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Use to provide notification of a Subversion and Espionage Directed Against the Army (SAEDA) incident. Reference: FM 34-60 and AR 310-50.

LINE 1 -- DATE AND TIME______________________________(DTG)

LINE 2 -- UNIT________________________________________(Unit Making Report)

LINE 3 -- INCIDENT TIME_______________________________(DTG of Incident)

LINE 4 -- LOCATION___________________________________(UTM or Six-Digit Grid Coordinate With MGRS Grid Zone Designator)

LINE 5 -- PERSONNEL__________________________________(Personnel Involved)

a. WITNESSES___________________________________

b. SOURCES_____________________________________

c. SUSPECTS ____________________________________

LINE 6 -- ACTIONS ____________________________________(Actions Taken by Personnel and Unit Involved)

LINE 7 -- POINT OF CONTACT__________________________(Unit POC and Contact Information)

LINE 8 -- NARRATIVE__________________________________(Free Text for Additional Information Required for Clarification of Report)

LINE 9 -- AUTHENTICATION____________________________(Report Authentication)