
LINE 4 - PURPOSE____________________________________________(purpose or mission)
LINE 5 - PRIORITY ___________________________________________(priority)
LINE 6 - DTG AND GRID OF PZ ________________________________(DTG and location of pickup zone;
include marking system, frequency,
and call sign of unit at the PZ)
LINE 7 - DTG AND GRID OF LZ ________________________________(DTG and location of pickup zone;
include marking system, frequency,
and call sign of unit at the LZ)
LINE 8 - AC _________________________________________________(AC route and information [ingress
or egress route])
LINE 9 - ENEMY ADA ________________________________________(probability of enemy ADA)
LINE 10 - TARGET ___________________________________________(target location and information for
planning)
LINE 11 - LOAD ______________________________________________(estimated load requirements
[slings or type of ammunition])
LINE 12 - POC _______________________________________________(POC of requesting unit for
coordination)
LINE 13 - POC AT PZ/LD ______________________________________(POC at pickup zone or LD)
LINE 14 - POC AT LZ _________________________________________(unit requesting POC at LZ)
LINE 15 - FARP ______________________________________________(suggest FARP location within
supported area)
LINE 16 - REMARKS __________________________________________(remarks with safety risk
assessment)
LINE 17 - WEATHER__________________________________________(aviation weather forecast within
supported areas)
LINE 18 - NARRATIVE ________________________________________(free text for additional information
required for report clarification)
LINE 19 - AUTHENTICATION __________________________________(report authentication)
**Continued on next page
A-28
FM 6-99
19 August 2013
Voice Message Format Templates
AVIATION (ARMY ROTARY WING) MISSION/SUPPORT REQUEST [AVIAREQ]
(CONTINUED)
REPORT NUMBER: A085
Table A-18. Aviation (Army Rotary Wing) Mission/Support Request acronym and abbreviation key
AC
airspace control
ADA
air defense artillery
DTG
date-time group
FARP
forward arming and refueling point
LD
line of departure
LZ
landing zone
POC
point of contact
PZ
pickup zone
19 August 2013
FM 6-99
A-29
Appendix A
BASIC WIND DATA MESSAGE [BWD]
REPORT NUMBER: B001 {USMTF # C508}
GENERAL INSTRUCTIONS: Use to report wind direction and speed in 2,000-meter increments from the
surface of the earth to the altitude of 30,000 meters. Reference: TC 2-33.4.
LINE 1 - DATE AND TIME _____________________________________(DTG)
LINE 2 - UNIT _______________________________________________(unit making report)
LINE 3 - TIME OF MEASUREMENT _____________________________(DTG of measurement)
LINE 4 - AREA _______________________________________________(area of validity)
LINE 5 - LAYER MIKE ________________________________________(layer
indicator,
downwind
direction in degrees true, and wind
speed in kilometers per hour or
knots)
LINE 6 - NARRATIVE _________________________________________(free text for additional information
required for report clarification)
LINE 7 - AUTHENTICATION ___________________________________(report authentication)
Table A-19. Basic Wind Data Message acronym and abbreviation key
DTG
date-time group
A-30
FM 6-99
19 August 2013
Voice Message Format Templates
BATTLE DAMAGE ASSESSMENT REPORT [BDAREP PHASE 1]
REPORT NUMBER: B005 {USMTF # C104}
GENERAL INSTRUCTIONS: Use to provide a timely and accurate estimate of damage resulting from the
application of military force, either lethal or nonlethal, against a predetermined objective. Reference:
FM 4-30.31.
LINE 1 - DATE AND TIME ____________________________________ (DTG)
LINE 2 - UNIT _______________________________________________ (unit making report)
LINE 3 - NAME ______________________________________________ (target or installation name)
LINE 4 - COUNTRY CODE ____________________________________ (two-letter country code)
LINE 5 - BEN ________________________________________________ (basic encyclopedia number: NA or
UNKNOWN)
LINE 6 - LOCATION__________________________________________ (UTM or six-digit grid coordinate
with MGRS grid zone designator)
LINE 7 - TM REF_____________________________________________ (target material reference)
LINE 8 - PAGE NO. ___________________________________________ (page or sheet number)
LINE 9 - COLLECTION DATE AND TIME _______________________ (IMINT collection DTG)
LINE 10 - TYPE ______________________________________________ (type of IMINT)
LINE 11- QUALITY __________________________________________ (image quality: GOOD, FAIR, or
POOR)
LINE 12- ANGLE ____________________________________________ (viewing angle: VERTICAL or
OBLIQUE)
LINE 13 - TOT _______________________________________________ (time over target for attack DTG)
LINE 14 - DELIVERY SYSTEM ________________________________ (number and type of delivery
system)
LINE 15 - WEAPONS _________________________________________ (number and type of weapons and
fusing)
LINE 16 - AIM POINT NAME __________________________________ (name of description of target
element)
LINE 17 - BDA ANALYSIS ____________________________________ (narrative of target damage and
munitions effects to include:
element name, grid reference,
physical damage, confidence level,
and whether re-attack is required)
**Repeat lines 3 through 17 to report multiple missions/mission data. Assign sequential lines to succeeding
iterations. For example, first iteration is 3 through 17; second iteration is 3a through 17a; third iteration is 3b
through 17b; and so on.
LINE 18 - NARRATIVE _______________________________________ (free text for additional information
required for report clarification)
LINE 19 - AUTHENTICATION _________________________________ (unit making report)
**Continued on next page
19 August 2013
FM 6-99
A-31
Appendix A
BATTLE DAMAGE ASSESSMENT REPORT [BDAREP PHASE 1] (CONTINUED)
REPORT NUMBER: B005 {USMTF # C104}
Table A-20. Battle Damage Assessment Report acronym and abbreviation key
BDA
battle damage assessment
BEN
basic encyclopedia number
DTG
date-time group
IMINT
imagery intelligence
MGRS
military grid reference system
NA
not applicable
NO.
number
REF
reference
TM
target material
TOT
time over target
UTM
universal transverse mercator
A-32
FM 6-99
19 August 2013
Voice Message Format Templates
BED AVAILABILITY AND ELEMENT STATUS [BEDAVAIL]
REPORT NUMBER: B010 {USMTF # B913}
GENERAL INSTRUCTIONS: Use to report bed availability and medical treatment element (MTE) status when
MEDSITREP record message is not or cannot be used. Reference: FM 4-02.21 and FM 4-02.1.
LINE 1 - DATE AND TIME ____________________________________ (DTG)
LINE 2 - UNIT _______________________________________________ (unit making report)
LINE 3 - ELEMENT __________________________________________ (name or designator of the
reporting element)
LINE 4 - TOTAL OPERATIONAL _______________________________ (total number of beds that are
operational)
LINE 5 - MEDICAL OPERATIONAL ____________________________ (number of medical
[MM] beds
operational)
LINE 6 - PSYCHIATRIC OPERATIONAL ________________________ (number of psychiatric [MP] beds
operational)
LINE 7 - GENERAL OPERATIONAL ____________________________ (number of general surgeries [SS]
beds operational)
LINE 8 - ORTHOPEDIC OPERATIONAL _________________________ (number of orthopedic [SO] beds
operational)
LINE 9 - BURN OPERATIONAL ________________________________ (number of burn
[SB] beds
operational)
LINE 10 - SPINAL CORD OPERATIONAL _______________________ (number of spinal cord [SC] injury
beds operational)
LINE 11 - OB/GYN OPERATIONAL _____________________________ (number of OB/GYN [SG] beds
operational)
LINE 12 - PEDIATRIC OPERATIONAL __________________________ (number of pediatric
[MC] beds
operational)
LINE 13 - NEURO OPERATIONAL _____________________________ (number of neurosurgery
[SSN]
beds operational)
LINE 14 - ORAL OPERATIONAL _______________________________ (number of oral/maxillofacial
[SSM] beds operational)
LINE 15 - OPHTHALMOLOGY OPERATIONAL __________________ (number of ophthalmology [SSO]
beds operational)
LINE 16 - THORACIC OPERATIONAL __________________________ (number of thoracic surgery [SSC]
beds operational)
**Use lines 13 through 16 to report the number of operational beds in selected surgical subspecialties. Include
these numbers in line 7.
LINE 17 - AVAILABLE TOTAL ________________________________ (total number of available beds)
LINE 18 - AVAILABLE MEDICAL ______________________________ (number of medical
[MM] beds
available)
LINE 19 - AVAILABLE PSYCHIATRIC __________________________ (number of psychiatric [MP] beds
available)
**Continued on next page.
19 August 2013
FM 6-99
A-33
Appendix A
BED AVAILABILITY AND ELEMENT STATUS [BEDAVAIL] (CONTINUED)
REPORT NUMBER: B010 {USMTF # B913}
LINE 20 - AVAILABLE GENERAL ______________________________(number of general surgeries [SS]
beds available)
LINE 21 - AVAILABLE ORTHOPEDIC ___________________________(number of orthopedic [SO] beds
available)
LINE 22 - AVAILABLE BURN __________________________________(number of burn
[SB] beds
available)
LINE 23 - AVAILABLE SPINAL CORD __________________________(number of spinal cord [SC] injury
beds available)
LINE 24 - AVAILABLE OB/GYN ________________________________(number of OB/GYN [SG] beds
available)
LINE 25 - AVAILABLE PEDIATRIC _____________________________(number of pediatric
[MC] beds
available)
**Use lines 17 through 25 to report the number of available beds for patients at the reporting medical element.
LINE 26 - AVAILABLE NEURO_________________________________(number of neurosurgery
[SSN]
beds available)
LINE 27 - AVAILABLE ORAL __________________________________(number of oral/maxillofacial
[SSM] beds available)
LINE 28 - AVAILABLE OPHTHALMOLOGY _____________________(number of ophthalmology [SSO]
beds available)
LINE 29 - AVAILABLE THORACIC _____________________________(number of thoracic surgery [SSC]
beds available)
**Use lines 26 through 29 to report the number of operational beds in selected surgical subspecialties. Include
these numbers in line 20.
LINE 30 - SUITES_____________________________________________(number of operating suites that are
operational)
LINE 31 - BACKLOG __________________________________________(number of hours of surgical
backlog)
LINE 32 - OVERFLOW ________________________________________(number of overflow/holding beds
available)
** Use lines 30 through 32 to provide information concerning medical element status and workload.
**Repeat lines 3 through 32 to report multiple mission/mission data. Assign sequential lines to succeeding
iterations. For example, first iteration is 3 through 32; second iteration is 3a through 32a; third iteration is 3b
through 32b; and so on.
LINE 33 - NARRATIVE ________________________________________(free text for additional information
required report clarification)
LINE 34 - AUTHENTICATION __________________________________(report authentication)
Table A-21. Bed Availability and Element Status acronym and abbreviation key
DTG
date-time group
MTE
medical treatment element
A-34
FM 6-99
19 August 2013
Voice Message Format Templates
BED DESIGNATIONS [BEDDESIG]
REPORT NUMBER: B015 {USMTF # A913}
GENERAL INSTRUCTIONS: Use to report bed availability and MTE status when the MEDREGREP record
message cannot be used. Reference: FM 4-02.21 and FM 4-02.1.
LINE 1 - DATE AND TIME ____________________________________ (DTG)
LINE 2 - UNIT _______________________________________________ (unit making report)
LINE 3 - EVAC FROM ________________________________________ (name or designator of the
reporting element)
LINE 4 - PICKUP _____________________________________________ (UTM or six-digit grid coordinate
with MGRS grid zone designator of
pickup or location of MTE from
which evacuated. Report only if
other than fixed-wing AE is used
and transporting agency may not
know the pickup location)
LINE 5 - EVAC TO ___________________________________________ (name or designator of destination
MTE)
LINE 6 - DELIVERY __________________________________________ (delivery location or location of
destination MTE, UTM or six-digit
grid coordinate with MGRS grid
zone designator)
LINE 7 - NO. MEDICAL (MM) _________________________________ (number of MM beds assigned to
patients at destination MTE)
LINE 8 - NO. PSYCHIATRIC (MP) ______________________________ (number of MP beds assigned to
patients at destination MTE)
LINE 9 - NO. SURGERY (SS)___________________________________ (number of SS beds assigned to
patients at destination MTE)
LINE 10 - NO. ORTHOPEDIC (SO) ______________________________ (number of SO beds assigned to
patients at destination MTE)
LINE 11 - NO. BURN (SB) _____________________________________ (number of SB beds assigned to
patients at destination MTE)
LINE 12 - NO. SPINAL CORD (SC) ______________________________ (number of SC beds assigned to
patients at destination MTE)
LINE 13 - NO. OB/GYN (SG) ___________________________________ (number of SG beds assigned to
patients at destination MTE)
LINE 14 - NO. PEDIATRIC (MC)________________________________ (number of MC beds assigned to
patients at destination MTE)
LINE 15 - TOTAL ____________________________________________ (total number of beds assigned to
patients at destination MTE)
LINE 16 - NO. NEURO (SSN)___________________________________ (number of SSN beds assigned to
patients at destination MTE)
LINE 17 - NO. ORAL (SSM) ____________________________________ (number of SSM beds assigned to
patients at destination MTE)
**Continued on next page
19 August 2013
FM 6-99
A-35
Appendix A
BED DESIGNATIONS [BEDDESIG] (CONTINUED)
REPORT NUMBER: B015 {USMTF # A913}
LINE 18 - NO. OPHTHALMOLOGY (SSO) ________________________(number of SSO beds assigned to
patients at destination MTE)
LINE 19 - NO. THORACIC (SSC) ________________________________(number of SSC beds assigned to
patients at destination MTE)
**Use lines 16 through 19 to report the number of beds assigned to patients in selected surgical subspecialties.
Include these numbers in line 9.
LINE 20 - CATEGORY ________________________________________(number of special category
patients
[other than active duty
U.S. armed forces] assigned beds at
destination MTE by medical
specialty category
[example: two
French nationals in category SO.
The number of patients reported is
also included in lines
7 through
15])
**Repeat lines 3 through 20 to report multiple missions/mission data. Assign sequential lines to succeeding
iterations. For example, first iteration is 3 through 20; second iteration is 3a through 20a; third iteration is 3b
through 20b; and so on.
LINE 21 - NARRATIVE ________________________________________(free text for additional information
required for report clarification)
LINE 22 - AUTHENTICATION __________________________________(report authentication)
Table A-22. Bed Designations acronym and abbreviation key
AE
aeromedical evacuation
DTG
date-time group
EVAC
evacuate
MEDREGREP
medical regulating report
MGRS
military grid reference system
MTE
medical treatment element
NO.
number
UTM
universal transverse mercator
A-36
FM 6-99
19 August 2013
Voice Message Format Templates
BED REQUEST [BEDREQ]
REPORT NUMBER: B020 {USMTF # C913}
GENERAL INSTRUCTIONS: Use to request beds for patients when the medical group record cannot be used.
Reference: FM 4-02.21 and FM 4-02.1.
LINE 1 - DATE AND TIME ____________________________________ (DTG)
LINE 2 - UNIT _______________________________________________ (unit making report)
LINE 3 - REQUEST ___________________________________________ (name or designator of the
requesting element with patients
requiring beds)
LINE 4 - LOCATION__________________________________________ (UTM or six-digit grid coordinate
with MGRS grid zone designator.
Report only on first report or upon
relocation.)
LINE 5 - PATIENTS ______________HYPHEN _____ TOTAL _______ (number of litter [after
PATIENTS], ambulatory [after
HYPHEN], and all [after TOTAL]
PATIENTS requiring beds)
LINE 6 - MEDICAL (MM) _________HYPHEN _____ TOTAL _______ (number of litter
[after MM],
ambulatory [after HYPHEN], and
all
[after TOTAL] MM requiring
beds)
LINE 7 - PSYCHIATRIC (MP) ______HYPHEN _____ TOTAL _______ (number of litter
[after MP],
ambulatory [after HYPHEN], and
all
[after TOTAL] MP requiring
beds)
LINE 8 - SURGERY (SS) __________HYPHEN _____ TOTAL _______ (number of litter
[after SS],
ambulatory [after HYPHEN], and
all
[after TOTAL] SS requiring
beds)
LINE 9 - ORTHOPEDIC (SO) _______HYPHEN _____ TOTAL _______ (number of litter
[after SO],
ambulatory [after HYPHEN], and
all
[after TOTAL] SO requiring
beds)
LINE 10 - BURN (SB) _____________HYPHEN _____ TOTAL _______ (number of litter
[after SB],
ambulatory [after HYPHEN], and
all
[after TOTAL] SB requiring
beds)
LINE 11 - SPINAL CORD (SC) _____HYPHEN _____ TOTAL _______ (number of litter
[after SC],
ambulatory [after HYPHEN], and
all
[after TOTAL] SC requiring
beds)
LINE 12 - OB/GYN (SG) ___________HYPHEN _____ TOTAL _______ (number of litter
[after SG],
ambulatory [after HYPHEN], and
all
[after TOTAL] SG requiring
beds)
**Continued on next page
19 August 2013
FM 6-99
A-37
Appendix A
BED REQUEST [BEDREQ] (CONTINUED)
REPORT NUMBER: B020 {USMTF # C913}
LINE 13 - PEDIATRIC (MC) _______ HYPHEN _____ TOTAL _______(number of litter
[after MC],
ambulatory [after HYPHEN], and
all
[after TOTAL] MC requiring
beds)
LINE 14 - NEURO (SSN) __________ HYPHEN _____ TOTAL _______(number of litter
[after SSN],
ambulatory [after HYPHEN], and
all
[after TOTAL] SSN requiring
beds)
LINE 15 - MAXILLO (SSM) _______ HYPHEN _____ TOTAL _______(number of litter
[after SSM],
ambulatory [after HYPHEN], and
all
[after TOTAL] SSM requiring
beds)
LINE 16 - OPHTHAL (SSO)________ HYPHEN _____ TOTAL _______(number of litter
[after SSO],
ambulatory [after HYPHEN], and
all
[after TOTAL] SSO requiring
beds)
LINE 17 - THORACIC (SSC) _______ HYPHEN _____ TOTAL _______(number of litter
[after SSC],
ambulatory [after HYPHEN], and
all
[after TOTAL] SSC requiring
beds)
LINE 18 - CATEGORY ________________________________________(number of special category
patients other than active duty U.S.
armed forces assigned beds at
destination MTE by medical
specialty category)
LINE 19 - PICKUP ____________________________________________(pickup location in UTM or
six-digit grid coordinate with
MGRS grid zone designator)
LINE 20 - ONLOAD ___________________________________________(unit making report)
LINE 21 - EQUIPMENT ________________________________________(special
medical
equipment
required)
LINE 22 - NARRATIVE ________________________________________(free text for additional information
required for report clarification)
LINE 23 - AUTHENTICATION __________________________________(report authentication)
Table A-23. Bed Request acronym and abbreviation key
DTG
date-time group
MGRS
military grid reference system
UTM
universal transverse mercator
A-38
FM 6-99
19 August 2013
Voice Message Format Templates
BLOOD SHIPMENT REPORT [BLDSHIPREP]
REPORT NUMBER: B025 {USMTF # B911}
GENERAL INSTRUCTIONS: Use to report blood shipments. Reference: FM 4-02.1 .
LINE 1 - DATE AND TIME ____________________________________ (DTG)
LINE 2 - UNIT _______________________________________________ (unit making report)
LINE 3 - ACTIVITY __________________________________________ (reporting unit’s activity code
letter:
A = joint blood program office
B = area joint blood program office
C = armed services whole blood
processing laboratory
D = blood donor center
E = blood products depot
F = blood trans shipment center
G = blood supply unit
H = medical treatment element
I = naval vessel)
LINE 4 - LOCATION__________________________________________ (UTM or six-digit grid coordinate
with MGRS grid zone designator)
LINE 5 - RENDEZVOUS ______________________________________ (naval vessels only: UTM or
six-digit grid coordinate with
MGRS grid zone designator for
delivery of blood products)
LINE 6 - ARRIVAL ___________________________________________ (naval vessels only [hospital ship]:
estimated DTG at the projected
location)
LINE 7 - PRODUCT __________________________________________ (brevity code letter of blood
product being shipped:
J = red blood cells
K = whole blood
L = frozen red blood cells
M = fresh frozen plasma
N = frozen platelets)
LINE 8 - O POSITIVE _________________________________________ (number of units)
LINE 9 - O NEGATIVE ________________________________________ (number of units)
LINE 10 - A POSITIVE ________________________________________ (number of units)
LINE 11 - A NEGATIVE _______________________________________ (number of units)
LINE 12 - B POSITIVE ________________________________________ (number of units)
**Continued on next page.
19 August 2013
FM 6-99
A-39
Appendix A
BLOOD SHIPMENT REPORT [BLDSHIPREP] (CONTINUED)
REPORT NUMBER: B025 {USMTF # B911}
LINE 13 - B NEGATIVE _______________________________________(number of units)
LINE 14 - AB POSITIVE _______________________________________(number of units)
LINE 15 - AB NEGATIVE ______________________________________(number of units)
LINE 16 - TOTAL _____________________________________________(total number of units of blood
product shipped)
LINE 17 - CONTROL __________________________________________(airbill number or TCN)
LINE 18 - MISSION ___________________________________________(airline and flight number or
mission number assigned at the
shipment’s origin)
LINE 19 - ARRIVAL __________________________________________(estimated DTG of shipment’s
arrival at destination)
LINE 20 - BOXES _____________________________________________(number of boxes in shipment)
LINE 21 - CONTACT __________________________________________(name of shipper’s POC)
LINE 22 - PHONE _____________________________________________(24-hour telephone number of
shipper’s POC)
LINE 23 - NARRATIVE ________________________________________(free text for additional information
required for report clarification)
LINE 24 - AUTHENTICATION __________________________________(report authentication)
Table A-24. Blood Shipment Report acronym and abbreviation key
DTG
date-time group
MGRS
military grid reference system
POC
point of contact
TCN
transportation control number
UTM
universal transverse mercator
A-40
FM 6-99
19 August 2013
Voice Message Format Templates
BRIDGE REPORT [BRIDGEREP]
REPORT NUMBER: B030
GENERAL INSTRUCTIONS: Use to report nature and condition of bridge, overpass, culvert, underpass, or
tunnel. Reference: FM 3-34.
LINE 1 - DATE AND TIME ____________________________________ (DTG)
LINE 2 - UNIT _______________________________________________ (unit making report)
LINE 3 - TYPE BRIDGE AND LOCATION _______________________ (type of bridge and UTM or
six-digit grid coordinate with
MGRS grid zone designator)
LINE 4 - WIDTH _____________________________________________ (width of highway)
LINE 5 - RESTRICTIONS ______________________________________ (height restrictions)
LINE 6 - LENGTH AND SPANS ________________________________ (length of bridge and number of
spans)
LINE 7 - CLASS _____________________________________________ (computed classification)
LINE 8 - BYPASS LOCATION__________________________________ (UTM or six-digit grid coordinate
with MGRS grid zone designator)
LINE 9 - NARRATIVE ________________________________________ (free text for additional information
required for report clarification)
LINE 10 - AUTHENTICATION _________________________________ (report authentication)
Table A-25. Bridge Report acronym and abbreviation key
DTG
date-time group
MGRS
military grid reference system
UTM
universal transverse mercator
19 August 2013
FM 6-99
A-41
Appendix A
BULK PETROLEUM ALLOCATION [POLALOT]
REPORT NUMBER: B035 {USMTF # A860}
GENERAL INSTRUCTIONS: Use to allocate bulk petroleum products. Reference: FM 10-67.
LINE 1 - DATE AND TIME _____________________________________(DTG)
LINE 2 - UNIT _______________________________________________(unit making report)
LINE 3 - COMMAND __________________________________________(identifier of component command)
LINE 4 - FUEL TYPE __________________________________________(type of fuel allocated)
LINE 5 - ALLOCATION _______________________________________(quantity and unit of measurement
for fuel allocated)
LINE 6 - DELIVERY METHOD _________________________________(method in which POL is
delivered)
LINE 7 - LOCATION __________________________________________(UTM or six-digit grid coordinate
with MGRS grid zone designator)
**Repeat lines 3 through 7 to report multiple missions/mission data. Assign sequential lines to succeeding
iterations. For example, first iteration is 3 through 7; second iteration is 3a through 7a; third iteration is 3b
through 7b; and so on.
LINE 8 - NARRATIVE _________________________________________(free text for additional information
required for report clarification)
LINE 9 - AUTHENTICATION ___________________________________(report authentication)
Table A-26. Bulk Petroleum Allocation acronym and abbreviation key
DTG
date-time group
MGRS
military grid reference system
POL
petroleum, oils, and lubricants
UTM
universal transverse mercator
A-42
FM 6-99
19 August 2013
Voice Message Format Templates
BULK PETROLEUM CONTINGENCY REPORT [REPOL]
REPORT NUMBER: B040 {USMTF # B876}
GENERAL INSTRUCTIONS: Use to report loss of major bulk petroleum and to request bulk petroleum
products. Reference: FM 10-67.
LINE 1 - DATE AND TIME ____________________________________ (DTG)
LINE 2 - UNIT _______________________________________________ (unit making report)
LINE 3 - NAME ______________________________________________ (name of damaged facility)
LINE 4 - LEVEL _____________________________________________ (level of damage)
LINE 5 - REPAIRS ___________________________________________ (estimated DTG repairs completed)
LINE 6 - ASSESSMENT _______________________________________ (assessment of impact of damage)
LINE 7 - ACTIVITY __________________________________________ (name of activity reporting
products on hand)
LINE 8 - PRODUCT __________________________________________ (type of petroleum product
reported)
LINE 9 - INVENT ____________________________________________ (on-hand inventory of product
MBBLs)
LINE 10 - CAPACITY _________________________________________ (storage capacity in MBBLs)
LINE 11 - DAYS _____________________________________________ (DOS for the product)
LINE 12 - TYPE ______________________________________________ (type of petroleum product)
LINE 13 - INVENT ___________________________________________ (on-hand inventory in MBBLs)
LINE 14 - CAPACITY _________________________________________ (usable storage capacity in
MBBLs)
LINE 15 - DAYS _____________________________________________ (DOS of petroleum products on
hand)
LINE 16 - DISCHARGE PORT __________________________________ (name of discharge port reported)
LINE 17 - PRODUCT _________________________________________ (type of petroleum product
reported)
LINE 18 - BARRELS __________________________________________ (quantity of petroleum product in
MBBLs)
LINE 19 - PERIOD____________________________________________ (period that delivery is required)
LINE 20 - DAMAGED PORT ___________________________________ (name of damaged port)
LINE 21 - DAMAGE __________________________________________ (level of damage)
LINE 22 - UNLOAD __________________________________________ (unloading capacity of damaged
port in MBBLs)
**Repeat lines 3 through 22 to report more than one facility. Assign sequential lines to succeeding iterations.
For example, first iteration is 3 through 22; second iteration is 3a through 22a; third iteration is 3b through 22b;
and so on.
**Continued on next page.
19 August 2013
FM 6-99
A-43
Appendix A
BULK PETROLEUM CONTINGENCY REPORT (REPOL) (CONTINUED)
REPORT NUMBER: B040 {USMTF # B876}
LINE 23 - NARRATIVE ________________________________________(free text for additional information
required for report clarification)
LINE 24 - AUTHENTICATION __________________________________(report authentication)
Table A-27. Bulk Petroleum Contingency Report acronym and abbreviation key
DOS
days of supply
DTG
date-time group
MBBL
petroleum measurement - one thousand barrels
A-44
FM 6-99
19 August 2013
Voice Message Format Templates
BULK PETROLEUM REQUIREMENTS FORECAST [POLRQMT]
REPORT NUMBER: B045 {USMTF # D869}
GENERAL INSTRUCTIONS: Use to forecast bulk petroleum products. Reference: FM 10-67.
LINE 1 - DATE AND TIME ____________________________________ (DTG)
LINE 2 - UNIT _______________________________________________ (unit making report)
LINE 3 - STATUS ____________________________________________ (status of bulk fuel on hand to
include type, gallons on hand, days
of supply on hand, and gallons
received since last report)
TYPE _________OH _________________ DAYS _______ RECEIVED
LINE 4 - FROM ______________________________________________ (DTG beginning of period covered
by requirement)
LINE 5 - TO _________________________________________________ (DTG end of period covered by
requirement)
LINE 6 - RECEIVING UNIT ____________________________________ (designation of the receiving unit)
LINE 7 - LOCATION__________________________________________ (UTM or six-digit grid coordinate
with MGRS grid zone designator)
LINE 8 - REQUIREMENT _____________________________________ (bulk fuel requirement to include
type,
quantity
in
gallons,
transportation mode desired, and
priority)
TYPE _________QUANTITY __________ MODE _______ PRIORITY
LINE 9 - DAMAGE ___________________________________________ (description of damage to bulk
petroleum facilities and equipment,
to include changes in previous
damage)
LINE 10 - NARRATIVE _______________________________________ (free text for additional information
required for report clarification)
LINE 11 - AUTHENTICATION _________________________________ (report authentication)
Table A-28. Bulk Petroleum Requirements Forecast acronym and abbreviation key
DTG
date-time group
MGRS
military grid reference system
OH
on hand
UTM
universal transverse mercator
19 August 2013
FM 6-99
A-45
Appendix A
BULK CLASS III REQUEST/FORECAST [BKLIIIREQ]
REPORT NUMBER: B050
GENERAL INSTRUCTIONS: Use to report a periodic update or formal request of fuel unit requirements.
Reference: FM 10-67.
LINE 1 - DATE AND TIME _____________________________________(DTG)
LINE 2 - UNIT _______________________________________________(unit making report)
LINE 3 - REQUEST ___________________________________________(request or forecast [include DTG])
LINE 4 - FUEL TYPE __________________________________________(type of fuel:
A = diesel
B = MOGAS
C = JP-4
D = JP-8)
LINE 5 - QTY OH _____________________________________________(specify gallons or liters)
LINE 6 - QTY REQ ____________________________________________(required quantity)
LINE 7 - NARRATIVE _________________________________________(free text for additional information
required for report clarification)
LINE 8 - AUTHENTICATION ___________________________________(report authentication)
Table A-29. Bulk Class III Request/Forecast acronym and abbreviation key
DTG
date-time group
JP
jet propellant
MOGAS
motor gasoline
OH
on-hand
QTY
quantity
REQ
required
A-46
FM 6-99
19 August 2013
Voice Message Format Templates
CASUALTY REPORT [CASREP]
REPORT NUMBER: C001
GENERAL INSTRUCTIONS: To report casualty information. Reference: FM 1-0.
LINE 1 - DATE AND TIME ____________________________________ (DTG)
LINE 2 - UNIT _______________________________________________ (unit making report)
LINE 3 - LOCATION__________________________________________ (UTM or six-digit grid coordinate
with MGRS grid zone designator)
LINE 4 - CASUALTY TYPE ____________________________________ (designated by letter as follows:
A = KIA, hostile action
B = KIA, non-hostile action
C = body recovered
D = body non recovered
E = body identified
F = body not identified
G = MIA
H = captured
I = WIA, slight hostile action
J = WIA, serious hostile action
K = WIA, slight non-hostile action
L = WIA, serious non-hostile
action
M = accident)
LINE 5 - STATUS ____________________________________________ (status of evacuation and location
to which casualty was evacuated)
LINE 6 - NARRATIVE ________________________________________ (free text for additional information
required for report clarification)
LINE 7 - AUTHENTICATION __________________________________ (report authentication)
Table A-30. Casualty Report acronym and abbreviation key
DTG
date-time group
KIA
killed in action
MGRS
military grid reference system
MIA
missing in action
UTM
universal transverse mercator
WIA
wounded in action
19 August 2013
FM 6-99
A-47
Appendix A
CBRN 1 REPORT [CBRN 1]
REPORT NUMBER: C010 {USMTF # C448}
GENERAL INSTRUCTIONS: Use to provide the observer’s initial report giving basic data on a chemical,
biological, or nuclear attack. Reference: FM 3-11.3.
LINE 1 - DATE AND TIME _____________________________________(DTG)
LINE 2 - UNIT _______________________________________________(unit making report)
LINE 3 - EVENT ______________________________________________(Type of incident: NUCLEAR,
BIOLOGICAL, or CHEMICAL)
LINE - ALFA_________________________________________________(CBRN strike serial number)
LINE - BRAVO _______________________________________________(location of the observer and the
direction of the attack)
LINE - DELTA _______________________________________________(DTG of detonation of beginning of
attack or detonation and the end of
the event)
LINE - FOXTROT_____________________________________________(UTM or six-digit grid coordinate
with MGRS grid zone designator of
attack and code used to represent if
reported location of attack is actual
or estimated)
LINE - GOLF_________________________________________________(means of delivery and quantity)
LINE - HOTEL _______________________________________________(type of burst, biological or
chemical agent, and persistency)
LINE - INDIA ________________________________________________(release information on biological
or chemical agent attacks)
LINE - INDIA ROMEO ________________________________________(release of sampling information on
radiological incidents)
LINE - JULIET _______________________________________________(time in seconds denoting
flash-to-bang DTG of nuclear
attack)
LINE - LIMA _________________________________________________(nuclear burst angular cloud width
measured at five minutes after
detonation)
LINE - MIKE _________________________________________________(stabilized cloud measurement at
H+10 minutes of nuclear burst
cloud)
LINE - MIKE ROMEO _________________________________________(description and status of chemical,
biological, radiological incidents)
LINE - TANGO _______________________________________________(terrain, topography, and vegetation
description)
LINE - YANKEE______________________________________________(downwind direction and wind
speed)
LINE - ZULU ________________________________________________(measured weather conditions)
**Continued on next page.
A-48
FM 6-99
19 August 2013
Voice Message Format Templates
CBRN 1 REPORT [CBRN 1] (CONTINUED)
REPORT NUMBER: C010 {USMTF # C448}
LINE 4 - TIME _______________________________________________ (DTG of observation)
LINE 5 - NARRATIVE ________________________________________ (free text for additional information
required for report clarification)
LINE 6 - AUTHENTICATION __________________________________ (report authentication)
Table A-31. CBRN 1 Report acronym and abbreviation key
CBRN
chemical, biological, radiological, and nuclear
DTG
date-time group
MGRS
military grid reference system
UTM
universal transverse mercator
19 August 2013
FM 6-99
A-49
Appendix A
CBRN 2 REPORT [CBRN 2]
REPORT NUMBER: C015 {USMTF # C449}
GENERAL INSTRUCTIONS: Use to disseminate evaluated data of a chemical, biological, or nuclear attack.
Reference: FM 3-11.3.
LINE 1 - DATE AND TIME _____________________________________(DTG)
LINE 2 - UNIT _______________________________________________(unit making report)
LINE 3 - EVENT ______________________________________________(type of incident: NUCLEAR,
BIOLOGICAL, or CHEMICAL)
LINE - ALFA_________________________________________________(CBRN strike serial number)
LINE - DELTA _______________________________________________(DTG of attack or detonation and
attack end)
LINE - FOXTROT_____________________________________________(location of attack or event)
LINE - GOLF_________________________________________________(means of delivery and quantity)
LINE - HOTEL _______________________________________________(type of burst, biological or
chemical agent, and persistency)
LINE - INDIA ________________________________________________(release information on biological
or chemical agent attack)
LINE - INDIA ROMEO ________________________________________(release of sampling information on
radiological incidents)
LINE - NOVEMBER___________________________________________(estimated nuclear yield in kilotons
or megatons)
LINE - TANGO _______________________________________________(terrain, topography, and vegetation
description)
LINE - YANKEE______________________________________________(downwind direction and wind
speed)
LINE - ZULU ________________________________________________(measured weather conditions)
LINE 4 - TIME _______________________________________________(DTG of observation)
LINE 5 - NARRATIVE _________________________________________(free text for additional information
required for report clarification)
LINE 6 - AUTHENTICATION ___________________________________(report authentication)
Table A-32. CBRN 2 Report acronym and abbreviation key
CBRN
chemical, biological, radiological, and nuclear
DTG
date-time group
A-50
FM 6-99
19 August 2013
Voice Message Format Templates
CBRN 3 REPORT [CBRN 3]
REPORT NUMBER: C020 {USMTF # C443}
GENERAL INSTRUCTIONS: Use to pass immediate warning of predicted contamination and hazard areas
following a chemical, biological, or nuclear attack. Reference: FM 3-11.3.
LINE 1 - DATE AND TIME ____________________________________ (DTG)
LINE 2 - UNIT _______________________________________________ (unit making report)
LINE 3 - EVENT _____________________________________________ (type of incident: NUCLEAR,
BIOLOGICAL,
RADIOLOGICAL, or
CHEMICAL)
LINE - ALFA ________________________________________________ (CBRN strike serial number)
LINE - DELTA _______________________________________________ (DTG of attack or detonation and
attack end)
LINE - FOXTROT ____________________________________________ (location of attack or event, area
attacked or affected)
LINE - GOLF ________________________________________________ (means of delivery and quantity)
LINE - HOTEL _______________________________________________ (type burst or agent, and
persistency TM or UNID number)
LINE - INDIA________________________________________________ (release information on biological
or chemical agent attack)
LINE - INDIA ROMEO ________________________________________ (release of sampling information on
radiological incidents)
LINE - MIKE ROMEO _________________________________________ (description and status of chemical,
biological, radiological incidents)
LINE - NOVEMBER __________________________________________ (estimated yield in KT)
LINE - PAPA ALFA __________________________________________ (UTM or six-digit grid coordinate
with MGRS grid zone designator of
predicted hazardous cloud or area)
LINE - PAPA BRAVO _________________________________________ (detailed fallout hazard prediction
parameters)
LINE - PAPA CHARLEY ______________________________________ (radar determined external contour
of radioactive cloud)
LINE - PAPA DELTA _________________________________________ (radar determined downwind
direction of radioactive cloud)
LINE - PAPA ROMEO ________________________________________ (radiological hazard predictions
parameters)
LINE - PAPA XRAY __________________________________________ (hazard area location for weather
period)
LINE - TANGO ______________________________________________ (terrain, topography, and vegetation
description)
LINE - XRAY BRAVO ________________________________________ (predicted contour information
parameters)
**Continued on next page.
19 August 2013
FM 6-99
A-51
Appendix A
CBRN 3 REPORT [CBRN 3]
REPORT NUMBER: C020 {USMTF # C443}
LINE - YANKEE______________________________________________(downwind direction and wind
speed)
LINE - ZULU ________________________________________________(actual weather conditions)
LINE 4 - TIME _______________________________________________(DTG of observation)
LINE 5 - NARRATIVE _________________________________________(free text for additional information
required for report clarification)
LINE 6 - AUTHENTICATION ___________________________________(report authentication)
Table A-33. CBRN 3 Report acronym and abbreviation key
CBRN
chemical, biological, radiological, and nuclear
DTG
date-time group
KT
kilotons
MGRS
military grid reference system
TM
target material
UNID
United Nations ID
UTM
universal transverse mercator
A-52
FM 6-99
19 August 2013
Voice Message Format Templates
CBRN 4 REPORT [CBRN 4]
REPORT NUMBER: C025 {USMTF # C447}
GENERAL INSTRUCTIONS: Use to report chemical, biological, or nuclear monitoring and survey results.
Reference: FM 3-11.3.
LINE 1 - DATE AND TIME ____________________________________ (DTG)
LINE 2 - UNIT _______________________________________________ (unit making report)
LINE 3 - EVENT _____________________________________________ (type of incident: NUCLEAR,
BIOLOGICAL,
RADIOLOGICAL, or
CHEMICAL)
LINE - ALFA ________________________________________________ (CBRN strike serial number)
LINE - INDIA________________________________________________ (release information on biological
or chemical agent attacks)
LINE - INDIA BRAVO ________________________________________ (release of sampling information on
biological incidents)
LINE - INDIA CHARLEY ______________________________________ (release of sampling information on
chemical incidents)
LINE - INDIA ROMEO ________________________________________ (release of sampling information on
radiological incidents)
LINE - KILO ________________________________________________ (crater description)
LINE - QUEBEC _____________________________________________ (location of reading, sample, or
detection)
LINE - ROMEO ______________________________________________ (level of contamination, dose rate
trend, and decay rate trend)
LINE - SIERRA ______________________________________________ (DTG of reading or initial detection
of contamination)
LINE - TANGO ______________________________________________ (terrain, topography, and vegetation
description)
LINE - WHISKEY ____________________________________________ (sensor information)
LINE - YANKEE _____________________________________________ (downwind direction and wind
speed)
LINE - ZULU ________________________________________________ (actual weather conditions)
LINE 4 - TIME _______________________________________________ (DTG of observation)
LINE 5 - NARRATIVE ________________________________________ (free text for additional information
required for report clarification)
LINE 6 - AUTHENTICATION __________________________________ (report authentication)
Table A-34. CBRN 4 Report acronym and abbreviation key
CBRN
chemical, biological, radiological, and nuclear
DTG
date-time group
19 August 2013
FM 6-99
A-53
Appendix A
CBRN 5 REPORT [CBRN 5]
REPORT NUMBER: C030 {USMTF # C501}
GENERAL INSTRUCTIONS: Use to pass information on areas of actual chemical, biological, or nuclear
contamination. Reference: FM 3-11.3.
LINE 1 - DATE AND TIME _____________________________________(DTG)
LINE 2 - UNIT _______________________________________________(unit making report)
LINE 3 - EVENT ______________________________________________(type of incident: NUCLEAR,
BIOLOGICAL,
RADIOLOGICAL, or
CHEMICAL)
LINE - ALFA_________________________________________________(CBRN strike serial number)
LINE - DELTA _______________________________________________(DTG of detonation or beginning of
attack and attack end)
LINE - INDIA ________________________________________________(release information on biological
or chemical agent attacks)
LINE - INDIA ROMEO ________________________________________(release of sampling information on
radiological incidents)
LINE - OSCAR _______________________________________________(reference: DTG for estimated
contours lines)
LINE - XRAY ALPHA _________________________________________(actual contour information)
LINE - ZULU ________________________________________________(actual weather observation)
LINE 4 - TIME _______________________________________________(DTG of observation)
LINE 5 - NARRATIVE _________________________________________(free text for additional information
required for report clarification)
LINE 6 - AUTHENTICATION ___________________________________(report authentication)
Table A-35. CBRN 5 Report acronym and abbreviation key
CBRN
chemical, biological, radiological, and nuclear
DTG
date-time group
A-54
FM 6-99
19 August 2013
Voice Message Format Templates
CBRN 6 REPORT [CBRN 6]
REPORT NUMBER: C035 {USMTF # C506}
GENERAL INSTRUCTIONS: Use to pass detailed information on chemical, biological, or nuclear hazards.
Reference: FM 3-11.3.
LINE 1 - DATE AND TIME ____________________________________ (DTG)
LINE 2 - UNIT _______________________________________________ (unit making report)
LINE 3 - EVENT _____________________________________________ (type of incident: NUCLEAR,
BIOLOGICAL,
RADIOLOGICAL, or
CHEMICAL)
LINE - ALFA ________________________________________________ (CBRN strike serial number)
LINE - DELTA _______________________________________________ (DTG of attack or detonation and
attack end)
LINE - FOXTROT ____________________________________________ (location of attack or event)
LINE - GOLF ________________________________________________ (means of delivery and quantity)
LINE - INDIA________________________________________________ (release information on biological
or chemical agent attacks or ROTA
events)
LINE - INDIA BRAVO ________________________________________ (release of sampling information on
biological incidents)
LINE - INDIA CHARLEY ______________________________________ (release of sampling information on
chemical incidents)
LINE - INDIA ROMEO ________________________________________ (release of sampling information on
radiological incidents)
LINE - MIKE CHARLEY BRAVO _______________________________ (description and status of chemical
and biological substance or storage
or release information)
LINE - MIKE ROMEO ________________________________________ (description and status of chemical,
biological, radiological incidents)
LINE - QUEBEC _____________________________________________ (location and type reading, sample,
or detection)
LINE - ROMEO ______________________________________________ (level of contamination, dose rate
trend, and decay rate trend)
LINE - SIERRA ______________________________________________ (DTG of reading)
LINE 4 - TIME _______________________________________________ (DTG of observation)
LINE 5 - NARRATIVE ________________________________________ (free text for additional information
required for report clarification)
LINE 6 - AUTHENTICATION __________________________________ (report authentication)
Table A-36. CBRN 6 Report acronym and abbreviation key
CBRN
chemical, biological, radiological, and nuclear
DTG
date-time group
ROTA
release other than attack
19 August 2013
FM 6-99
A-55
Appendix A
CBRN SITUATION REPORT [CBRNSITREP]
REPORT NUMBER: C040
GENERAL INSTRUCTIONS: Use to report current CBRN situation and chemical units’ activity. Reference:
FM 3-11.3.
LINE 1 - DATE AND TIME _____________________________________(DTG)
LINE 2 - UNIT _______________________________________________(unit making report)
LINE 3 - THREATCON ________________________________________(THREATCON level of unit)
LINE 4 - MOPP _______________________________________________(minimum MOPP level unit)
LINE 5 - RADIATION STAT ____________________________________(unit radiation status)
LINE 6 - ENEMY _____________________________________________(enemy CBRN activity: USE,
NONUSE, or any enemy chemical
units detected)
LINE 7 - CBRN UNITS ________________________________________(status of chemical units or
elements [location, activity, recon
status, readiness status])
A. no. of smoke systems auth ____________no opnl _______ projected opnl in 24 hrs. ________
B. no. of decon systems auth ____________no opnl _______ projected opnl in 24 hrs. ________
C. no. of recon systems auth _____________no opnl _______ projected opnl in 24 hrs. ________
LINE 8 - CBRN RECON________________________________________(reconnaissance missions
conducted during reporting period)
LINE 9 - DECON _____________________________________________(decon missions conducted)
LINE 10 - SMOKE ____________________________________________(smoke missions conducted)
LINE 11 - NARRATIVE ________________________________________(free text for additional information
required for report clarification)
LINE 12 - AUTHENTICATION __________________________________(report authentication)
Table A-37. CBRN Situation Report acronym and abbreviation key
CBRN
chemical, biological, radiological, and nuclear
DECON
decontamination
DTG
date-time group
MOPP
mission-oriented protective posture
NO.
number
Opnl
operational
RECON
reconnaissance
STAT
status
THREATCON
threat condition
A-56
FM 6-99
19 August 2013
Voice Message Format Templates
CEMETERY STATUS [CEMSTAT]
REPORT NUMBER: C045 {USMTF # D960}
GENERAL INSTRUCTIONS: Use to provide data concerning the creation or disposition of temporary
cemeteries. Reference: FM 4-20.64.
LINE 1 - DATE AND TIME ____________________________________ (DTG)
LINE 2 - UNIT _______________________________________________ (unit making report)
LINE 3 - NAME ______________________________________________ (name of cemetery)
LINE 4 - OPENED ____________________________________________ (DTG cemetery opened)
LINE 5 - COORDINATES ______________________________________ (UTM or six-digit grid coordinate
with MGRS grid zone designator)
LINE 6 - TOWN NAME _______________________________________ (name of the town, village, or city
nearest the cemetery)
LINE 7 - ROAD NUMBER _____________________________________ (cemetery access road number)
LINE 8 - ROAD NAME ________________________________________ (name of access road to cemetery)
LINE 9 - CAPACITY __________________________________________ (total capacity of cemetery)
LINE 10 - REMAINING CAPACITY _____________________________ (unused capacity of the cemetery)
LINE 11 - DISTANCE _________________________________________ (distance in feet between grave
reference marks)
LINE 12 - WIDTH ____________________________________________ (width in feet of the cemetery
access road)
LINE 13 - SECURITY TYPE____________________________________ (security type provided at the
cemetery)
**Repeat lines 3 through 13 to report on multiple temporary cemeteries. Assign sequential lines to succeeding
iterations. For example, first iteration is 3 through 13; second iteration is 3a through 13a; third iteration is 3b
through 13b; and so on.
LINE 14 - CEMETERY NAME __________________________________ (name of the cemetery that was
closed)
LINE 15 - COORDINATES _____________________________________ (coordinates of the closed
cemetery)
LINE 16 - CLOSED ___________________________________________ (DTG cemetery was closed)
LINE 17 - QUANTITY BY CATEGORY __________________________ (quantity of remains by personnel
category at the cemetery that was
closed)
**Repeat lines 14 through 17 to report the closing of multiple temporary cemeteries. Assign sequential lines to
succeeding iterations. For example, first iteration is 14 through 17; second iteration is 14a through 17a; third
iteration is 14b through 17b; and so on.
LINE 18 - NAME _____________________________________________ (name of closed cemetery)
LINE 19 - LOCATION_________________________________________ (UTM or six-digit grid coordinate
with MGRS grid zone designator)
LINE 20 - CLEARED__________________________________________ (DTG cemetery was cleared)
**Continued on next page
19 August 2013
FM 6-99
A-57
Appendix A
CEMETERY STATUS [CEMSTAT] (CONTINUED)
REPORT NUMBER: C045 {USMTF # D960}
LINE 21 - LAND CONDITION __________________________________(RESTORED or NOT
RESTORED)
**Repeat lines 18 through 21 to report the clearing of multiple temporary cemeteries. Assign sequential lines to
succeeding iterations. For example, first iteration is 18 through 21; second iteration is 18a through 21a; third
iteration is 18b through 21b; and so on.
LINE 22 - OH ________________________________________________(count of remains on hand at
beginning of report period)
LINE 23 - RECEIVED _________________________________________(count of remains received during
period)
LINE 24 - TRANSFERRED _____________________________________(count of remains transferred
during period)
LINE 25 - AWAITING TRANSFER ______________________________(count of remains awaiting transfer
at end of period)
LINE 26 - BURIED ____________________________________________(count of remains buried during
period)
LINE 27 - AWAITING BURIAL _________________________________(count of remains awaiting burial at
end of period)
**Repeat lines 22 through 27 to indicate multiple reports of remains transferred and buried. Assign sequential
lines to succeeding iterations. For example, first iteration is 22 through 27; second iteration is 22a through 27a;
third iteration is 22b through 27b; and so on.
LINE 28 - NARRATIVE ________________________________________(free text for additional information
required for report clarification)
LINE 29 - AUTHENTICATION __________________________________(report authentication)
Table A-38. Cemetery Status acronym and abbreviation key
DTG
date-time group
MGRS
military grid reference system
OH
on hand
UTM
universal transverse mercator
A-58
FM 6-99
19 August 2013
Voice Message Format Templates
CHEMICAL DOWNWIND MESSAGE [CDM]
REPORT NUMBER: C050
GENERAL INSTRUCTIONS: Use to transmit warning of potential hazards from a biological or chemical
attack. The CDM provides the required weather information/data for a six hour period. Reference: FM 3-11.3.
LINE 1 - AO _________________________________________________ (area of operations affected)
LINE 2 - DATE AND TIME ____________________________________ (DTG when message received)
LINE 3 - CDM START TIME ___________________________________ (DTG forecast begins)
WHISKEY MIKE _____________________________________________ (line provides two hour weather
data)
XRAY MIKE ________________________________________________ (line provides two hour weather
data)
YANKEE MIKE ______________________________________________ (line provides two hour weather
data)
LINE 4 - AUTHENTICATION __________________________________ (report authentication)
**The CDM is complete at line 4. The message receiver uses the additional lines of 5 through 13 to organize
the report.
LINE 5 - DIRECTION _________________________________________ (downwind direction in degrees)
LINE 6 - WIND SPEED ________________________________________ (wind speed in KM/MPH)
LINE 7 - AIR STABILITY _____________________________________ (air stability category:
1 = very unstable [U]
2 = unstable [U]
3 = slightly unstable [U]
4 = neutral [N]
5 = slightly stable [S]
6 = slightly stable [S]
7 = very stable [S])
LINE 8 - TEMPERATURE _____________________________________ (temperature code:
05 5 DEG C
04 4 DEG C
03 3 DEG C
02 2 DEG C
01 1 DEG C
00 0 DEG C
51 -1 DEG C
52 -2 DEG C
53 -3 DEG C
**Continued on next page.
19 August 2013
FM 6-99
A-59
Appendix A
CHEMICAL DOWNWIND MESSAGE [CDM] (CONTINUED)
REPORT NUMBER: C050
54 -4 DEG C
55 -5 DEG C
56 -6 DEG C)
LINE 9 - HUMIDITY __________________________________________(humidity code:
0 = 0-9%
1 = 10-19%
2 = 20-29%
3 = 30-39%
4 = 40-49%
5 = 50-59%
6 = 60-69%
7 =70-79%
8 = 80-89%
9 = 90-100%)
LINE 10 - WEATHER__________________________________________(significant weather
phenomena
code:
0 = no significant weather
1 = sea breeze
2 = land breeze
3 = blowing snow and sand
4 = fog, ice fog, and thick haze
5 = drizzle
6 = rain
7 = light rain or snow, snow mixed
[no shower]
8 = showers of rain, snow, rain and
snow, mixed, hail
9 = thunderstorms
A = top inversion layer lower than
800M
B = top inversion layer lower than
400M
C = top inversion layer lower than
200M)
**Continued on next page
A-60
FM 6-99
19 August 2013
Voice Message Format Templates
CHEMICAL DOWNWIND MESSAGE [CDM] (CONTINUED)
REPORT NUMBER: C050
LINE 11 - CLOUD COVER _____________________________________ (cloud cover code:
0 = sky less than half covered
1 = sky more than half covered
2 = sky completely covered
**Repeat lines 5 through 11 to indicate multiple missions/mission data. Assign sequential lines to succeeding
iterations. For example, first iteration is 5 through 11; second iteration is 5a through 11a; third iteration is 5b
through 11b; and so on.
LINE 12 - NARRATIVE _______________________________________ (free text for additional information
required for report clarification)
LINE 13 - AUTHENTICATION _________________________________ (report authentication)
Table A-39. Chemical Downwind Message acronym and abbreviation key
AO
area of operations
C
Celsius
DEG
degrees
DTG
date-time group
KM
kilometers
M
meters
MPH
miles per hour
N
neutral
S
stable
U
unstable
19 August 2013
FM 6-99
A-61
|
|