LINE 1 -- DATE AND TIME______________________________(DTG)
LINE 2 -- UNIT________________________________________(Unit Making Report)
LINE 3 -- UNIT IDENTIFIER_____________________________(Identifier of Unit/Agency Responding for Transportation Support)
LINE 4 -- CALL SIGN___________________________________(Call Sign of the Unit)
LINE 5 -- TELEX_______________________________________(Unit/Agency Telex Number)
LINE 6 -- UNIT POC ___________________________________(Designated Responding POC)
LINE 7 -- RANK/RATE__________________________________(POC Rank or Rate and Rating)
LINE 8 -- PRIMARY PHONE_____________________________(Unit POC Primary Telephone Number)
LINE 9 -- PRIMARY FREQUENCY________________________(Responding Unit Primary Radio Frequency)
LINE 10 -- POC LOCATION______________________________(UTM or Six-Digit Grid Coordinate With MGRS Grid Zone Designator of Reporting Unit POC)
LINE 11 -- SECONDARY PHONE_________________________(Unit POC Secondary Telephone Number)
LINE 12 -- SECONDARY FREQUENCY____________________(Responding Unit Secondary Radio Frequency)
LINE 13 -- BILLING____________________________________(Required Billing Instructions)
LINE 14 -- STATUS_____________________________________(Disposition/Status Using APPROVED, DISAPPROVED, or MODIFIED, as Applicable)
LINE 15 -- SUPPORT UNIT______________________________(Supporting Unit Identifier or Designator, if Applicable)
LINE 16 -- CALL SIGN__________________________________(Call Sign of the Supporting
Unit)
LINE 17 -- ON-LOAD SUPPORT EQUIPMENT NAME________(Literal Name or Nomenclature of Support Equipment to be Provided at On-Load Point)
LINE 18 -- ON-LOAD SUPPORT EQUIPMENT COUNT ______(Number of Pieces of Support Equipment Assigned)
LINE 19 -- OFF-LOAD SUPPORT EQUIPMENT NAME_______(Literal Name or Nomenclature of Support Equipment to be Provided at Off-Load Point)
LINE 20 -- OFF-LOAD SUPPORT EQUIPMENT COUNT______(Number of Pieces of Support Equipment Assigned)
LINE 21 -- SUPPORT POC_______________________________(Supporting Unit POC Name)
LINE 22 -- RANK/RATE_________________________________(Rank or Rate and Rating of Supporting POC)
LINE 23 -- PRIMARY PHONE ____________________________(Supporting Unit POC Primary Telephone Number)
LINE 24 -- PRIMARY FREQUENCY_______________________(Primary Radio Frequency of the Supporting Unit)
LINE 25 -- POC LOCATION______________________________(UTM or Six-Digit Grid Coordinate With MGRS Grid Zone Designator of Reporting Unit POC)
LINE 26 -- SECONDARY PHONE_________________________(Supporting Unit POC Secondary Telephone Number)
LINE 27 -- SECONDARY FREQUENCY____________________(Secondary Radio Frequency of the Supporting Unit)
LINE 28 -- TRANSPORTATION MODE____________________(Mode of Transportation to be Provided, if the Mode is Other Than That Requested)
LINE 29 -- PICKUP TIME _______________________________(Pickup DTG for Movement, if the DTG is Other Than That Requested)
LINE 30 -- ON-LOAD POINT_____________________________(On-Load Point Location, if Other Than That Requested, Using UTM or Six-Digit Grid Coordinate With MGRS Grid Zone Designator)
LINE 31 -- DELIVERY TIME______________________________(Delivery DTG for Movement, if the DTG is Other Than That Requested)
LINE 32 -- OFF-LOAD POINT____________________________(Off-Load Point Location, if Other Than That Requested, Using UTM or Six-Digit Grid Coordinate With MGRS Grid Zone Designator)
LINE 33 -- PRIORITY___________________________________(Priority Assigned by Supporting Unit if it is Other Than That Requested)
**Repeat lines 14 to 33 to reply to different/multiple requests for transportation support. Assign sequential line numbers to succeeding iterations; for example, first iteration 14 through 33; second iteration 14a through 33a; third iteration 14b through 33b; and so on.
LINE 34 -- NARRATIVE_________________________________(Free Text for Additional Information Required for Clarification of Report)
LINE 35 -- AUTHENTICATION___________________________(Report Authentication)