FM 6-99.2 U.S. ARMY REPORT AND MESSAGE FORMATS (April 2007) - page 2

 

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FM 6-99.2 U.S. ARMY REPORT AND MESSAGE FORMATS (April 2007) - page 2

 

 

Section II
ARTILLERY TARGET INTELLIGENCE-TARGET CRITERIA [ATI.TCRIT] (CONTINUED)
REPORT NUMBER: A075 {USMTF # D281}
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 - LOWER WIDTH __________________________________ (Lower Width Limit in Meters)
LINE 23 - UPPER SIZE______________________________________ (Upper Length 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 Clarification of Report)
LINE 28 - AUTHENTICATION _______________________________ (Report Authentication)
34
FM 6-99.2
30 April 2007
Voice Message Template Formats U.S. Army Report and Message Formats
Asset/Multiple Asset Status Report [ASTSTATREP]
REPORT NUMBER: A080
GENERAL INSTRUCTIONS: Use to convey the status of the unit’s intelligence collectors. Send every four
hours
or upon loss to enemy or loss of contact with an asset. Send over the O&I net with PRIORITY precedence.
Reference: FM 34-3.
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/System;
Collectors by Type and
Team/System)
LINE 5 - GRID_____________________________________________ (UTM or Six-Digit Grid Coordinate
With MGRS Grid Zone Designator or
NO CHANGE)
LINE 6 - ACTIVITY ________________________________________ (Brief Summary of Activity)
LINE 7 - NARRATIVE ______________________________________ (Free Text for Additional Information
Required for Clarification of Report)
LINE 8 - AUTHENTICATION ________________________________ (Report Authentication)
30 April 2007
FM 6-99.2
35
Section II
Aviation (Army Rotary Wing) Mission/Support Request [AVIAREQ]
REPORT NUMBER: A085
GENERAL INSTRUCTIONS: Use to request Army aviation units for support. Send from subordinate units to
division/corps aviation cell at the main command post. Reference: FM 1-100 and FM 1-114.
LINE 1 - DATE AND TIME __________________________________ (DTG)
LINE 2 - UNIT _____________________________________________ (Unit Making Report)
LINE 3 - ASSETS __________________________________________ (Assets Required) EXAMPLE: Three
(3) CH-47s
LINE 4 - PURPOSE _________________________________________ (Purpose) EXAMPLE: Logistical
Resupply of Class IV at BP 53
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 Loading Zone,
include marking system, frequency
and call sign of unit at the LZ)
LINE 8 - A2C2 _____________________________________________ (A2C2 Route and Information
(Ingress/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/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____________________________________________ (Suggested FARP Locations Within
Supported Area)
**Continued on next page.
36
FM 6-99.2
30 April 2007
Voice Message Template Formats U.S. Army Report and Message Formats
AVIATION (ARMY ROTARY WING) MISSION/SUPPORT REQUEST [AVIAREQ]
(CONTINUED)
REPORT NUMBER: A085
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 Clarification of Report)
LINE 19 - AUTHENTICATION _______________________________ (Report Authentication)
30 April 2007
FM 6-99.2
37
Section II
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 an altitude of 30,000 meters. Reference: FM 34-81.
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 Clarification of Report)
LINE 7 - AUTHENTICATION ________________________________ (Report Authentication)
38
FM 6-99.2
30 April 2007
Voice Message Template Formats U.S. Army Report and Message Formats
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 non-lethal, against a predetermined objective. Reference: FM 4-
30.3.
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/TIME__________________________ (IMINT Collection DTG)
LINE 10 - TYPE____________________________________________ (Type of IMINT)
LINE 11 - QUALITY________________________________________ (Image Quality -
GOOD/FAIR/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 or Description of Target
Element)
LINE 17 - LOCATION ______________________________________ (UTM or Six-Digit Grid Coordinate
With
MGRS Grid Zone Designator)
**Continued on next page.
30 April 2007
FM 6-99.2
39
Section II
BATTLE DAMAGE ASSESSMENT REPORT [BDAREP] (CONTINUED)
REPORT NUMBER: B005 {USMTF # C104}
**Repeat lines 13 through 17 for multiple missions or sets of mission data. Assign sequential lines to
succeeding iterations; for example, first iteration 13 through 17; second iteration 13a through 17a; third
iteration 13b through 17b; and so on.
LINE 18 - 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)
LINE 19 - NARRATIVE _____________________________________ (Free Text for Additional Information
Required for Clarification of Report)
LINE 20 - AUTHENTICATION _______________________________ (Report Authentication)
40
FM 6-99.2
30 April 2007
Voice Message Template Formats U.S. Army Report and Message Formats
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 can not be used. Reference: FM 8-10-5.
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)
Operational)
LINE 15 - OPHTHALMOLOGY OPERATIONAL ________________ (Number of Ophthalmology (SSO)
Beds Operational)
**Continued on next page.
30 April 2007
FM 6-99.2
41
Section II
BED AVAILABILITY AND ELEMENT STATUS [BEDAVAIL] (CONTINUED)
REPORT NUMBER: B010 {USMTF # B913}
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 sub-specialties.
Include these numbers in line 6.
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)
LINE 20 - AVAILABLE GENERAL ___________________________ (Number of General Surgery (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)
AvailableBeds Available)
LINE 28 - AVAILABLE OPHTHALMOLOGY___________________ (Number of Ophthalmology (SSO)
Beds Available)
LINE 29 - AVAILABLE THORACIC __________________________ (Number of Thoracic Surgery (SSC)
Beds Available)
**Continued on next page.
42
FM 6-99.2
30 April 2007
Voice Message Template Formats U.S. Army Report and Message Formats
BED AVAILABILITY AND ELEMENT STATUS [BEDAVAIL] (CONTINUED)
REPORT NUMBER: B010 {USMTF # B913}
**Use lines 26 through 29 to report the number of available beds in selected surgical sub-specialties.
Include these numbers in line 19.
LINE 30 - SUITES __________________________________________ (Number of Operating Suites That
Are Operational)
LINE 31 - BACKLOG _______________________________________ (Number of Hours Surgical Backlog)
LINE 32 - OVERFLOW _____________________________________ (Number of Overflow/Holding Beds
Available)
LINE 33 - NARRATIVE _____________________________________ (Free Text for Additional Information
Required for Clarification of Report)
**Use lines 30 through 33 to provide additional information concerning medical element status,
workload, and other amplifying data.
**Repeat lines 3 through 33 for multiple missions or sets of mission data. Assign sequential line numbers
to succeeding iterations; for example, first iteration 11 through 15; second iteration 11a through 15a; third
iteration 11b through 15b; and so on.
LINE 34 - AUTHENTICATION _______________________________ (Report Authentication)
30 April 2007
FM 6-99.2
43
Section II
Bed Designations [BEDDESIG]
REPORT NUMBER: B015 {USMTF # A913}
GENERAL INSTRUCTIONS: Use to report bed availability and medical treatment element (MTE) status when
the MEDREGREP record message can not be used. Reference: FM 8-10-5.
LINE 1 - DATE AND TIME __________________________________ (DTG)
LINE 2 - UNIT _____________________________________________ (Unit Making Report)
LINE 3 - EVAC FROM ______________________________________ (Name or Designator of MTE From
Which to Move/Evacuate Patients)
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
Aeromedical Evacuation (AE) Will
be 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
GridCoordinate 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)
**Continued on next page.
44
FM 6-99.2
30 April 2007
Voice Message Template Formats U.S. Army Report and Message Formats
BED DESIGNATIONS [BEDDESIG] (CONTINUED)
REPORT NUMBER: B015 {USMTF # A913}
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. MAXILLO (SSM)______________________________ (Number of SSM Beds Assigned to
Patients at Destination MTE)
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 8.
LINE 20 - CATEGORY______________________________________ (Number of Special Category Patients
(Other Than Active Duty US Armed
Forces) Assigned Beds at
Destination MTE by Medical
Specialty Category (EXAMPLE: 2
French Nationals in Category SO.
The Number of Patients Reported is
Also Included in Lines 6 to 14))
LINE 21 - NARRATIVE _____________________________________ (Free Text for Additional Information
Required for Clarification of Report)
**Repeat lines 3 through 21 for multiple missions or sets of mission data. Assign sequential line numbers to
succeeding iterations; for example, first iteration 3 through 21; second iteration 3a through 21a; third iteration
3b through 21b; and so on.
LINE 22 - AUTHENTICATION _______________________________ (Report Authentication)
**Use lines 20 through 22 to provide additional medical information and other amplifying data.
30 April 2007
FM 6-99.2
45
Section II
Bed Request [BEDREQ]
REPORT NUMBER: B020 {USMTF # C913}
GENERAL INSTRUCTIONS: Use to request beds for patients when the medical group record can not be used.
Reference: FM 8-10-5.
LINE 1 - DATE AND TIME __________________________________ (DTG)
LINE 2 - UNIT _____________________________________________ (Unit Making Report)
LINE 3 - REQUESTOR ______________________________________ (Name or Designator of 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
RequiringBeds)
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)
**Continued on next page.
46
FM 6-99.2
30 April 2007
Voice Message Template Formats U.S. Army Report and Message Formats
BED REQUEST [BEDREQ] (CONTINUED)
REPORT NUMBER: B020 {USMTF # C913}
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)
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)
**Use lines 14 through 17 to report the number of patients requiring beds in selected surgical subspecialties.
Include these numbers in line 8. Assign sequential line numbers to succeeding iterations; for example, first
iteration 14 through 16; second iteration 14a through 17a; third iteration 14b through 17b;and so on.
LINE 18 - CATEGORY______________________________________ (Number of Special CategoryPatients
Other Than Active Duty US Armed
Forces) Assigned Beds at Destination
MTE by Medical Specialty Category
(EXAMPLE: 2 French Nationals))
LINE 19 - PICKUP _________________________________________ (Pickup Location in UTM or Six-Digit
Grid Coordinate With MGRS Grid
Zone
Designator)
**Continued on next page.
30 April 2007
FM 6-99.2
47
Section II
BED REQUEST [BEDREQ] (CONTINUED)
REPORT NUMBER: B020 {USMTF # C913}
LINE 20 - ONLOAD ____________HYPHEN _____ TOTAL ______ (Number of Litter (After ONLOAD),
Ambulatory (After HYPHEN), and All
(After TOTAL) Patients to be Picked
Up)
LINE 21 - EQUIPMENT _____________________________________ (Special Medical Equipment
Required)
LINE 22 - NARRATIVE _____________________________________ (Free Text for Additional Information
Required for Clarification of Report)
**Repeat lines 19-22 as a group to identify patient pickup location and time available for movement when
involving more than one location and time. Assign sequential line numbers to succeeding iterations; for
example, first iteration 19 through 21; second iteration 19a through 21a; third iteration 19b through 21b; and so
on.
**Repeat lines 3 through 22 as a group for each MTE requesting beds when reporting for more than one MTE.
Assign sequential line numbers to succeeding iterations; for example, first iteration 2 through 22; second
iteration 2a through 22a; third iteration 2b through 22b; and so on.
LINE 23 - AUTHENTICATION _______________________________ (Report Authentication)
48
FM 6-99.2
30 April 2007
Voice Message Template Formats U.S. Army Report and Message Formats
Blood Shipment Report [BLDSHIPREP]
REPORT NUMBER: B025 {USMTF # B911}
GENERAL INSTRUCTIONS: Use to report blood shipments. Reference: FM 8-10-5.
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 ProgramOffice
C = Armed Services Whole Blood
Processing Laboratory
D = Blood Donor Center
E = Blood Products Depot
F = Blood Transshipment 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)
**Continued on next page.
30 April 2007
FM 6-99.2
49
Section II
BLOOD SHIPMENT REPORT [BLDSHIPREP] (CONTINUED)
REPORT NUMBER: B025 {USMTF # B911}
LINE 12 - B POSITIVE ______________________________________ (Number of Units)
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 Being Shipped)
**Repeat lines 7 through 16 as a group when shipping more than one blood product. Assign sequential line
numbers to succeeding iterations; for example, first iteration 7 through 16; second iteration 7a through 16a;
third iteration 7b through 16b; and so on.
LINE 17 - CONTROL _______________________________________ (Airbill Number or Transportation
Control Number (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 Point of Contact)
LINE 22 - PHONE __________________________________________ (24-Hour Telephone Number of
Shipper's Point of Contact)
LINE 23 - NARRATIVE _____________________________________ (Free Text for Additional Information
Required for Clarification of Report)
LINE 24 - AUTHENTICATION _______________________________ (Report Authentication)
50
FM 6-99.2
30 April 2007
Voice Message Template Formats U.S. Army Report and Message Formats
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 Request)
LINE 3 - TYPE BRIDGE/LOCATION__________________________ (Type of Bridge; (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/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 Clarification of Report)
LINE 19 - AUTHENTICATION _______________________________ (Report Authentication)
30 April 2007
FM 6-99.2
51
Section II
Bulk Petroleum Allocation [POLALOT]
REPORT NUMBER: B035 {USMTF # A860}
GENERAL INSTRUCTIONS: Use to allocate bulk petroleum products. Reference: FM 63-20 and FM 63-11.
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 Being 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 indicate the component command, fuel type, and quantity allocated. Assign
sequential line numbers to succeeding iterations; for example, first iteration 3 through 7; second iteration 3a
through 7a; third iteration 3b through 7b, and so on.
LINE 8 - NARRATIVE ______________________________________ (Free Text for Additional Information
Required for Clarification of Report)
LINE 9 - AUTHENTICATION ________________________________ (Report Authentication)
52
FM 6-99.2
30 April 2007
Voice Message Template Formats U.S. Army Report and Message Formats
Bulk Petroleum Contingency Report [REPOL]
REPORT NUMBER: B040 {USMTF # B876}
GENERAL INSTRUCTIONS: Use (1) to report loss of major bulk petroleum and (2) to request bulk petroleum
products. Reference: FM 63-20 and FM 63-11.
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 Date Repairs Will be
Completed, DTG)
**Repeat lines 3 through 5 to report more than one facility. Assign sequential line numbers to succeeding
iterations; for example, first iteration 3 through 5; second iteration 3a through 5a; third iteration 3b through 5b;
and so on.
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 Being
Reported)
LINE 9 - INVENT __________________________________________ (On-Hand Inventory of Product
Thousands of Barrels (MBBLs))
LINE 10 - CAPACITY_______________________________________ (Storage Capacity in MBBLs)
LINE 11 - DAYS ___________________________________________ (Days of Combat Support (DOS) for
the Product)
**Repeat lines 7 through 11 to report more than one facility. Assign sequential line numbers to succeeding
iterations; for example, first iteration 6 through 10; second iteration 6a through 10a; third iteration 6b through
10b; and so on.
LINE 12 - TYPE____________________________________________ (Type of Petroleum Product)
LINE 13 - INVENT _________________________________________ (On-Hand Inventory in Thousands of
Barrels (MBBLs))
LINE 14 - CAPACITY_______________________________________ (Usable Storage Capacity in MBBLs)
LINE 15 - DAYS ___________________________________________ (Days of Combat Support (DOS) of
Petroleum Products on Hand)
**Continued on next page.
30 April 2007
FM 6-99.2
53
Section II
BULK PETROLEUM CONTINGENCY REPORT [REPOL](CONTINUED)
REPORT NUMBER: B040 {USMTF # B876}
**Repeat lines 12 through 15 to report more than one facility. Assign sequential line numbers to succeeding
iterations; for example, first iteration 12 through 15; second iteration 12a through 15a; third iteration, 12b
through 15b; and so on.
LINE 16 - DISCHARGE PORT________________________________ (Name of Discharge Port Being
Reported)
LINE 17 - PRODUCT _______________________________________ (Type of Petroleum Product Being
Reported)
LINE 18 - BARRELS________________________________________ (Quantity of Petroleum Product in
Thousands of Barrels (MBBLs))
LINE 19 - PERIOD _________________________________________ (Period in Which Delivery is
Required)
**Repeat lines 16 through 19 to report more than one facility. Assign sequential line numbers to succeeding
iterations; for example, first iteration 16 through 19; second iteration 16a through 19a; third iteration 16b
through 19b; and so on.
LINE 20 - DAMAGED PORT_________________________________ (Name of Damaged Port)
LINE 21 - DAMAGE ________________________________________ (Level of Damage)
LINE 22 - UNLOAD ________________________________________ (Unloading Capacity of Damaged Port
in Thousands of Barrels (MBBLs))
**Repeat lines 20 through 22 to report more than one facility. Assign sequential line numbers to succeeding
iterations; for example, first iteration 20 through 22; second iteration 20a through 22a; third iteration 20b
through 22b; and so on.
LINE 23 - NARRATIVE _____________________________________ (Free Text for Additional Information
Required for Clarification of Report)
LINE 24 - AUTHENTICATION _______________________________ (Report Authentication)
54
FM 6-99.2
30 April 2007
Voice Message Template Formats U.S. Army Report and Message Formats
Bulk Petroleum Requirements Forecast [POLRQMT]
REPORT NUMBER: B045 {USMTF # D869}
GENERAL INSTRUCTIONS: Use to forecast bulk petroleum products. Reference: FM 63-20 and FM 63-11.
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,
TYPE ON HAND DAYS RECEIVED
Days of Supply on Hand, and
Gallons Received Since Last
_______
________
_______
__________
Reported)
_______
________
_______
__________
_______
________
_______
__________
_______
________
_______
__________
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)
**Repeat lines 5 through 7 to indicate other locations, receiving unit designations, and specific requirements
for the period shown in line 4. Assign sequential line numbers to succeeding iterations; for example, first
iteration 5 through 7; second iteration 5a through 7a; third iteration 5b through 7b, and so on.
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 Clarification of Report)
LINE 11 - AUTHENTICATION _______________________________ (Report Authentication)
30 April 2007
FM 6-99.2
55
Section II
Bulk Class III Request/Forecast [BKLIIIREQ]
REPORT NUMBER: B050
GENERAL INSTRUCTIONS: Use to report a periodic update or formal request of fuel unit requirements. Send
as needed with ROUTINE precedence on A&L nets. Reference: FM 63-20 and FM 63-11.
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 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 Clarification of Report)
LINE 8 - AUTHENTICATION ________________________________ (Report Authentication)
56
FM 6-99.2
30 April 2007
Voice Message Template Formats U.S. Army Report and Message Formats
Casualty Report [CASREP]
REPORT NUMBER: C001
GENERAL INSTRUCTIONS: To report casualty information to higher headquarters.
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 - Type of casualty_____________________________________(Designated by letter as follows:
(report the lines that apply)
(a) ALPHA: KIA, hostile action.
(b) BRAVO: KIA, non-hostile
action.
(c) CHARLIE: Body recovered.
(d) DELTA: Body not recovered.
(e) ECHO: Body identified.
(f) FOXTROT: Body not identified.
(g) GOLF: MIA.
(h) HOTEL: Captured.
(9) INDIA: WIA, slight, hostile
action.
(j) JULIET: WIA, serious, hostile
action.
(k) KILO: WIA, slight, non-hostile
action.
(l) LIMA: WIA, serious, non-hostile
action.
(m) MIKE: Accident.
LINE 6 - STATUS__________________________________________ (Status of evacuation and location
to which casualty was evacuated.)
LINE 7 - NARRATIVE _____________________________________ (Free Text for Additional Information
Required for Clarification of Report)
30 April 2007
FM 6-99.2
57
Section II
Cemetery Status [CEMSTAT]
REPORT NUMBER: C005 {USMTF # D960}
GENERAL INSTRUCTIONS: Use to provide data concerning the creation or disposition of temporary
cemeteries. Reference: FM 4-20.65 and FM 4-20.64.
LINE 1 - DATE AND TIME __________________________________ (DTG)
LINE 2 - UNIT _____________________________________________ (Unit Making Report)
LINE 3 - NAME____________________________________________ (Name or 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
Site)
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 data on multiple temporary cemeteries. Assign sequential line numbers to
succeeding iterations; for example, first iteration,
3 through 13; second iteration, 3a through 13a; third
iteration, 3b through 13b; and so on.
LINE 14 - CEMETERY NAME________________________________ (Name or of the Cemetery That Was
Closed)
**Continued on next page.
58
FM 6-99.2
30 April 2007
Voice Message Template Formats U.S. Army Report and Message Formats
CEMETERY STATUS [CEMSTAT] (CONTINUED)
REPORT NUMBER: C005 {USMTF # D960}
LINE 15 - COORDINATES___________________________________ (Coordinates of the Cemetery as
Closed)
a. _________________________________
b. _________________________________
c. _________________________________
d. _________________________________
LINE 16 - DATE 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 indicate the closing of multiple temporary cemeteries. Assign sequential line
numbers to succeeding iterations; for example, first iteration 14 through 17; second iteration 14a through 17a;
third iteration 14b through 17b; and so on.
LINE 18 - NAME___________________________________________ (Name of Cemetery That Was
Cleared)
LINE 19 - LOCATION ______________________________________ (UTM or Six-Digit Grid Coordinate
With MGRS Grid Zone Designator of
the Cemetery Cleared)
LINE 20 - DATE CLEARED__________________________________ (DTG Cemetery Was Cleared)
LINE 21 - LAND CONDITION________________________________ (Enter RESTORED or NOT
RESTORED)
**Repeat lines 18 through 21 to indicate the clearing of multiple temporary cemeteries. Assign sequential line
numbers to succeeding iterations; for example, first iteration 18 through 21; second iteration 18a through 21a;
third iteration 18b through 21b; and so on.
LINE 22 - ON HAND________________________________________ (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, if Applicable)
**Continued on next page.
30 April 2007
FM 6-99.2
59
Section II
CEMETERY STATUS [CEMSTAT] (CONTINUED)
REPORT NUMBER: C005 {USMTF # D960}
LINE 27 - AWAITING BURIAL_______________________________ (Count of Remains Awaiting Burial at
End of Period, if Applicable)
**Repeat lines 22 through 27 to indicate multiple reports of remains transferred and buried. Assign sequential
line numbers to succeeding iterations; for example, first iteration 22 through 27; second iteration 22a through
27a; third iteration 22b through 27b; and so on.
LINE 28 - NARRATIVE _____________________________________ (Free Text for Additional Information
Required for Clarification of Report)
LINE 29 - AUTHENTICATION _______________________________ (Report Authentication)
60
FM 6-99.2
30 April 2007
Voice Message Template Formats U.S. Army Report and Message Formats
Chemical, Biological, Radiological Or Nuclear (CBRN) Situation Report
[CBRNSITREP]
REPORT NUMBER: C010
GENERAL INSTRUCTIONS: Use to report current CBRN situation and chemical units’ activity. Send on a
scheduled time line IAW unit SOPs, such as 0500, 1100, 1700, and 2300 daily. This is considered routine and
is a normal report not indicated in CBRN 1 through CBRN 6 reports. 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 of Unit)
LINE 5 - RADIATION STAT _________________________________ (Unit Radiation Status)
LINE 6 - ENEMY___________________________________________ (Enemy CBRN Activity (Use,
Nonuse, 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)
Missions planned_____ DTG of exec._________Location ___________ Unit
supported__________Mission Purpose____________
LINE 9 - DECON____________________________________________ (Decon Missions Conducted)
Missions planned_____ DTG of exec._________Location ___________ Unit
supported__________Mission Purpose____________
LINE 10 - SMOKE___________________________________________ (Smoke Missions Conducted)
Missions planned_____ DTG of exec._________Location ___________ Unit
supported__________Mission Purpose____________
LINE 11 - NARRATIVE _____________________________________ (Free Text for Additional Information
Required for Clarification of Report)
LINE 12 - AUTHENTICATION _______________________________ (Report Authentication)
30 April 2007
FM 6-99.2
61
Section II
Chemical Downwind Message [CDM]
REPORT NUMBER: C011
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 6-hour period. Send as necessary.
Reference: ATP-45 and FM 3-11.3.
LINE 1 - AO _______________________________________________ (Area of Operation Affected)
LINE 2 - DATE AND TIME __________________________________ (DTG When Message Received)
LINE 5 CDM Start Time ____________________________________ (DTG Forecast Begins)
WHISKEY MIKE ________________________________________(Line Provides 2 Hour Weather Data)
XRAY MIKE ___________________________________________(Line Provides 2 Hour Weather Data)
YANKEE MIKE ________________________________________(Line Provides 2 Hour Weather Data)
LINE 6 AUTHENTICATION _______________________________ (Report Authentication)
** The CDM in complete at line 6. The additional lines of 7-15 are used by the receiver of the message to
organize the report.
DIRECTION ____________________________________________ (Downwind Direction in Degrees)
WIND SPEED___________________________________________ (Wind Speed in K/MPH)
AIR STABILITY ________________________________________ (Air Stability Category:
1 = Very Unstable (U)
2 = Unstable (U)
3 = Slightly Unstable (U)
4 = Neutral (N)
5 = Slightly Stable (S)
6 = Stable (S)
7 = Very Stable (S))
TEMPERATURE _______________________________________ (Temperature Code:
CODE TEMPERATURE
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.
62
FM 6-99.2
30 April 2007
Voice Message Template Formats U.S. Army Report and Message Formats
CHEMICAL DOWNWIND REPORT [CDM] (CONTINUED)
REPORT NUMBER: C011
54 -4 DEG C
55 -5 DEG C
56 -6 DEG C)
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%)
WEATHER____________________________________________(Significant Weather Phenomena Code:
0 = No Significant Weather
1 = Sea Breeze
2 = Land Breeze
3 = Blowing Snow and Sand
4 = Fog, Ice Fog, or 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
CLOUD COVER __________________________________________ (Cloud Cover Code)
0 = Sky Less Than Half Covered
1 = More Than Half Covered
2 = Completely Covered
**Repeat as necessary. Weather information valid for first two hours.
LINE 14 - NARRATIVE _____________________________________ (Free Text for Additional Information
Required for Clarification of Report)
LINE 15 - AUTHENTICATION _______________________________ (Report Authentication)
30 April 2007
FM 6-99.2
63
Section II
Civil-Military Operations Status [CIVMILSTAT]
REPORT NUMBER: C015 {USMTF # B991}
GENERAL INSTRUCTIONS: Use to provide a status of the civil affairs and civilian-military cooperation and
relations situation. Reference: FM 41-10.
LINE 1 - DATE AND TIME __________________________________ (DTG)
LINE 2 - UNIT _____________________________________________ (Unit Making Report)
LINE 3 - LIAISON__________________________________________ (Establishment of and Changes in
Liaison Arrangements Between Civil
and military)
LINE 4 - CONTROL ________________________________________ (Establishment and Changes in
Location, Status, Activity of Control
Nodes and in the CMO AO)
LINE 5 - AREA OF OPERATIONS ____________________________ (CMO AO Name)
LINE 6 - US CIVILIANS_____________________________________ (Total Number of US Civilians in
AO)
LINE 7 - THIRD COUNTRY _________________________________ (Total Number of Third Country
Civilians in AO)
LINE 8 - FOREIGN NATION _________________________________ (Total Number of Foreign Nation
Civilians in AO)
LINE 9 - TOTAL CIVILIAN POPULATION _____________________ (Total Civilian Population in the AO)
LINE 10 - MALES UNDER 16 ________________________________ (Total Number of Dislocated Males
Under 16 Years of Age)
LINE 11 - UNACCOMPANIED MALES UNDER 16 ______________ (Total Number of Dislocated
Unaccompanied Males Under 16
Years of Age)
LINE 12 - MALES OVER 60 _________________________________ (Total Number of Dislocated Males
Over 60 Years of Age)
LINE 13 - MARRIED MALES ________________________________ (Total Number of Dislocated Married
Males)
LINE 14 - SINGLE MALES __________________________________ (Total Number of Dislocated Single
Males)
LINE 15 - FEMALES UNDER 16______________________________ (Total Number of Dislocated Females
Under 16 Years of Age)
**Continued on next page.
64
FM 6-99.2
30 April 2007
Voice Message Template Formats U.S. Army Report and Message Formats
CIVIL-MILITARY OPERATIONS STATUS [CIVMILSTAT] (CONTINUED)
REPORT NUMBER: C015 {USMTF # B991}
LINE 16 - UNACCOMPANIED FEMALES UNDER 16____________ (Total Number of Dislocated
Unaccompanied Females Under 16
Years of Age)
LINE 17 - FEMALES OVER 60 _______________________________ (Total Number of Females Over 60
Years of Age)
LINE 18 - MARRIED FEMALES ______________________________ (Total Number of Dislocated Married
Females)
LINE 19 - SINGLE FEMALES ________________________________ (Total Number of Dislocated Single
Females)
LINE 20 - DISLOCATED MALES _____________________________ (Total Number of Dislocated Males
in AO)
LINE 21 - DISLOCATED FEMALES___________________________ (Total Number of Dislocated Females
in AO)
LINE 22 - TOTAL MALES AND FEMALES ____________________ (Total Number of Dislocated Males
And Females in AO)
LINE 23 - CONTROLLED ___________________________________ (Total Number of Dislocated Civilians
in Controlled Movement)
LINE 24 - UNCONTROLLED ________________________________ (Total Number of Dislocated Civilians
in Uncontrolled Movement)
LINE 25 - MANPOWER _____________________________________ (Changes in Civilian Manpower
Indicate Changes/Shortages in Labor
Availability)
LINE 26 - PUBLIC ADMINISTRATION ________________________ (Changes in Capability to Continue
Essential Functions)
LINE 27 - LEGAL __________________________________________ (Changes in Status of Legal
Accommodations and Accords)
LINE 28 - INTELLIGENCE __________________________________ (Changes in Civilian Attitude;
Identification of Collaborators,
Agents, and Dissident Elements;
Espionage, Sabotage, and Political
Subversion)
LINE 29 - LAW AND ORDER ________________________________ (Changes in Civilian Law and Order)
LINE 30 - PUBLIC HEALTH _________________________________ (Changes in Status of Public Health)
**Continued on next page.
30 April 2007
FM 6-99.2
65
Section II
CIVIL-MILITARY OPERATIONS STATUS [CIVMILSTAT] (CONTINUED)
REPORT NUMBER: C015 {USMTF # B991}
LINE 31 - SUPPLY _________________________________________ (Changes in Status of Civilian
Supplies)
LINE 32 - TRANSPORTATION_______________________________ (Changes in Status of the Civil
Transportation System)
LINE 33 - DRINKING WATER _______________________________ (Water Potability Status; Potable,
Local Only; Nonpotable; to US
Standards, as Applicable)
LINE 34 - WATER PRODUCTION ____________________________ (Adequacy of the Water Production
Capability; Adequate, Not Adequate,
or None, as Applicable)
LINE 35 - SEWAGE TREATMENT____________________________ (Status of Sewage Treatment;
Adequate, Not Adequate, or None,
as Applicable)
LINE 36 - REFUSE _________________________________________ (Status of Refuse Collection
Adequate, Not Adequate, or None as
Applicable)
LINE 37 - RADIO __________________________________________ (Status of the Radio Capability Using
OPERATIONAL, NON-
OPERATIONAL, or UNKNOWN)
LINE 38 - TELEVISION _____________________________________ (Status of the Television Capability
Using OPERATIONAL,
NONOPERATIONAL, Or
UNKNOWN)
LINE 39 - NEWSPAPER_____________________________________ (Status of the Newspaper Capability
Using OPERATIONAL,
NONOPERATIONAL, or
UNKNOWN)
LINE 40 - POSTAL _________________________________________ (Status of the Postal Capability Using
OPERATIONAL,
NONOPERATIONAL, or
UNKNOWN)
LINE 41 - TELEPHONE _____________________________________ (Status of the Telephone Capability
Using OPERATIONAL,
NONOPERATIONAL, or
UNKNOWN)
LINE 42 - TELEGRAPH _____________________________________ (Status of the Telegraph Capability
Using OPERATIONAL,
**Continued on next page.
66
FM 6-99.2
30 April 2007
Voice Message Template Formats U.S. Army Report and Message Formats
CIVIL-MILITARY OPERATIONS STATUS [CIVMILSTAT] (CONTINUED)
REPORT NUMBER: C015 {USMTF # B991}
NONOPERATIONAL, or
UNKNOWN)
LINE 43 - TELETYPE_______________________________________ (Status of the TeletypeCapability
Using OPERATIONAL,
NONOPERATIONAL, or
UNKNOWN)
LINE 44 - ELECTRIC NAVIGATION SYSTEM__________________ (Status of the Electric Navigation
System Using OPERATIONAL,
NONOPERATIONAL, or
UNKNOWN)
LINE 45 - WORD OF MOUTH________________________________ (Status of Word of Mouth
Communications Using
OPERATIONAL,
NONOPERATIONAL, or
UNKNOWN)
LINE 46 - CIVIL DEFENSE __________________________________ (Civil Defense Incidents Affecting
Civilian Community, Critical Events,
and Assistance Provided US
Forces)
LINE 47 - SHORTAGES _____________________________________ (Changes or Shortages Community
(Water Shortages, Quarantines, Road
Restrictions, Curfews))
LINE 48 - SUPPORT RECEIVED______________________________ (Changes in Support Received From
Civilian Community)
LINE 49 - PSYOP __________________________________________ (Changes in Enemy PSYOP Actions
Targeted at Civilian Community)
LINE 50 - PROTECTED PROPERTY __________________________ (Changes in Status of Arts,
Monuments, and Archives)
LINE 51 - CULTURE _______________________________________ (Changes in Local Civil, Social,
Cultural, Religious, and Ethnic
Characteristics)
LINE 52 - RECOMMENDATIONS ____________________________ (Narrative Summary and
Recommendations Concerning the
Status of Civil-Military Operations
Activities)
LINE 53 - NARRATIVE _____________________________________ (Free Text for Information Required
Clarification of Report)
LINE 54 - AUTHENTICATION _______________________________ (Report Authentication)
30 April 2007
FM 6-99.2
67
Section II
Class IV Bulk Barrier Materials Request [BLKIVREQ]
REPORT NUMBER: C020
GENERAL INSTRUCTIONS: Use to report a periodic update, forecast, or formal request of Class IV barrier
materials a unit requires. Reference: FM 5-102, FM 20-32, and FM 90-7.
LINE 1 - DATE AND TIME __________________________________ (DTG)
LINE 2 - UNIT _____________________________________________ (Unit Making Report)
LINE 3 - REQUEST TYPE ___________________________________ (Update, Forecast, or Request)
LINE 4 - MATERIALS ______________________________________ (Type) a) Pickets
______________________________________
b) Wire
______________________________________
c) Sand Bags
______________________________________
d) Wood Type/Size
LINE 5 - QTY OH __________________________________________ (Specify)
**Repeat as Required
LINE 6 - QTY REQ _________________________________________ (Required Quantity)
**Repeat as Required
LINE 7 - UOM _____________________________________________ (Unit of Measurement Times Number
Requested)
LINE 8 - MOR _____________________________________________ (Method of Resupply Requested
(Aerial, LOGPAC))
LINE 9 - LOCATION _______________________________________ (UTM or Six-Digit Grid Coordinate
With MGRS Grid Zone Designator
to Class IV Supply Point or LRP)
LINE 10 - NLT TIME _______________________________________ (Time Limit For Class IV to Arrive at
Supply Point)
LINE 11 - NARRATIVE _____________________________________ (Free Text for Additional Information
Required for Clarification of Report)
LINE 12 - AUTHENTICATION _______________________________ (Report Authentication)
68
FM 6-99.2
30 April 2007
Voice Message Template Formats U.S. Army Report and Message Formats
Close Air Support Summary [CASSUM]
REPORT NUMBER: C025 {USMTF # C600}
GENERAL INSTRUCTIONS: Use to provide timely reports of close, air-support 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
the Period and All Remaining
Missions)
LINE 4 - NO. AND TYPE ACFT ______________________________ (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, Numbers)
LINE 6 - TARGET AREA LOCATION _________________________ (UTM or Six-Digit Grid Coordinate
With MGRS 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. Repeat lines 6 through 10
to report more than one target area within a CAS mission. Assign sequential line numbers to succeeding
iterations; for example, first iteration 3 through 10 or 6 through 10; second iteration 3a through 10a or 6a
through 10a; and so on.
LINE 11 - ORDNANCE______________________________________ (Type and Quantity Expended During
Reporting Period)
LINE 12 - NARRATIVE _____________________________________ (Free Text for Additional Information
Required For Clarification of Report)
30 April 2007
FM 6-99.2
69
Section II
Closure Report [CLOSEREP]
REPORT NUMBER: C030
GENERAL INSTRUCTIONS: Use to inform commander of status of movement and capability of the unit to
conduct future operations. Submit upon completion of movement as directed by commander. Reference: FM 3-
90.2 and 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 Start Point and SP Time if
Required)
LINE 4 - RP _______________________________________________ (UTM or Six-Digit Grid Coordinate
With MGRS Grid Zone Designator
to the Release Point and RP Time if
Required)
LINE 5 - COMMAND POST__________________________________ (Command Post Location)
LINE 6 - CLOSING DTG ____________________________________ (Closing DTG)
LINE 7 - ACCIDENTS ______________________________________ (Accidents/Incidents/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____________________________ (Weapons and Sensitive Items
Inventory Complete YES/NO/ANY
LOSS)
LINE 10 - NARRATIVE _____________________________________ (Free Text for Additional Information
Required for Clarification of Report)
LINE 11 - AUTHENTICATION _______________________________ (Report Authentication)
70
FM 6-99.2
30 April 2007
Voice Message Template Formats U.S. Army Report and Message Formats
Commander's Situation Report [SITREP]
REPORT NUMBER: C035 {USMTF # C400}
GENERAL INSTRUCTIONS: Use to keep the commander’s higher and lower staff updated and advised on the
reporting commander’s critical situation. Reference: FM 100-15, FM 3-90.6, and FM 3-90.2.
LINE 1 - DATE AND TIME __________________________________ (DTG)
LINE 2 - UNIT _____________________________________________ (Unit Making Report)
LINE 3 - REFERENCE ______________________________________ (Provide Reference: Report ,
Originator, and DTG)
LINE 4 - ORIGINATOR _____________________________________ (Unit Identification Code of the Unit
Originating the Report)
LINE 5 - REPORTED UNIT __________________________________ (Unit Identification Code of the
Reported Unit)
LINE 6 - HOME LOCATION _________________________________ (UTM or Six-Digit Grid Coordinate
With MGRS Grid Zone Designator
for the Home Location of the
Reported Unit)
LINE 7 - PRESENT LOCATION ______________________________ (UTM or Six-Digit Grid Coordinate
With MGRS Grid Zone Designator
for the Present Location of the
Reported Unit)
LINE 8 - ACTIVITY ________________________________________ (Brief Description of Reported Unit's
Current Activity)
LINE 9 - EFFECTIVE _______________________________________ (Commander's Evaluation of the
Reported Unit's Combat
Effectiveness)
LINE 10 - OWN SITUATION DISPOSITION/STATUS ____________ (A 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
Operational Control (CHOP); and
Projected Requirements for
Additional Forces)
**Continued on next page.
30 April 2007
FM 6-99.2
71
Section II
COMMANDER'S SITUATION REPORT [SITREP] (CONTINUED)
REPORT NUMBER: C035 {USMTF # C400}
LINE 11 - LOCATION ______________________________________ (UTM or Six-Digit Grid Coordinate
With MGRS Grid Zone Designator)
LINE 12 - SITUATION OVERVIEW ___________________________ (A 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 13 - OPERATIONS ___________________________________ (A 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 Next 24
Hours Including objectives and
Probable Enemy Reaction;
Deviations or Variations From
Previously Reported Intentions/Plans)
LINE 14 - INTELLIGENCE/RECONNAISSANCE ________________ (Brief Overview of the Situation,
including Operations, Order of
Battle, Capabilities, and Threat
Changes; Reference: Any Significant
Spot Intelligence Reports (SPIREPs)
or Intelligence Reports (INTREPs)
Submitted in Previous 24 Hours)
LINE 15 - LOGISTICS ______________________________________ (Significant Deficiencies Affecting
Support for Planned Operations;
Problem Areas Beyond the
Commander's or services' Capability
to Overcome or Alleviate in a Timely
Manner)
LINE 16 - COMMUNICATIONS/CONNECTIVITY_______________ (Significant Outages, Traffic Volume,
Incompatibilities, and Quantitative
Equipment Deficiencies; an
Assessment of the Mission Impact
Caused by Communications Outages
and Degradations Should be Provided
by the CDR’s J-6/J-3Staff and
Contained in This Section)
**Continued on next page.
72
FM 6-99.2
30 April 2007
Voice Message Template Formats U.S. Army Report and Message Formats
COMMANDER'S SITUATION REPORT [SITREP] (CONTINUED)
REPORT NUMBER: C035 {USMTF # C400}
LINE 17 - PERSONNEL _____________________________________ (Factors Affecting Readiness of
Forces/Units; Mobilization Status;
Daily Battle Casualties (Ex: KIA,
WIA, MIA) Aggregated by Service
and Impact of All Casualties
Sustained (Battle, Nonbattle,
Critical Skills, Key Personnel Upon
the Commands' Mission Capability))
LINE 18 - SIGNIFICANT POLITICAL/MILITARY/ DIPLOMATIC
EVENTS __________________________________________________ (Events Not Reported by OPREP 3
PINNACLE But Which Could Result
in US and Local and International
Public Reaction; Results/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)
LINE 19 - CDR’S EVAL _____________________________________ (Summary of Key Points From
Paragraphs 12 Through 19
Highlighting Areas Requiring JCS
and NCA Actions or Decisions;
Continuity of Operations (COOP)
Implementation Intentions on
Execution)
LINE 20 - NARRATIVE _____________________________________ (Free Text for Information Required
for Clarification of Report)
LINE 21 - AUTHENTICATION _______________________________ (Report Authentication)
30 April 2007
FM 6-99.2
73

 

 

 

 

 

 

 

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