LINE 1 -- DATE AND TIME______________________________(DTG)
LINE 2 -- UNIT________________________________________(Unit Making Report)
LINE 3 -- CALL SIGN___________________________________(Call Sign of Disabled or Lost Aircraft, Ship, Submarine, or Other)
LINE 4 -- TYPE ________________________________________(Type of Disabled or Lost Aircraft, Ship, Submarine, or Other)
LINE 5 -- COLOR______________________________________(Color of Disabled or Lost Aircraft, Ship, Submarine, or Other)
LINE 6 -- ID___________________________________________(Aircraft Tail or Side Number, Ship/Submarine Hull Number, or Other Number)
LINE 7 -- LOCATION___________________________________(Location Disabled or Lost Aircraft, Ship, Submarine, or Other in UTM or Six-Digit Grid Coordinate With MGRS Grid Zone Designator)
LINE 8 -- QUALIFIER___________________________________(Location Qualifier: ACTUAL or ESTIMATED Followed by LAND or SEA)
LINE 9 -- TIME OF INCIDENT ___________________________(DTG of Incident)
LINE 10 -- CAUSE _____________________________________(Cause of Disabled or Lost Aircraft, Ship, Submarine, or Other)
LINE 11 -- PERSONNEL ________________________________(Count of Personnel on Board and Qualifier: ACTUAL or ESTIMATED)
LINE 12 -- STATUS ____________________________________(Enter Count of Personnel and Their Statuses)
LINE 13 -- REQUIRE ___________________________________(Enter RCC or COMBINED ASSISTANCE if SAR Assistance is Required)
LINE 14 -- POINT OF CONTACT _________________________(Enter the Point of Contact and Telephone Number)
LINE 15 -- NARRATIVE_________________________________(Free Text for Additional Information Required for Clarification of Report
LINE 16 -- AUTHENTICATION___________________________(Report Authentication)