LINE 1 -- DATE AND TIME______________________________(DTG)
LINE 2 -- UNIT________________________________________(Unit Making Report)
LINE 3 -- REQUESTING AGENCY________________________(Identification of the Component/ Unit Making the Request)
LINE 4 -- COORDINATES_______________________________(UTM or Six-Digit Grid Coordinate With MGRS Grid Zone Designator of the Requesting Unit)
LINE 5 -- SITE JUSTIFICATION__________________________(Reason a Temporary Burial Site is Necessary)
LINE 6 -- FEATURE ____________________________________(Prominent Terrain Feature of the Proposed Site)
LINE 7 -- COORDINATES_______________________________(UTM or Six-Digit Grid Coordinate With MGRS Grid Zone Designator of the Area Containing the Features Listed in the Preceding Line)
LINE 8 -- NAME_______________________________________(Cemetery Name or Title)
LINE 9 -- GRADIENT___________________________________(Relative Terrain Gradient (GENTLY ROLLING, MODERATE, STEEP, or VERY STEEP)
LINE 10 -- DRAINAGE__________________________________(Type of Drainage (NATURAL, MAN-MADE, or NONE)
LINE 11 -- SOIL _______________________________________(Type of Soil)
LINE 12 -- LAND USE __________________________________(Current Use of the Land)
LINE 13 -- ROAD NUMBER______________________________(Access Road Number)
LINE 14 -- ROAD NAME ________________________________(Name of Access Road to Cemetery Site)
LINE 15 -- ROAD SURFACE _____________________________(Type of Surface on Access Road)
LINE 16 -- VEGETATION________________________________(Type of Vegetation)
LINE 17 -- LOCAL LABOR_______________________________(Number of Local Laborers Available)
LINE 18 -- EQUIPMENT_________________________________(Type, Name, or Nomenclature of Available Cemetery Equipment)
LINE 19 -- BURIAL TYPE________________________________(Type of Special Burial Procedure/Ceremony Requested)
LINE 20 -- PERSONNEL QUANTITY AND CLASS___________(Quantity and Classification of Remains (Military and Whether US, Allied, or Enemy))
**Transmit lines 19 and 20 for a special burial request.
**Repeat lines 19 through 20 to request multiple types of special burial procedures/ceremonies. Assign sequential line numbers to succeeding iterations; for example, first iteration 19 through 20; second iteration 19a through 20a; third iteration 19b through 20b; and so on.
LINE 21 -- BURIAL JUSTIFICATION______________________(Reason for Requesting Mass Burial)
LINE 22 -- NARRATIVE_________________________________(Free Text for Additional Information Required for Clarification of Report)
LINE 23 -- AUTHENTICATION___________________________(Report Authentication)