LINE 1 -- DATE AND TIME______________________________(DTG)
LINE 2 -- UNIT________________________________________(Unit Making Report)
LINE 3 -- PLAN________________________________________(Fire Plan Designation)
LINE 4 -- AMMO_______________________________________(Projectile Type and Quantity)
LINE 5 -- AMMO_______________________________________(Projectile Type and Quantity)
LINE 6 -- AMMO_______________________________________(Projectile Type and Quantity)
LINE 7 -- AMMO_______________________________________(Projectile Type and Quantity)
LINE 8 -- AMMO_______________________________________(Projectile Type and Quantity)
LINE 9 -- AMMO_______________________________________(Projectile Type and Quantity)
LINE 10 -- AMMO______________________________________(Projectile Type and Quantity)
LINE 11 -- AMMO______________________________________(Projectile Type and Quantity)
LINE 12 -- AMMO______________________________________(Projectile Type and Quantity)
LINE 13 -- AMMO______________________________________(Projectile Type and Quantity)
LINE 14 -- AMMO______________________________________(Projectile Type and Quantity)
LINE 15 -- AMMO______________________________________(Projectile Type and Quantity)
LINE 16 -- AMMO______________________________________(Projectile Type and Quantity)
LINE 17 -- FUZE_______________________________________(Fuze Type and Quantity)
LINE 18 -- FUZE_______________________________________(Fuze Type and Quantity)
LINE 19 -- FUZE_______________________________________(Fuze Type and Quantity)
LINE 20 -- FUZE_______________________________________(Fuze Type and Quantity)
LINE 21 -- FUZE_______________________________________(Fuze Type and Quantity)
LINE 22 -- WARHEAD__________________________________(Warhead Mark Number, Nuclear Weapon Model Y
Number)
LINE 23 -- NUCLEAR WEAPON QTY_____________________(Nuclear Weapons Quantity)
LINE 24 -- NUCLEAR WEAPON QTY_____________________(Nuclear Weapons Quantity)
LINE 25 -- NARRATIVE_________________________________(Free Text for Additional Information Required for Clarification of Report)
LINE 26 -- AUTHENTICATION___________________________(Report Authentication)