LINE 1 -- DATE AND TIME______________________________(DTG)
LINE 2 -- UNIT________________________________________(Unit Making Report)
LINE 3 -- UNIT IDENTIFIER _____________________________(Identifier or Unit/Agency Requesting Transportation Support)
LINE 4 -- CALL SIGN___________________________________(Call Sign of Unit)
LINE 5 -- TELEX_______________________________________(Unit/Agency Telex Number)
LINE 6 -- UNIT POC____________________________________(Designated Unit POC)
LINE 7 -- RANK/RATE__________________________________(POC Rank or Rate and Rating)
LINE 8 -- PRIMARY PHONE_____________________________(Unit POC Primary Telephone Number)
LINE 9 -- PRIMARY FREQUENCY________________________(Unit Primary Radio Frequency)
LINE 10 -- POC LOCATION______________________________(Unit POC Location Using UTM or Six-Digit Grid Coordinate With MGRS Grid Zone Designator)
LINE 11 -- SECONDARY PHONE_________________________(Unit POC Secondary Telephone Number)
LINE 12 -- SECONDARY FREQUENCY____________________(Unit Secondary Radio Frequency)
LINE 13 -- BILLING ____________________________________(Required Billing Instructions)
LINE 14 -- PRIORITY___________________________________(Requestor-Assigned Priority Number)
LINE 15 -- MODE______________________________________(Requestor's Preferred Mode of Transportation)
LINE 16 -- PICKUP TIME _______________________________(Desired Pickup DTG for Cargo/Passengers Being Moved)
LINE 17 -- ON-LOAD___________________________________(UTM or Six-Digit Grid Coordinate With MGRS Grid Zone Designator of On-Load/Pickup Point)
LINE 18 -- DELIVERY __________________________________(Desired Delivery Time for Cargo/Passengers Being Moved)
LINE 19 -- OFF-LOAD__________________________________(UTM or Six-Digit Grid Coordinate With MGRS Grid Zone Designator of Off-Load Point)
LINE 20 -- COUNT_____________________________________(Count of Cargo/Passengers to be Transported)
LINE 21 -- TYPE_______________________________________(Type of Cargo/Passengers to be Transported)
LINE 22 -- LENGTH ____________________________________(Linear, End-to-End Measurement, of Each Type of Equipment)
LINE 23 -- WIDTH _____________________________________(Linear, Side-to-Side Measurement, of Each Type of Equipment)
LINE 24 -- HEIGHT_____________________________________(Vertical Dimension of Each Type of Equipment)
LINE 25 -- WEIGHT ____________________________________(Weight of Each Type of Equipment)
LINE 26 -- HAZARDOUS DATA __________________________(Required Hazardous Cargo Data According to Federal Regulation 49 And Joint Service Regulations)
LINE 27 -- ADDITIONAL SUPPORT_______________________(Additional Support Requirements at On-Load or Off-Load Points, if Applicable)
LINE 28 -- POC FUNCTION _____________________________(Name of the Function of the Mission POC)
LINE 29 -- CALL SIGN__________________________________(Call Sign of the Unit to Contact)
LINE 30 -- REQUESTING POC ___________________________(Name of the Requesting Unit POC)
LINE 31 -- RANK/RATE_________________________________(Rank or Rate and Rating of Requesting POC)
LINE 32 -- PRIMARY PHONE ____________________________(Unit POC Primary Telephone Number)
LINE 33 -- PRIMARY FREQUENCY _______________________(Primary Radio Frequency of Requesting Unit)
LINE 34 -- POC LOCATION _____________________________(UTM or Six-Digit Grid Coordinate With MGRS Grid Zone Designator of Reporting Unit POC)
LINE 35 -- SECONDARY PHONE_________________________(Requesting POC Secondary Telephone Number)
LINE 36 -- SECONDARY FREQUENCY____________________(Secondary Radio Frequency of the Requesting Unit)
**Repeat lines 14 through 36 to initiate multiple requests for transportation support. Assign sequential line numbers to succeeding iterations; for example, first iteration 14 through 36; second iteration 14a through 36a; third iteration 14b through 36b; and so on.
LINE 37 -- NARRATIVE_________________________________(Free Text for Additional Information Required for Clarification of Report)
LINE 38 -- AUTHENTICATION___________________________(Report Authentication)