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Use to report information and combat actions obtained on mounted and dismounted patrols. Reference: FM 17-98, FM 17-95, FM 7-92, and FM 34-3.

LINE 1 -- DATE AND TIME______________________________(DTG)

LINE 2 -- UNIT________________________________________(Unit Making Report)

LINE 3 -- DPT & RTN DTG ______________________________(Patrol Departure and Return DTG)

LINE 4 -- ROUTE ______________________________________(Patrol Route (if Applicable))

LINE 5 -- CHECK POINTS ______________________________(Check Points Patrol Route Will Follow)

LINE 6 -- RESULTS ____________________________________(Results (if Specified in Mission Task and Purpose))

LINE 7 -- CONDITION OF PATROL_______________________(Status Report of Patrol, Friendly Losses)

LINE 8 -- SALUTE______________________________________(Enemy Encountered, SALUTE)

LINE 9 -- BDA ENEMY__________________________________(Battle Damage Assessment Enemy)

LINE 10 -- ROUTE RECON RPT___________________________(Description of Terrain, Route Recon Report, Correction to Maps (if Applicable))

LINE 11 -- NARRATIVE_________________________________(Free Text for Additional Information Required for Clarification of Report)

LINE 12 -- AUTHENTICATION___________________________(Report Authentication)