LINE 1 -- DATE AND TIME______________________________(DTG)
LINE 2 -- UNIT________________________________________(Unit Making Report)
LINE 3 -- FROM_______________________________________(Beginning DTG Zulu of Period Summarized)
LINE 4 -- THROUGH___________________________________(Ending DTG Zulu 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)
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 in Combat)
LINE 25 -- CHAFF______________________________________(Type of Chaff)
LINE 26 -- LOWER FREQUENCY_________________________(Lower Frequency of a Range of Frequencies That Was Blanked by Chaff or the Lower EA Frequency)
LINE 27 -- UPPER FREQUENCY__________________________(Upper Frequency of a Range of Frequencies That Was Blanked by Chaff or the Lower EA Frequency)
LINE 28 -- LOW LEVEL_________________________________(Lower Altitude in Hundreds of Feet of Airspace That Was 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 in Which 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 Grid Zone Designator)
LINE 36 -- NARRATIVE_________________________________(Free Text for Additional Information Required for Clarification of Report)
LINE 37 -- AUTHENTICATION___________________________(Report Authentication)