This website is not affiliated with the U.S. government or military.


Use to provide commander of incidents where the unit has detained civilian personnel. Send IAW unit SOPs. Reference: FM 19-40.

LINE 1 -- DATE AND TIME______________________________(DTG)

LINE 2 -- UNIT________________________________________(Unit Making Report)

LINE 3 -- NO. DETAINEES/ ______________________________(Number of Personnel NO. AWAITING RELEASE Detained and Awaiting Release to Foreign Nation Authorities)

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 Any Emergency Medical Treatment)

LINE 7 -- POC_________________________________________(POC of Foreign Nation Support)

LINE 8 -- PM ASSESSMENT_____________________________(PM Assessment)

LINE 9 -- NARRATIVE__________________________________(Free Text for Additional Information Required for Clarification of Report)

LINE 10 -- AUTHENTICATION___________________________(Report Authentication)