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Appendix A
CIVIL AFFAIRS OPERATIONS STATUS [CAOSTAT]
REPORT NUMBER: C055 {USMTF # B991}
GENERAL INSTRUCTIONS: Use to provide a status of the civil affairs operations and the civil component
situation. Reference: FM 3-57.
LINE 1 - DATE AND TIME _____________________________________(DTG)
LINE 2 - UNIT _______________________________________________(unit making report)
LINE 3 - AREA OF OPERATIONS _______________________________(AO code name and changes in
boundaries since last report)
LINE 4 - AREA(s) OF INTEREST ________________________________(AOI code name[s] and changes in
boundaries since last report)
LINE 5 - TASK ORGANIZATION _______________________________(changes in CA task organization
since last report)
LINE 6 - INTERGOVERNMENTAL ORGANIZATIONS _____________(changes in IGO presence,
capability, and capacity)
LINE 7 - NONGOVERNMENTAL ORGANIZATIONS _______________(changes in NGO presence,
capability, and capacity)
LINE 8 - SIGNIFICANT EVENTS SUMMARY _____________________(summary of critical engagements
and civil events occurring since last
report)
LINE 9 - MESSAGES AND THEMES _____________________________(messages and themes supported
during engagements)
LINE 10 - CAO PROJECTS SUMMARY __________________________(summary of critical planned and
ongoing civil affairs operations
projects within the AO)
LINE 11 - NARRATIVE AND RECOMMENDATIONS ______________(narrative report summary and
recommendations
concerning
revisions to planned CAO)
LINE 12 - GOVERNANCE______________________________________(changes in status of governance
objectives; include information
regarding changes of political
boundaries and the capability and
capacity
to
provide
public
administration, public safety, and
environmental
management;
provide changes in population
control
measures
[curfews,
movement restrictions, border
controls, assembly restrictions]
implemented in AO; include
relevant information regarding
native population or dislocated
civilian
population;
include
summary governance information
on engagements, projects, political
events)
**Continued on next page.
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CIVIL AFFAIRS OPERATIONS STATUS [CAOSTAT] (CONTINUED)
REPORT NUMBER: C055 {USMTF # B991}
LINE 13 - RULE OF LAW _____________________________________ (changes in status of rule of law
objectives;
include
relevant
information regarding changes in
local capability and capacity to
enforce law and order within the
civil populace; include significant
information regarding changes
impacting police forces, judiciary
system, courts, and corrections;
include
summary information
regarding rule of law for
engagements and projects)
LINE 14 - INFRASTRUCTURE _________________________________ (changes in status of infrastructure
objectives;
include
relevant
information regarding changes in
local capability and capacity of
public
facilities
[government
owned administration and service
facilities];
include information
regarding
changes in local
capability and capacity impacting
public utility services
[water
facilities, sewage, waste water
treatment, solid waste disposal,
energy production, hazardous waste
disposal, oil and natural gas
refinement
and
distribution
facilities,
pipelines,
public
transportation,
roads,
bridges,
waterways, air and rail terminals,
and
mass
communication
facilities];
include
summary
information
regarding
infrastructure for engagements and
projects)
LINE 15 - PUBLIC HEALTH AND WELFARE_____________________ (changes in status of public health
and welfare objectives; include
relevant information regarding
changes in local capability and
capacity in the operation and
maintenance
of
indigenous
hospitals/clinics; identify location
and cause of public health related
problems within large sections of
the population; provide significant
information regarding changes in
capability
and capacity
of
organizations providing public
**Continued on next page.
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Appendix A
CIVIL AFFAIRS OPERATIONS STATUS [CAOSTAT] (CONTINUED)
REPORT NUMBER: C055 {USMTF # B991}
____________________________________________________________health and welfare services
[HN
organizations,
U.S.
military
organizations, IGOs and NGOs];
identify changes in number,
specialties, and levels of training of
indigenous physicians, nurses,
veterinarians, and other public
health and welfare professionals;
identify changes in indigenous
capability and capacity to provide
mortuary services, services to the
mentally handicapped, infirmed,
women, children, and to protect,
preserve, and restore property;
include
summary information
regarding health and welfare for
engagements and projects)
LINE 16 - ECONOMIC STABILITY ______________________________(changes in status of economic
stability
objectives;
include
relevant information regarding
changes in resources control
measures [licensing, regulations or
guidelines, customs inspections,
ration controls, amnesty programs,
inspection
of
facilities]
implemented in AO; identify status
changes of local food and water
supply adequacy and shortages
measured by the Sphere project
standards; identify changes in
indigenous capability and capacity
of public and commercial supply
systems,
agencies,
services,
personnel, resources, facilities, and
energy related industries to
distribute products
[coal, diesel,
gasoline, natural gas, fissile
material]; identify status changes of
planned
and
current
international/host
nation/USAID
programs, projects, and initiatives
designed to spur economic growth;
include
summary information
regarding economic stability for
engagements and projects)
LINE 17 - PUBLIC EDUCATION AND INFORMATION _____________(changes in status of public
education
and
information
objectives; identify the location[s]
**Continued on next page.
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CIVIL AFFAIRS OPERATIONS STATUS [CAOSTAT] (CONTINUED)
REPORT NUMBER: C055 {USMTF # B991}
____________________________________________________________ and changes in capability and
capacity of public, private, and
parochial education institutions to
implement academic and technical
curriculums and services; identify
the changes in the population's
reaction to the receipt of the
military's or HN government's mass
communication public information
themes and messages; include
summary information regarding
public education and information
for engagements and projects)
LINE 18 - AUTHENTICATION _________________________________ (report authentication)
Table A-40. Civil Affairs Operations Status acronym and abbreviation key
AO
area of operations
AOI
area of interest
CA
civil affairs
CAO
civil affairs operations
DTG
date-time group
HN
host nation
IGO
intergovenmental organization
NGO
nongovernmental organization
USAID
United States Agency for International Development
19 August 2013
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Appendix A
CLOSE AIR SUPPORT SUMMARY [CASSUM]
REPORT NUMBER: C060 {USMTF # C600}
GENERAL INSTRUCTIONS: Use to provide timely reports of CAS missions and other information obtained
during post-flight aircrew debriefing. Reference: FM 3-09.31.
LINE 1 - DATE AND TIME _____________________________________(DTG)
LINE 2 - UNIT _______________________________________________(unit making report)
LINE 3 - NO. CAS MSN ________________________________________(mission number for first mission
of period and remaining missions)
LINE 4 - NO. AND TYPE AC ___________________________________(number and type of aircraft used)
LINE 5 - SIGHTINGS __________________________________________(information on enemy aircraft and
ground targets sighted during
ingress
and egress; include
location, direction, type, and
number)
LINE 6 - TARGET AREA LOCATION ____________________________(UTM or six-digit grid zone
designator of target)
LINE 7 - TARGET RESULTS ___________________________________(type and quantity of targets
sighted, destroyed, or damaged in
the target area)
LINE 8 - TARGET DEFENSE ___________________________________(type, quantity, and location of
target area defense)
LINE 9 - TARGET WEATHER __________________________________(include low cloud cover, height of
low cloud base, surface visibility,
and the general weather condition)
LINE 10 - TARGET AREA JAMMING ____________________________(include type of jamming,
frequencies jammed, time period of
jamming electronic protection,
action used, and effectiveness of
electronic protection action used)
**Repeat lines 3 through 10 to report more than one CAS mission in a report period. Assign sequential lines to
succeeding iterations. For example, first iteration is 3 through 10; second iteration is 3a through 10a; third
iteration is 3b through 10b; and so on.
LINE 11 - ORDNANCE ________________________________________(type and quantity expended during
reporting period)
LINE 12 - NARRATIVE ________________________________________(free text for additional information
required for report clarification)
LINE 13 - AUTHENTICATION __________________________________(report authentication)
Table A-41. Close Air Support Summary acronym and abbreviation key
AC
aircraft
CAS
close air support
DTG
date-time group
MSN
mission
NO.
number
UTM
universal transverse mercator
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CLOSURE REPORT [CLOSEREP]
REPORT NUMBER: C065
GENERAL INSTRUCTIONS: Use to inform the status of movement and capability of the unit to conduct
future operations. Reference: FM 3-90.6.
LINE 1 - DATE AND TIME ____________________________________ (DTG)
LINE 2 - UNIT _______________________________________________ (unit making report)
LINE 3 - SP _________________________________________________ (UTM or six-digit grid coordinate
with MGRS grid zone designator to
the SP and SP time if required)
LINE 4 - RP _________________________________________________ (UTM or six-digit grid coordinate
with MGRS grid zone designator to
the RP and RP time if required)
LINE 5 - COMMAND POST ____________________________________ (command post location)
LINE 6 - CLOSING DTG ______________________________________ (closing DTG)
LINE 7 - EVENTS ____________________________________________ (accidents, incidents, and enemy
activity encountered)
LINE 8 - ETA TO CONTINUE OPERATIONS _____________________ (estimated time unit will be
reconstituted and ready to continue
operations)
LINE 9 - SENSITIVE ITEMS STAT ______________________________ (sensitive item inventory complete:
YES or NO)
LINE 10 - NARRATIVE _______________________________________ (free text for additional information
required for report clarification)
LINE 11 - AUTHENTICATION _________________________________ (report authentication)
Table A-42. Closure Report acronym and abbreviation key
DTG
date-time group
ETA
estimated time of arrival
MGRS
military grid reference system
RP
release point
SP
start point
STAT
status
UTM
universal transverse mercator
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Appendix A
COMMANDER’S SITUATION REPORT [SITREP]
REPORT NUMBER: C070 {USMTF # C400}
GENERAL INSTRUCTIONS: Use to report on an event to higher headquarters, providing commanders and
staffs with sufficient information for the receiving mission command facility to act on the report. Reference:
FM 3-90.6.
LINE 1 - DATE AND TIME _____________________________________(DTG)
LINE 2 - UNIT _______________________________________________(unit making report)
LINE 3 - REPORTED UNIT _____________________________________(unit identification code of the
reported unit)
LINE 4 - HOME LOCATION ____________________________________(UTM or six-digit grid coordinate
with MGRS grid zone designator
for home location of the reported
unit)
LINE 5 - PRESENT LOCATION _________________________________(UTM or six-digit grid coordinate
with MGRS grid zone designator
for the present location of the
reported unit)
LINE 6 - ACTIVITY ___________________________________________(brief description of reported unit’s
current activity)
LINE 7 - EFFECTIVE __________________________________________(commander’s evaluation of the
reported unit’s combat
effectiveness)
LINE 8 - OWN SITUATION DISPOSITION/STATUS ________________(summary updating changes to or
not previously reported major
combatant and support force
locations,
significant
mission
readiness degradation on units,
current deployments, proposed
deployments, changes in task force
designations,
organization
or
CHOP, and projected requirements
for additional forces)
LINE 9 - SITUATION OVERVIEW_______________________________(brief overall assessment of the
situation to include circumstances
or conditions which increase or
materially
detract
from the
capability and readiness of forces
assigned or under operational
control of the command or service)
LINE 10 - OPERATIONS _______________________________________(brief description and results of
offensive and defensive operations
carried out by major combatant
elements during the period of the
report; information on allied forces’
operations, summary of plans for
combat operations during the next
24 hours including objectives and
**Continued on next page.
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COMMANDER’S SITUATION REPORT [SITREP] (CONTINUED)
REPORT NUMBER: C070 {USMTF # C400}
____________________________________________________________ probable
enemy
reaction;
deviations or variations from
previously reported intentions or
plans)
LINE 11 - INTELLIGENCE/RECONNAISSANCE __________________ (brief overview of the situation,
including
operations,
threat
characteristics, capabilities, and
threat changes; reference: any
significant SPIREPs or INTREPs
submitted in the previous 24 hours)
LINE 12 - LOGISTICS_________________________________________ (significant deficiencies affecting
support for planned operations or
problem areas
beyond the
commander’s
or
service’s
capability to overcome or alleviate
in a timely manner)
LINE 13 - COMMUNICATIONS/CONNECTIVITY _________________ (significant outages, traffic volume,
incompatibilities, and quantitative
equipment deficiencies; assessment
of the mission impact caused by
communications outages
and
degradations)
LINE 14 - PERSONNEL _______________________________________ (factors affecting readiness of
forces or units; mobilization status;
daily battle casualties aggregated
by service and impact of all
casualties
sustained
[battle,
nonbattle, critical skills, key
personnel upon the commands’
mission capability])
LINE 15 - POL/MIL/DIP EVENTS _______________________________ (events not reported by OPREP 3
PINNACLE that could result in
U.S. and local and international
public reaction; results or decisions
of key allied or other foreign
government meetings; civil unrest
indications
of civil
defense
measures
contemplated
or
implemented; large-scale military
exercises;
events emphasizing
interests of key segments of the
society)
**Continued on next page.
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Appendix A
COMMANDER’S SITUATION REPORT [SITREP] (CONTINUED)
REPORT NUMBER: C070 {USMTF # C400}
LINE 16 - CDR’S EVAL ________________________________________(summary of key points from lines
9 through
15 highlighting areas
requiring JCS and NCA actions or
decisions; COOP implementation
intentions on execution)
LINE 17 - NARRATIVE ________________________________________(free text for additional information
required for report clarification)
LINE 18 - AUTHENTICATION __________________________________(report authentication)
Table A-43. Commander’s Situation Report acronym and abbreviation key
CDR
commander
CHOP
change of operational control procedure
COOP
continuity of operations
DIP
diplomatic
DTG
date-time group
EVAL
evaluation
INTREP
intelligence report
JCS
joint chiefs of staff
MGRS
military grid reference system
MIL
military
NCA
national command authority
OPREP
operational report
POL
political
SPIREP
significant spot intelligence reports
UTM
universal transverse mercator
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COMPUTER NETWORK ATTACK [COMNETATK]
REPORT NUMBER: C075
GENERAL INSTRUCTIONS: Use to inform commander and staff of suspected attack into the command
information system.
LINE 1 - DATE AND TIME ____________________________________ (DTG)
LINE 2 - UNIT _______________________________________________ (unit making report)
LINE 3 - IMPACT ____________________________________________ (estimated severity of attack)
LINE 4 - HARDWARE AFFECTED ______________________________ (type of hardware affected)
LINE 5 - HARDWARE STATUS ________________________________ (status of hardware affected)
LINE 6 - DTG ATTACK DETECTED ____________________________ (DTG computer system was attack)
LINE 7 - DTG ATTACK ENDED ________________________________ (DTG computer attack ended)
LINE 8 - SOFTWARE AFFECTED ______________________________ (type and number of system
software attacked)
LINE 9 - NO. SYSTEMS AFFECTED ____________________________ (number of systems affected by
attack)
LINE 10 - TYPE OF ATTACK __________________________________ (type of attack)
LINE 11 - SOURCE ADDRESS _________________________________ (address of attacking machine)
LINE 12 - INTRUSION METHOD _______________________________ (method used)
LINE 13 - NARRATIVE _______________________________________ (free text for additional information
required for report clarification)
LINE 14 - AUTHENTICATION _________________________________ (report authentication)
Table A-44. Computer Network Attack acronym and abbreviation key
DTG
date-time group
NO.
number
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Appendix A
CREW MANNING REPORT [CREWMNQREP]
REPORT NUMBER: C080
GENERAL INSTRUCTIONS: Use to inform higher headquarters on status of crews in a unit. Reference:
FM 1-100 and FM 3-20.21.
LINE 1 - DATE AND TIME _____________________________________(DTG)
LINE 2 - UNIT _______________________________________________(unit making report)
LINE 3 - CDR’S ASSESSMENT _________________________________(commander’s assessment)
LINE 4 - EQUIPMENT STATUS _________________________________(status of unit personnel and
equipment)
A. EQUIPMENT TYPE _________________________________________
B. MOS______________________________________________________
C. PER REQ TO CREW; FULL/MIN ______________________________
D. NO. CREWS REQUIRED BY TASK ____________________________
E. NO. CREWS AVAILABLE; FULL/MIN _________________________
F. NO. CREWS REQUESTED ___________________________________
LINE 5 - NARRATIVE _________________________________________(free text for additional information
required for report clarification)
LINE 6 - AUTHENTICATION ___________________________________(report authentication)
Table A-45. Crew Manning Report acronym and abbreviation key
CDR
commander
DTG
date-time group
MIN
minimum
MOS
military occupational specialty
NO.
number
REQ
requirement
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CROSSING REPORT [CROSSREP]
REPORT NUMBER: C085
GENERAL INSTRUCTIONS: Use to report the nature and condition of a ford, ferry, or other crossing site.
Reference: FM 3-34 and FM 5-34.
LINE 1 - DATE AND TIME ____________________________________ (DTG)
LINE 2 - UNIT _______________________________________________ (unit making report)
LINE 3 - TYPE _______________________________________________ (commander’s assessment)
LINE 4 - LOCATION__________________________________________ (status of unit personnel and
equipment)
LINE 5 - WIDTH _____________________________________________ (usable width)
LINE 6 - WATER SPEED ______________________________________ (water current speed in meters per
second)
LINE 7 - DEPTH _____________________________________________ (maximum depth in meters)
LINE 8 - BOTTOM ___________________________________________ (bottom material and condition)
LINE 9 - CAPACITY __________________________________________ (classification of any existing ferry
equipment or ford)
LINE 10 - ENTRY ____________________________________________ (slope of entry blank)
LINE 11 - EXIT ______________________________________________ (slope of exit bank)
LINE 12 - NARRATIVE _______________________________________ (free text for additional information
required for report clarification)
LINE 13 - AUTHENTICATION _________________________________ (report authentication)
Table A-46. Crossing Report acronym and abbreviation key
DTG
date-time group
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Appendix A
CYBER EFFECTS REQUEST FORMAT [CERF]
REPORT NUMBER: C090
GENERAL INSTRUCTIONS: Use to initiate planning, target development, and the delivery of fires in and
through cyberspace in support of a commander’s strategic endstate, operational objectives, and tactical tasks.
Reference: ATP 3-09.32.
LINE 1 - REQUESTING UNIT INFORMATION ____________________(unit making report)
LINE 2 - DATE AND TIME _____________________________________(DTG)
LINE 3 - SUPPORTED COMMAND ______________________________(supported major command)
LINE 4 - REQUESTING UNIT___________________________________(unit requesting data)
LINE 5 - POINT OF CONTACT _________________________________(individual initiating request)
LINE 6 - SUPPORTED OPERATION INFORMATION _______________(supported operation data)
LINE 7 - OPLAN/CONPLAN/ORDER ____________________________(number or name of supported
OPLAN, CONPLAN, ORDER)
LINE 8 - MISSION STATEMENT ________________________________(commander’s mission statement)
LINE 9 - COMMANDER’S INTENT ______________________________(specific item of commander’s
intent)
LINE 10 - COMMANDER’S ENDSTATE__________________________(specific item of commander’s
endstate)
LINE 11 - CONCEPT OF OPERATION ___________________________(concept of operation)
LINE 12 - OBJECTIVE _________________________________________(STRAT/OP/TACT)
LINE 13 - OBJECTIVE/TASK ___________________________________(tactical objective/task)
LINE 14 - COMPUTER NETWORK OPERATIONS INFORMATION ___(network and target data)
LINE 15 - TYPE OF TARGET ___________________________________(on call/scheduled)
LINE 16 - TARGET PRIORITY __________________________________(emergency/priority/routine)
LINE 17 - TARGET NAME _____________________________________(TGT name: MIDB/EID, or
O-suffix/BE number)
LINE 18 - TARGET LOCATION _________________________________(TGT location: IP, MAC, physical
location, any or all known)
LINE 19 - TARGET DESCRIPTION ______________________________(facility,
individual,
virtual,
equipment, or organization)
LINE 20 - TARGET FUNCTION _________________________________(target primary function)
LINE 21 - TARGET SIGNIFICANCE _____________________________(TGT’s importance to the adversary
TGT systems)
LINE 22 - CONCEPT OF CYBER OPERATION ____________________(OCO: describe how cyber fires
contribute to commander’s
objectives; DCO:
assessments/detection,
containment, response,
investigation)
LINE 23 - TARGET EXPECTATION STATEMENT _________________(describe endstate for targeting)
**Continued on next page.
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CYBER EFFECTS REQUEST FORMAT [CERF] (CONTINUED)
REPORT NUMBER: C090
LINE 24 - REMARKS _________________________________________ (amplifying information)
LINE 25 - AUTHENTICATION _________________________________ (report authentication)
Table A-47. Cyber Effects Request Format acronym and abbreviation key
BE
basic encyclopedia
CONPLAN
concept plan
DCO
defensive cyber operations
DTG
date-time group
EID
electronically identification
IP
initial point
MAC
media access control
MIDB
modernized integrated database
OCO
overseas contingency operations
OP
operational
OPLAN
operation plan
STRAT
strategic
TACT
tactical
TGT
target
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Appendix A
CYBERSPACE OPERATIONS MISSION REQUEST
STATUS/TASKING [CYOPREQSTATSK]
REPORT NUMBER: C095
LINE 1 -DATE AND TIME _____________________________________(DTG)
LINE 2 - UNIT _______________________________________________(unit making report)
LINE 3 - REQUEST ___________________________________________(request number, CERF ID)
LINE 4 - COMMAND __________________________________________(requesting command)
LINE 5 - STATUS _____________________________________________(status of request: approved or
disapproved)
LINE 6 - TASKED ____________________________________________(command tasked to comply with
and satisfy the request)
LINE 7 - PRIORITY ___________________________________________(revised priority:
1,
1A-1Z;
2,
2A-2Z; 3, 3A-3Z; 4, 4A-4Z)
LINE 8 - MISSION ____________________________________________(type of mission: reconnaissance,
OCO, response actions)
LINE 9 - NARRATIVE _________________________________________(free text for additional information
required for report clarification)
LINE 10 - AUTHENTICATION __________________________________(report authentication)
Table A-48. Cyberspace Operations Mission Request Status/Tasking acronym and abbreviation key
CERF
cyber effects request format
DTG
date-time group
ID
identification
OCO
overseas contingency operations
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DAILY BLOOD REPORT [DBLDREP]
REPORT NUMBER: D001
GENERAL INSTRUCTIONS: Use to convey unit blood supply to medical staff and higher headquarters.
Reference: FM 4-02.1.
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 - NO. OH/BLOOD PRODUCT/BLOOD GRP ________________ (total number of blood products on
hand by blood groups at the end of
the reporting period)
LINE 5 - NO. REQUIRED/BLOOD PRODUCT _____________________ (total number of blood products
required by DTG)
LINE 6 - EXPIRE/BLOOD PRODUCT/BLOOD GRP ________________ (estimated total number of blood
products by blood groups to expire
within the next 7 days)
LINE 7 - NO. REQUESTED/BLOOD PRODUCT/BLOOD GRP _______ (estimated blood supply by quantity
and groups requested within the
next 7 days)
LINE 8 - CDR’S ASSESSMENT _________________________________ (commander’s assessment)
LINE 9 - NARRATIVE ________________________________________ (free text for additional information
required for report clarification)
LINE 10 - AUTHENTICATION _________________________________ (report authentication)
Table A-49. Daily Blood Report acronym and abbreviation key
CDR
commander
DTG
date-time group
GRP
group
MGRS
military grid reference system
NO.
number
OH
on hand
UTM
universal transverse mercator
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Appendix A
DECONTAMINATION REQUEST [DECONREQ]
REPORT NUMBER: D005 {USMTF # C060}
GENERAL INSTRUCTIONS: Use to request decontamination by contaminated units. Reference: FM 3-11.5.
LINE 1 - DATE AND TIME _____________________________________(DTG)
LINE 2 - UNIT _______________________________________________(unit making report)
LINE 3 - TYPE DECON ________________________________________(type of decontamination support
required: operational or thorough)
LINE 4 - TIME AND LOCATION ________________________________(time of contamination and
location)
LINE 5 - TYPE AND QUANTITY ________________________________(type and quantity of equipment to
be decontaminated)
LINE 6 - DECON LOCATION ___________________________________(UTM or six-digit grid coordinate
with MGRS grid zone designator of
decontamination site location)
LINE 7 - PERSONNEL _________________________________________(number of personnel requiring
decontamination)
LINE 8 - TYPE CONTAMINATION ______________________________(type of contamination: nuclear,
biological,
or
chemical
[if
chemical, type of agent if known])
LINE 9 - TIME TO DECON _____________________________________(request
time
to
start
decontamination)
LINE 10 - LINK-UP POC _______________________________________(frequency and call sign of link-up
point POC)
LINE 11 - CP AT DECON SITE __________________________________(link-up point for decontamination
assets)
LINE 12 - SPECIAL REQUIREMENTS ___________________________(patient decontamination, recovery
assets, unit decontamination team)
**Repeat lines 3 through 12 to report multiple missions/mission data. Assign sequential lines to succeeding
iterations. For example, first iteration is 3 through 12; second iteration is 3a through 12a; third iteration is 3b
through 12b; and so on.
LINE 13 - NARRATIVE ________________________________________(free text for additional information
required for report clarification)
LINE 14 - AUTHENTICATION __________________________________(report authentication)
Table A-50. Decontamination Request acronym and abbreviation key
CP
command post
DECON
decontamination
DTG
date-time group
MGRS
military grid reference system
POC
point of contact
UTM
universal transverse mercator
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DECON SITE REPORT [DECONSTREP]
REPORT NUMBER: D010 {USMTF #C065}
GENERAL INSTRUCTIONS: Use to update progress and status of decontamination sites in a unit’s area of
operation. Reference: FM 3-11.5.
LINE 1 - DATE AND TIME ____________________________________ (DTG)
LINE 2 - UNIT _______________________________________________ (unit making report)
LINE 3 - SUPPORT UNIT ______________________________________ (unit conducting decontamination)
LINE 4 - CONTAMINATED UNIT ______________________________ (unit being decontaminated)
LINE 5 - PERCENT COMPLETE ________________________________ (percentage of decontamination
complete)
LINE 6 - TIME COMPLETE ____________________________________ (DTG of completion and site
closure)
LINE 7 - CRITICAL SHORTAGES ______________________________ (critical shortages needed to
complete decontamination)
LINE 8 - CASUALTIES________________________________________ (chemical casualties)
LINE 9 - STATUS ____________________________________________ (status
of
decontamination
containment: GREEN, YELLOW,
RED, BLUE)
LINE 10 - TYPE OF DECON ___________________________________ (operational or thorough)
LINE 11 - NARRATIVE _______________________________________ (free text for additional information
required for report clarification)
LINE 12 - AUTHENTICATION _________________________________ (report authentication)
Table A-51. DECON Site Report acronym and abbreviation key
DECON
decontamination
DTG
date-time group
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Appendix A
DETAINED CIVILIAN PERSONNEL REPORT [DETAINCIVREP]
REPORT NUMBER: D015
GENERAL INSTRUCTIONS: Use to provide commander of incidents where the unit has detained civilian
personnel. Reference: FM 3-39.
LINE 1 - DATE AND TIME _____________________________________(DTG)
LINE 2 - UNIT _______________________________________________(unit making report)
LINE 3 - NO. DETAINEES/AWAITING RELEASE__________________(number of personnel detained
and/or number of personnel
awaiting release)
LINE 4 - LOCATION __________________________________________(UTM or six-digit grid coordinate
with MGRS grid zone designator of
collection point)
LINE 5 - REASON FOR DETENTION ____________________________(reason for detaining civilian
personnel)
LINE 6 - MEDICAL CONDITION ________________________________(report if detained persons require
emergency medical treatment)
LINE 7 - POC ________________________________________________(POC of foreign nation support)
LINE 8 - PM ASSESSMENT ____________________________________(provost marshal assessment)
LINE 9 - NARRATIVE _________________________________________(free text for additional information
required for report clarification)
LINE 10 - AUTHENTICATION __________________________________(report authentication)
Table A-52. Detained Civilian Personnel Report acronym and abbreviation key
DTG
date-time group
MGRS
military grid reference system
NO.
number
PM
provost marshal
POC
point of contact
UTM
universal transverse mercator
A-80
FM 6-99
19 August 2013
Voice Message Format Templates
DIRECT SUPPORT UNIT REPORT [DIRSPTREP]
REPORT NUMBER: D020
GENERAL INSTRUCTIONS: Used by logistics staff officers, combat health support officers, and commanders
to report an assessment of the availability and capability of sustaining current and future unit operations. This
report can be executed as an estimate if required. Each class of supply requires a narrative that includes line
number, quantity on hand, and earliest time on station of resupply of critically short supplies or equipment.
References: ADP 4-0 and ADRP 4-0.
LINE 1 - DATE AND TIME ____________________________________ (DTG)
LINE 2 - UNIT _______________________________________________ (unit making report)
LINE 3 - CDR’S ASSESSMENT _________________________________ (commander’s assessment)
LINE 4 - CLASS I ____________________________________________ (class I narrative)
LINE 5 - CLASS II ____________________________________________ (class II narrative)
LINE 6 - CLASS III ___________________________________________ (class III narrative)
LINE 7 - CLASS IV ___________________________________________ (class IV narrative)
LINE 8 - CLASS V____________________________________________ (class V narrative)
LINE 9 - CLASS VI ___________________________________________ (class VI narrative)
LINE 10 - CLASS VII _________________________________________ (class VII narrative)
LINE 11 - CLASS VIII_________________________________________ (class VIII narrative)
LINE 12 - CLASS IX __________________________________________ (class IX narrative
[include
maintenance status])
LINE 13 - WATER ____________________________________________ (class I water)
LINE 14 - TRANSPORTATION _________________________________ (transportation assets available)
LINE 15 - NARRATIVE _______________________________________ (free text for additional information
required for report clarification)
LINE 16 - AUTHENTICATION _________________________________ (report authentication)
Table A-53. Direct Support Unit Report acronym and abbreviation key
CDR
commander
DTG
date-time group
19 August 2013
FM 6-99
A-81
Appendix A
EFFECTIVE DOWNWIND MESSAGE [EDM]
REPORT NUMBER: E001 {USMTF # C503}
GENERAL INSTRUCTIONS: Use to provide the command and staff the effective downwind data needed for
prediction of fallout areas following CBRN attacks. Reference: FM 3-11.3.
LINE 1 - DATE AND TIME _____________________________________(DTG)
LINE 2 - UNIT _______________________________________________(unit making report)
LINE 3 - REPORT _____________________________________________(type of report: EDM or EDF)
LINE 4 - AREA _______________________________________________(area of validity)
LINE - ZULU MIKE ___________________________________________(DTG of observation and beginning
and end of period covered)
LINE - ALFA MIKE ___________________________________________(2 KT or less; give radius of zone 1
in KM, nautical miles, or direction
and speed of wind, with warning
area angle when required)
LINE - BRAVO MIKE _________________________________________(2 KT-5 KT; give radius of zone 1
in KM, nautical miles, or direction
and speed of wind, with warning
area angle when required)
LINE - CHARLIE MIKE________________________________________(5 KT-30 KT; give radius of zone 1
in KM, nautical miles, or direction
and speed of wind, with warning
area angle when required)
LINE - DELTA MIKE __________________________________________(30 KT-100 KT; give radius of
zone 1 in KM, nautical miles, or
direction and speed of wind, with
warning area angle when required)
LINE - ECHO MIKE ___________________________________________(100 KT-300 KT; give radius of
zone 1 in KM, nautical miles, or
direction and speed of wind, with
warning area angle when required)
LINE - FOXTROT MIKE _______________________________________(300 KT-1 MT; give radius of zone
1 in KM, nautical miles, or
direction and speed of wind, with
warning area angle when required)
LINE - GOLF MIKE ___________________________________________(1 MT-3 MT; give radius of zone 1
in KM, nautical miles, or direction
and speed of wind, with warning
area angle when required)
LINE 5 - NARRATIVE _________________________________________(free text for additional information
required for report clarification)
LINE 6 - AUTHENTICATION ___________________________________(report authentication)
**Continued on next page.
A-82
FM 6-99
19 August 2013
Voice Message Format Templates
EFFECTIVE DOWNWIND MESSAGE [EDM] (CONTINUED)
REPORT NUMBER: E001 {USMTF # C503}
Table A-54. Effective Downwind Message acronym and abbreviation key
CBRN
chemical, biological, radiological, and nuclear
DTG
date-time group
EDF
effective direct fire
EDM
effective downwind message
KM
kilometers
KT
kilotons
MT
megaton
19 August 2013
FM 6-99
A-83
Appendix A
ELECTRONIC ATTACK DATA MESSAGE [EADAT]
REPORT NUMBER: E005 {USMTF # F751}
GENERAL INSTRUCTIONS: Use to triangulate an object jamming friendly units by comparing lines of
bearing from different origins. Reference: FM 2-0.
LINE 1 - DATE AND TIME _____________________________________(DTG)
LINE 2 - UNIT _______________________________________________(unit making report)
LINE 3 - TRACK______________________________________________(strobe number)
LINE 4 - BEARING ___________________________________________(bearing of the EA strobe from
affected
or
detecting
unit’s
position)
LINE 5 - POSITION ___________________________________________(UTM or six-digit grid coordinate
with MGRS grid zone designator)
LINE 6 - FREQUENCY ________________________________________(EA frequency)
LINE 7 - AFFECTING _________________________________________(type of equipment affected by EA,
if known)
LINE 8 - EMITTER ____________________________________________(emitter call sign and name or
nomenclature)
LINE 9 - TIME _______________________________________________(DTG of EA intercept)
LINE 10 - NARRATIVE ________________________________________(free text for additional information
required for report clarification)
LINE 11 - AUTHENTICATION __________________________________(report authentication)
Table A-55. Electronic Attack Data Message acronym and abbreviation key
DTG
date-time group
EA
electronic attack
MGRS
military grid reference system
UTM
universal transverse mercator
A-84
FM 6-99
19 August 2013
Voice Message Format Templates
ELECTRONIC WARFARE FREQUENCY DECONFLICTION
MESSAGE [EWDECONFLICT]
REPORT NUMBER: E010 {USMTF # F402}
GENERAL INSTRUCTIONS: Use to promulgate a list of protected, guarded, and taboo frequencies to ensure
friendly force use of the frequency spectrum without adverse impact from friendly electronic attack. Reference:
FM 6-02.72.
LINE 1 - DATE AND TIME ____________________________________ (DTG)
LINE 2 - UNIT _______________________________________________ (unit making report)
LINE 3 - TYPE _______________________________________________ (TABOO, PROTECT, or GUARD)
LINE 4 - STATUS ____________________________________________ (restricted status of frequency:
NEW, CHANGE, CANCEL or
RENEW)
LINE 5 - FREQUENCY ________________________________________ (frequency)
LINE 6 - ON TIME ___________________________________________ (start DTG of frequency restriction)
LINE 7 - OFF TIME ___________________________________________ (end DTG of frequency restriction)
LINE 8 - LOCATION__________________________________________ (UTM or six-digit grid coordinate
with MGRS grid zone designator)
**Repeat lines 3 through 8 to report multiple mission data. Assign sequential lines to succeeding iterations. For
example, first iteration is 3 through 8; second iteration is 3a through 8a; third iteration is 3b through 8b; and so
on.
LINE 9 - NARRATIVE ________________________________________ (free text for additional information
required for report clarification)
LINE 10 - AUTHENTICATION _________________________________ (report authentication)
Table A-56. Electronic Warfare Frequency Deconfliction Message acronym and abbreviation key
DTG
date-time group
MGRS
military grid reference system
UTM
universal transverse mercator
19 August 2013
FM 6-99
A-85
Appendix A
ELECTRONIC WARFARE MISSION SUMMARY [EWMSNSUM]
REPORT NUMBER: E015 {USMTF # G424}
GENERAL INSTRUCTIONS: Use to summarize significant electronic warfare missions and the status of
offensive electronic warfare assets.
LINE 1 - DATE AND TIME _____________________________________(DTG)
LINE 2 - UNIT _______________________________________________(unit making report)
LINE 3 - FROM _______________________________________________(beginning DTG of period
summarized)
LINE 4 - THROUGH___________________________________________(ending
DTG of period
summarized)
LINE 5 - COUNTRY ___________________________________________(nationality of the target emitter of
concern)
LINE 6 - LOCATION __________________________________________(UTM or six-digit grid coordinate
with MGRS grid zone designator)
LINE 7 - EMITTER ____________________________________________(emitter call sign and name or
nomenclature)
LINE 8 - FUNCTION __________________________________________(primary function of target)
LINE 9 - NOTATION __________________________________________(notation or sorting code)
LINE 10 - SIGNAL ____________________________________________(type of signal of target emitter)
LINE 11 - ON TIME ___________________________________________(DTG that planned EA activity was
initiated)
LINE 12 - OFF TIME __________________________________________(DTG that planned EA activity was
terminated)
LINE 13 - PRIORITY __________________________________________(relative importance of EA
mission)
LINE 14 - TYPE ______________________________________________(type of EA used against the
emitter)
LINE 15 - PRIMARY FREQUENCY ______________________________(primary frequency of EA target
signal)
LINE 16 - SECONDARY FREQUENCY ___________________________(secondary frequency of EA target
signal)
LINE 17 - LOW FREQUENCY __________________________________(lower frequency limit of target
equipment class)
LINE 18 - HIGH FREQUENCY __________________________________(upper frequency limit of target
equipment class)
LINE 19 - BANDWIDTH _______________________________________(target frequency bandwidth
expressed in MHz)
LINE 20 - PULSE REPETITION _________________________________(pulse repetition interval or
frequency)
LINE 21 - SYSTEM USED ______________________________________(name/nomenclature of EW asset
used to perform the task)
**Continued on next page.
A-86
FM 6-99
19 August 2013
Voice Message Format Templates
ELECTRONIC WARFARE MISSION SUMMARY [EWMSNSUM] (CONTINUED)
REPORT NUMBER: E015 {USMTF # G424}
LINE 22 - OPERATIONAL _____________________________________ (number of units that can perform
primary EW mission)
LINE 23 - NONOPERATIONAL ________________________________ (number of units that cannot
perform primary EW mission)
LINE 24 - DESTROYED _______________________________________ (number of units that were
destroyed)
LINE 25 - CHAFF ____________________________________________ (type of chaff)
LINE 26 - LOWER FREQUENCY _______________________________ (lower frequency of a range of
frequencies blanked by chaff or the
lower EA frequency)
LINE 27 - UPPER FREQUENCY ________________________________ (upper frequency of a range of
frequencies blanked by chaff or the
upper EA frequency)
LINE 28 - LOW LEVEL _______________________________________ (lower altitude in hundreds of feet
of airspace blanked by chaff)
LINE 29 - UPPER LEVEL ______________________________________ (upper altitude in hundreds of feet
of airspace that was blanked by
chaff)
LINE 30 - TECHNIQUE _______________________________________ (EA technique employed)
LINE 31 - COUNTRY _________________________________________ (country where chaff was
employed)
LINE 32 - ON TIME __________________________________________ (DTG that the chaff drop was
initiated)
LINE 33 - OFF TIME __________________________________________ (DTG that the chaff drop was
terminated)
LINE 34 - START LOCATION __________________________________ (start location of the chaff drop in
UTM or six-digit grid coordinate
with MGRS grid zone designator)
LINE 35 - STOP LOCATION ___________________________________ (stop location of the chaff drop in
UTM or six-digit grid coordinate
with MGRS grid zone designator)
LINE 36 - NARRATIVE _______________________________________ (free text for additional information
required for report clarification)
LINE 37 - AUTHENTICATION _________________________________ (report authentication)
**Continued on next page.
19 August 2013
FM 6-99
A-87
Appendix A
ELECTRONIC WARFARE MISSION SUMMARY [EWMSNSUM] (CONTINUED)
REPORT NUMBER: E015 {USMTF # G424}
Table A-57. Electronic Warfare Mission Summary acronym and abbreviation key
DTG
date-time group
EA
electronic attack
EW
electronic warfare
MGRS
military grid reference system
MHz
megahertz
UTM
universal transverse mercator
A-88
FM 6-99
19 August 2013
Voice Message Format Templates
ELECTRONIC WARFARE REQUESTING/TASKING MESSAGE
[EWRTM]
REPORT NUMBER: E020 {USMTF # A426}
GENERAL INSTRUCTIONS: Use to task component commanders to perform electronic warfare operations to
support the overall electronic warfare plan, to support component electronic warfare operations, and to request
electronic warfare support from sources outside their commands.
LINE 1 - DATE AND TIME ____________________________________ (DTG)
LINE 2 - UNIT _______________________________________________ (unit making report)
LINE 3 - EA _________________________________________________ (electronic attack)
LINE 4 - TASKED ____________________________________________ (designator of tasked unit if the
JOC is tasking the unit)
LINE 5 - COUNTRY __________________________________________ (nationality of the target emitter of
concern)
LINE 6 - LOCATION__________________________________________ (UTM or six-digit grid coordinate
with MGRS grid zone designator)
LINE 7 - EMITTER ___________________________________________ (emitter call sign and name or
nomenclature)
LINE 8 - FUNCTION __________________________________________ (primary function of target)
LINE 9 - NOTATION _________________________________________ (notation or sorting code)
LINE 10 - SIGNAL ___________________________________________ (type of signal of target emitter)
LINE 11 - ON TIME __________________________________________ (DTG that planned EA activity was
initiated)
LINE 12 - OFF TIME __________________________________________ (DTG that planned EA activity was
terminated)
LINE 13 - PRIORITY__________________________________________ (relative importance of EA
mission)
LINE 14 - TYPE ______________________________________________ (type of EA and technique used
against the emitter)
LINE 15 - PRIMARY FREQUENCY _____________________________ (primary frequency of EA target
signal)
LINE 16 - SECONDARY FREQUENCY __________________________ (secondary frequency of EA target
signal)
LINE 17 - LOW FREQUENCY __________________________________ (lower frequency limit of target
equipment class)
LINE 18 - HIGH FREQUENCY _________________________________ (upper frequency limit of target
equipment class)
LINE 19 - BANDWIDTH ______________________________________ (target frequency bandwidth
expressed in MHz)
LINE 20 - PULSE REPETITION _________________________________ (pulse repetition interval or
frequency)
**Continued on next page.
19 August 2013
FM 6-99
A-89
Appendix A
ELECTRONIC WARFARE REQUESTING/TASKING MESSAGE [EWRTM] (CONTINUED)
REPORT NUMBER: E020 {USMTF # A426}
LINE 21 - ES _________________________________________________(electronic support)
LINE 22 - COUNTRY __________________________________________(nationality of the target emitter of
concern)
LINE 23 - LOCATION _________________________________________(UTM or six-digit grid coordinate
with MGRS grid zone designator)
LINE 24 - EMITTER ___________________________________________(emitter call sign and name or
nomenclature)
LINE 25 - FUNCTION _________________________________________(primary function of target)
LINE 26 - NOTATION _________________________________________(notation or sorting code)
LINE 27 - SIGNAL ____________________________________________(type of signal of target emitter)
LINE 28 - PRIMARY FREQUENCY ______________________________(primary frequency of EA target
signal)
LINE 29 - SECONDARY FREQUENCY ___________________________(secondary frequency of EA target
signal)
LINE 30 - LOW FREQUENCY __________________________________(lower frequency limit of target
equipment class)
LINE 31 - HIGH FREQUENCY __________________________________(upper frequency limit of target
equipment class)
LINE 32 - BANDWIDTH _______________________________________(target frequency bandwidth
expressed in MHz)
LINE 33 - PULSE REPETITION _________________________________(pulse repetition interval or
frequency)
LINE 34 - ON TIME ___________________________________________(DTG that planned ES activity was
initiated)
LINE 35 - OFF TIME __________________________________________(DTG that planned ES activity was
terminated)
LINE 36 - ESSENTIAL _________________________________________(EEI category indicator)
LINE 37 - PRIORITY __________________________________________(relative importance of ES mission)
LINE 38 - CHAFF _____________________________________________(type of chaff)
LINE 39 - LOWER FREQUENCY ________________________________(lower frequency of a range of
frequencies blanked by chaff or the
lower EA frequency)
LINE 40 - UPPER FREQUENCY _________________________________(upper frequency of a range of
frequencies blanked by chaff or the
upper EA frequency)
LINE 41 - LOW LEVEL ________________________________________(lower altitude in hundreds of feet
of airspace blanked by chaff)
LINE 42 - UPPER LEVEL ______________________________________(upper altitude in hundreds of feet
of airspace blanked by chaff)
**Continued on next page.
A-90
FM 6-99
19 August 2013
Voice Message Format Templates
ELECTRONIC WARFARE REQUESTING/TASKING MESSAGE [EWRTM] (CONTINUED)
REPORT NUMBER: E020 {USMTF # A426}
LINE 43 - TECHNIQUE _______________________________________ (EA technique employed)
LINE 44 - COUNTRY _________________________________________ (country where chaff was
employed)
LINE 45 - ON TIME __________________________________________ (DTG that the planned chaff drop
will be initiated)
LINE 46 - OFF TIME __________________________________________ (DTG that the planned chaff drop
will terminate)
LINE 47 - START LOCATION __________________________________ (start location of the chaff drop in
UTM or six-digit grid coordinate
with MGRS grid zone designator)
LINE 48 - STOP LOCATION ___________________________________ (stop location of the chaff drop in
UTM or six-digit grid coordinate
with MGRS grid zone designator)
LINE 49 - NARRATIVE _______________________________________ (free text for additional information
required for report clarification)
LINE 50 - AUTHENTICATION _________________________________ (report authentication)
Table A-58. Electronic Warfare Requesting/Tasking Message acronym and abbreviation key
DTG
date-time group
EA
electronic attack
EEI
essential elements of information
ES
electronic support
JOC
joint operations center
MGRS
military grid reference system
MHz
megahertz
UTM
universal transverse mercator
19 August 2013
FM 6-99
A-91
Appendix A
ENEMY/FRIENDLY/UNIT MINEFIELD/OBSTACLE REPORT
[MINOBREP]
REPORT NUMBER: E025
GENERAL INSTRUCTIONS: Use to report all obstacles on the battlefield. Reference: ATTP 3-90.4, FM 3-
34.210, and FM 5-34.
LINE 1 - DATE AND TIME _____________________________________(DTG)
LINE 2 - UNIT _______________________________________________(unit making report)
LINE 3 - EMPLACING UNIT ___________________________________(emplacing unit, if known)
LINE 4 - APPROVING AUTHORITY _____________________________(approving authority, if required or
known)
LINE 5 - TARGET/OBSTACLE NO. ______________________________(target or obstacle number, if
required or known)
LINE 6 - TYPE OF EMPLACING SYSTEM ________________________(type of emplacing system, if
required or known)
LINE 7 - TYPE MINES OR OBSTACLES _________________________(type mine or obstacle, if known.
Include width and depth.)
LINE 8 - TYPE MARKING SYSTEM _____________________________(type minefield or obstacle marking
system, if emplaced)
LINE 9 - LIFE CYCLE DTG ____________________________________(DTG of life cycle or self-destruct
time, if known)
LINE 10 - CORNER LOCATIONS _______________________________(UTM or six-digit grid coordinate
with MGRS grid zone designator of
corners)
LINE 11 - REDUCE ___________________________________________(obstacle or minefield reduced:
YES or NO)
LINE 12 - NO. OF LANES ______________________________________(number of lanes)
LINE 13 - REDUCTION ASSET USED____________________________(MICLIC, mine plow, mine roller,
demolitions, and so on)
LINE 14 - WIDTH _____________________________________________(width of lane)
LINE 15 - DEPTH _____________________________________________(depth of lane)
LINE 16 - GRID TO START OF LANE ____________________________(UTM or six-digit grid coordinate
with MGRS grid zone designator of
start of lane [entrance])
LINE 17 - GRID TO END OF LANE ______________________________(UTM or six-digit grid coordinate
with MGRS grid zone designator of
end of lane [exit])
LINE 18 - LANE MARKING ____________________________________(type of marking system, if
emplaced)
LINE 19 - BYPASS ____________________________________________(YES or NO)
LINE 20 - BYPASS GRID ______________________________________(UTM or six-digit grid coordinate
with MGRS grid zone designator to
bypass)
**Continued on next page.
A-92
FM 6-99
19 August 2013
Voice Message Format Templates
ENEMY/FRIENDLY/UNIT MINEFIELD/OBSTACLE REPORT [MINOBREP] (CONTINUED)
REPORT NUMBER: E025
LINE 21 - BARRIERS _________________________________________ (concertina wire, pickets, and/or
trenches, and any other obstacle
information necessary)
LINE 22 - NARRATIVE _______________________________________ (free text for additional information
required for report clarification)
LINE 23 - AUTHENTICATION _________________________________ (report authentication)
Table A-59. Enemy/Friendly/Unit Minefield/Obstacle Report acronym and abbreviation key
DTG
date-time group
MGRS
military grid reference system
MICLIC
mine clearing line charge
NO.
number
UTM
universal transverse mercator
19 August 2013
FM 6-99
A-93
Appendix A
ENEMY PRISONER OF WAR REPORT [EPW]
REPORT NUMBER: E030
GENERAL INSTRUCTIONS: Use to convey status and disposition of unit’s EPWs. Reference: FM 3-39.40.
LINE 1 - DATE AND TIME _____________________________________(DTG)
LINE 2 - UNIT _______________________________________________(unit making report)
LINE 3 - COUNTRY/NO. EPW __________________________________(by country of EPW, number of
EPW officers, NCO, ENL, and
retained personnel)
A. COUNTRY ________________________________________________
B. ENEMY OFFICER: GO____ FG____ CO____ WO____
C. ENEMY ENLISTED: CSM____ E-6 - E-8____ E-5 - CPL____ ENL____
D. MEDICAL RETAINED PERSONNEL____
E. RELIGIOUS RETAINED PERSONNEL____
F. TOTAL NO.____
LINE 4 - EPW SITE LOCATIONS ________________________________(UTM or six-digit grid coordinate
with MGRS grid zone designator of
EPW location)
LINE 5 - NO. EPW MISSING____________________________________(number EPW missing or escaped)
LINE 6 - NO. EPW ESCAPE ATTEMPTS__________________________(number EPW escape attempts)
LINE 7 - MEDICAL TREATMENT/EVAC _________________________(number of EPW requiring medical
care and/or are transferred to the
combat health staff chain for
medical evacuation)
LINE 8 - INCIDENT SUMMARY ________________________________(summary of incidents)
LINE 9 - IRC INSPECTION RESULTS ____________________________(International
Red
Cross
inspections results, if required)
**Repeat lines 3 through 9 to report multiple missions/mission data. Assign sequential lines to succeeding
iterations. For example, first iteration is 3 through 9; second iteration is 3a through 9a; third iteration is 3b
through 9b; and so on.
LINE 10 - PM ASSESSMENT ___________________________________(provost marshal assessment)
LINE 11 - NARRATIVE ________________________________________(free text for additional information
required for report clarification)
LINE 12 - AUTHENTICATION __________________________________(report authentication)
**Continued on next page.
A-94
FM 6-99
19 August 2013
Voice Message Format Templates
ENEMY PRISONER OF WAR REPORT [EPW]
REPORT NUMBER: E030
Table A-60. Enemy Prisoner of War acronym and abbreviation key
CO
company grade
CPL
corporal
CSM
command sergeant major
DTG
date-time group
ENL
enlisted
EPW
enemy prisoner of war
EVAC
evacuation
FG
field grade
GO
general officer
IRC
International Red Cross
MGRS
military grid reference system
NCO
noncommissioned officer
NO.
number
PM
provost marshal
UTM
universal transverse mercator
WO
warrant officer
19 August 2013
FM 6-99
A-95
Appendix A
ENVIRONMENTAL CONDITION REPORT [ECR]
REPORT NUMBER: E035
GENERAL INSTRUCTIONS: Use to send periodic information of the environmental status of specific sites
where hazards are likely to occur. This can result in significant, immediate, and/or long-term effects on the
natural environment and/or health of friendly forces and noncombatants. Reference: FM 3-34.
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 - DESCRIPTION _______________________________________(description of site or incident)
LINE 5 - CHANGES ___________________________________________(changes from last ECR or
environmental baseline survey)
LINE 6 - HAZARDS ___________________________________________(hazards to natural environment,
friendly forces, and/or civilian
personnel)
LINE 7 - ACTIONS ____________________________________________(summary of actions to minimize
hazards or remedial effects)
LINE 8 - UNIT POC ___________________________________________(reporting unit point of contact)
LINE 9 - ASSISTANCE ________________________________________(assistance required or requested)
LINE 10 - REFERENCE ________________________________________(site-specific environmental
baseline survey)
LINE 11 - NARRATIVE ________________________________________(free text for additional information
required for report clarification)
LINE 12 - AUTHENTICATION __________________________________(report authentication)
Table A-61. Environmental Condition Report acronym and abbreviation key
DTG
date-time group
ECR
environmental condition report
MGRS
military grid reference system
POC
point of contact
UTM
universal transverse mercator
A-96
FM 6-99
19 August 2013
Voice Message Format Templates
EXPLOSIVE ORDNANCE DISPOSAL SUPPORT [EODSPT]
REPORT NUMBER: E040 {USMTF #D983}
GENERAL INSTRUCTIONS: Use to request explosive ordnance disposal (EOD) support, to report the results
of an EOD mission, or to request EOD support to protect designated very important persons (VIP). Reference:
FM 3-34.210.
LINE 1 - DATE AND TIME ____________________________________ (DTG)
LINE 2 - UNIT _______________________________________________ (unit making report)
LINE 3 - ACTIVITY __________________________________________ (type of EOD activity the report
concerns: EOD REQUEST, EOD
RESPONSE, OR VIP REQUEST)
LINE 4 - REQUESTOR ________________________________________ (identifier of unit or agency
requesting EOD support)
LINE 5 - EOD UNIT __________________________________________ (identifier of unit or agency
performing the EOD mission)
LINE 6 - CATEGORY _________________________________________ (EOD incident category assigned
by
requestor:
INDIRECT,
IMMEDIATE, MINOR, or NONE)
LINE 7 - DISCOVERED _______________________________________ (DTG when the unexploded
ordnance was discovered)
LINE 8 - DESCRIPTION _______________________________________ (if applicable, any additional
descriptive information related to
the threat posed to resources and
facilities by unexploded ordnance)
LINE 9 - ORDNANCE _________________________________________ (number, type, and location of
unexploded ordnance to be
neutralized; repeat as required)
LINE 10 - CONDITION ________________________________________ (ARMED or UNARMED)
LINE 11 - SITUATION ________________________________________ (either dropped in fire, underwater,
accident, or a literal description of
the circumstances surrounding the
incident)
** Lines 6 through 11 are applicable if the report is a request for explosive ordnance neutralization.
LINE 12 - REPORTED ________________________________________ (DTG when EOD incident was
reported)
LINE 13 - EOD TEAM TIME OF ARRIVAL _______________________ (DTG when EOD team arrived)
LINE 14 - COMPLETED _______________________________________ (DTG when EOD action
completed)
LINE 15 - EOD ACTION TAKEN _______________________________ (disposition, condition, situation, or
other information concerning EOD
action taken)
**Lines 12 through 15 are applicable if the report contains the results of an EOD mission.
LINE 16 - PROTECT __________________________________________ (first and last name of individual to
be protected)
**Continued on next page.
19 August 2013
FM 6-99
A-97
Appendix A
EXPLOSIVE ORDNANCE DISPOSAL SUPPORT [EODSPT] (CONTINUED)
REPORT NUMBER: E040 {USMTF #D983}
LINE 17 - NO. OF PERSONNEL _________________________________(number of EOD personnel
required for mission)
LINE 18 - DEPART____________________________________________(departure point name or
coordinates)
LINE 19 - TRANSPORTATION _________________________________(transportation mode of VIP
required)
LINE 20 - COUNTRIES OR AREAS ______________________________(countries or areas where support is
required)
**Repeat lines 17 through 20 to report multiple missions/mission data. Assign sequential lines to succeeding
iterations. For example, first iteration is 17 through 20; second iteration is 17a through 20a; third iteration is 17b
through 20b; and so on.
LINE 21 - BEGIN _____________________________________________(DTG to begin VIP support)
LINE 22 - END _______________________________________________(DTG to end VIP support)
**Repeat lines 21 through 22 to report multiple missions/mission data. Assign sequential lines to succeeding
iterations. For example, first iteration is 21 through 22; second iteration is 21a through 22a; third iteration is 21b
through 22b; and so on.
LINE 23 - POC _______________________________________________(first and last name of individual
designated as the requesting unit’s
POC for coordinating EOD VIP
support)
LINE 24 - TELEPHONE ________________________________________(telephone number of POC)
LINE 25 - FREQUENCY _______________________________________(primary radio frequency of
unit/agency
requiring
EOD
support)
LINE 26 - LOCATION _________________________________________(UTM or six-digit grid coordinate
with MGRS grid zone designator of
POC)
**Lines 16 through 26 are applicable if report is a VIP EOD support request.
**Lines 23 through 26 are applicable if a POC has been designated by the unit requesting VIP EOD protection
support.
LINE 27 - SPECIAL REQUIREMENTS ___________________________(special requirements for EOD
support mission)
LINE 28 - NARRATIVE ________________________________________(free text for additional information
required for report clarification)
LINE 29 - AUTHENTICATION __________________________________(report authentication)
**Continued on next page.
A-98
FM 6-99
19 August 2013
Voice Message Format Templates
EXPLOSIVE ORDNANCE DISPOSAL SUPPORT [EODSPT] (CONTINUED)
REPORT NUMBER: E040 {USMTF #D983}
Table A-62. Explosive Ordnance Disposal Support acronym and abbreviation key
DTG
date-time group
EOD
explosive ordnance disposal
MGRS
military grid reference system
NO.
number
POC
point of contact
UTM
universal transverse mercator
VIP
very important person
19 August 2013
FM 6-99
A-99
Appendix A
FIRE MISSION-BEACON LOCATION [FM.BEALOC]
REPORT NUMBER: F001 {USMTF # C261}
GENERAL INSTRUCTIONS: Use to report the location and identification code of one or more radar beacons.
Reference: FM 3-09.12.
LINE 1 - DATE AND TIME _____________________________________(DTG)
LINE 2 - UNIT _______________________________________________(unit making report)
LINE 3 - BEACON NAME ______________________________________(beacon name)
LINE 4 - CODE _______________________________________________(beacon code)
LINE 5 - LOCATION __________________________________________(beacon location, UTM, or six-digit
grid coordinate with grid zone
designator)
LINE 6 - ON _________________________________________________(relative on time or beacon on
DTG)
LINE 7 - OFF_________________________________________________(relative off time or beacon off
DTG)
**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-63. Fire Mission-Beacon Location acronym and abbreviation key
DTG
date-time group
UTM
universal transverse mercator
A-100
FM 6-99
19 August 2013
Voice Message Format Templates
FIRE MISSION-REQUEST TO FIRE [FM.RF]
REPORT NUMBER: F005 {USMTF # D212}
GENERAL INSTRUCTIONS: Use to request permission to fire across common boundaries from an adjacent
service unit. Reference: FM 6-30.
LINE 1 - DATE AND TIME ____________________________________ (DTG)
LINE 2 - UNIT _______________________________________________ (unit making report)
LINE 3 - GRID _______________________________________________ (UTM or six-digit grid coordinate
with grid zone designator)
LINE 4 - DESCRIPTION _______________________________________ (target description)
LINE 5 - FIRING UNIT ________________________________________ (firing unit)
LINE 6 - WEAPON ___________________________________________ (weapon type)
LINE 7 - RDS IN EFFECT______________________________________ (number of rounds in effect)
LINE 8 - PROJECTILE ________________________________________ (projectile type)
LINE 9 - FUZE _______________________________________________ (fuze type)
LINE 10 - EST DTG INITIAL RDS ______________________________ (estimated DTG of initial rounds)
LINE 11 - NARRATIVE _______________________________________ (free text for additional information
required for report clarification)
LINE 12 - AUTHENTICATION _________________________________ (report authentication)
Table A-64. Fire Mission-Request to Fire acronym and abbreviation key
DTG
date-time group
EST
estimated
RDS
rounds
UTM
universal transverse mercator
19 August 2013
FM 6-99
A-101
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