LINE 1 -- DATE AND TIME______________________________(DTG)
LINE 2 -- UNIT________________________________________(Unit Making Report)
LINE 3 -- NUMBER_____________________________________(Number of Stragglers by Rank and Unit)
LINE 4 -- LOCATION___________________________________(Location of Stragglers Picked Up: UTM or Six-Digit Grid Coordinate With MGRS Grid Zone Designator)
LINE 5 -- AA__________________________________________(Disposition/Location of Straggler AA)
LINE 6 -- NARRATIVE__________________________________(Free Text for Additional Information Required for Clarification of Report)
LINE 7 -- AUTHENTICATION____________________________(Report Authentication)