LINE 1 -- DATE AND TIME______________________________(DTG)
LINE 2 -- UNIT________________________________________(Unit Making Report)
LINE 3 -- FROM_______________________________________(Earliest DTG Zulu Report is Valid)
LINE 4 -- UNTIL_______________________________________(Latest DTG Zulu Report is Valid)
LINE 5 -- MAP_________________________________________(UTM or Six-Digit Grid Coordinate With MGRS Grid Zone Designator)
LINE 6 -- ENEMY______________________________________(Enemy Activity Being Reported to Include: Nationality, Location, Mission, and Time of Sighting)
LINE 7 -- NONHOSTILE_________________________________(Nonhostile Information Being Reported)
LINE 8 -- OWN________________________________________(Activities of Own Forces Including Changes in Location of Units/ Formations, and Activities of Forces Not Attached to Originating Unit)
LINE 9 -- TYPE________________________________________(Type of Boundary Area or Line Being Described)
LINE 10 -- POINT A____________________________________(Start Point for Boundary Line or Trace Being Described in UTM or Six-Digit Grid Coordinate with MGRS Grid Zone Designator)
LINE 11 -- POINT B____________________________________(Second Point to Describe Line or Trace)
LINE 12 -- POINT C____________________________________(Third Point to Describe Line or Trace)
LINE 13 -- POINT D____________________________________(Fourth Point to Describe Line or Trace)
LINE 14 -- POINT E____________________________________(Fifth Point to Describe Line or Trace)
LINE 15 -- UNIT_______________________________________(Unit Designator for the Reported Unit)
LINE 16 -- LOCATION__________________________________(UTM or Six-Digit Grid Coordinate With MGRS Grid Zone Designator) of Unit)
LINE 17 -- UNITS ______________________________________(Total Number of Units Being Reported)
LINE 18 -- READY _____________________________________(Total Number of Units Reporting C1, C2, or C3 Readiness)
LINE 19 -- UNIT _______________________________________(Unit Designator for Units With Less Than C3 Readiness Status)
LINE 20 -- LOCATION__________________________________(UTM or Six-Digit Grid Coordinate With MGRS Grid Zone Designator) of Unit)
LINE 21 -- STATUS_____________________________________(Degree to Which Unit is Combat Ready: C4 or C5)
LINE 22 -- REASON____________________________________(Reason Unit has Less Than C3 Rating: RESOURCE, SUPPLY, TRAINING)
LINE 23 -- READY _____________________________________(Estimated Time Unit Will Achieve Combat Readiness Status)
LINE 24 -- ADMINISTRATION___________________________(Administration and Logistics Information Being Reported, to Include: KIA, WIA, MIA, NCW, and Equipment Lost/Damaged)
LINE 25 -- GENERAL___________________________________(General Information Being Reported)
LINE 26 -- SAFETY_____________________________________(Commander's Safety Risk Assessment for Next Operation)
LINE 27 -- NARRATIVE_________________________________(Free Text for Additional Information Required for Clarification of Report)
LINE 28 -- AUTHENTICATION___________________________(Report Authentication)