LINE 1 -- DATE AND TIME______________________________(DTG)
LINE 2 -- UNIT________________________________________(Unit Making Report)
LINE 3 -- EVENT_______________________________________(Type of Incident: NUCLEAR, NUC.NAV, BIOLOGICAL, BIO.NAV, CHEMICAL, or CHEM.NAV)
LINE 4 -- ALFA________________________________________(NBC Strike Serial Number)
LINE 5 -- DELTA_______________________________________(DTG of Detonation or Beginning of Attack or ROTA)
LINE 6 -- FOXTROT____________________________________(UTM or Six-Digit Grid Coordinate With MGRS Grid Zone Designator of Attack and Code Used to Represent if Reported Location of Attack is Actual or Estimated)
LINE 7 -- HOTEL_______________________________________(Type of Burst, Biological/ Chemical Agent, and Persistency)
LINE 8 -- OSCAR ______________________________________(Reference: DTG for Estimated Contours When Not H+1 Hour)
LINE 9 -- SIERRA______________________________________(DTG Contamination Was Detected or DTG of Reading)
LINE 10 -- TANGO_____________________________________(H+1 DTG of Reading)
LINE 11 -- UNIFORM___________________________________(Coordinates of 1,000 Contour Line-Green)
LINE 12 -- VICTOR_____________________________________(Coordinates of 300 cGy/H Contour Line-Green)
LINE 13 -- WHISKEY___________________________________(Coordinates of 100 cGy/H Contour Line-Green)
LINE 14 -- XRAY ______________________________________(Coordinates of 20 cGy/H Contour Line or Area of Biological Chemical Contamination - Black or Yellow)
LINE 15 -- TIME________________________________________(DTG of Observation)
LINE 16 -- NARRATIVE_________________________________(Free Text for Additional Information Required for Clarification of Report)
LINE 17 -- AUTHENTICATION___________________________(Report Authentication)