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Use (1) to inform the requesting component command whether a request has been approved or disapproved and (2) to inform the complying command that it will satisfy the request in the immediate air tasking, SAR, or airlift. Reference: FM 1-100. (See also Figure A015.)

LINE 1 — DATE AND TIME______________________________(DTG)

LINE 2 — UNIT________________________________________(Unit Making Report)

LINE 3 — REQUEST____________________________________(Request Number)

LINE 4 — COMMAND__________________________________(Requesting Command)

LINE 5 — STATUS______________________________________(Status of Request: APPROVED or DISAPPROVED)

** If status is DISAPPROVED, skip to Line 10.

LINE 6 — TASKED_____________________________________(Command Tasked to Comply With and Satisfy the Request)

LINE 7 — PRIORITY____________________________________(Revised Priority: 1, 1A through 1Z; 2, 2A through 2Z; 3, 3A Through 3Z; 4, 4A through 4Z)

LINE 8 — MISSION_____________________________________(Type of Mission: CAS, RECONNAISSANCE, and so on)

LINE 9 — START_______________________________________(DTG Time That Aircraft Are to Arrive on Mission Location)

LINE 10 — NO. TYPE___________________________________(Number and Type Aircraft)

LINE 11 — NARRATIVE_________________________________(Free Text for Additional Information Required for Clarification of Report)

LINE 12 — AUTHENTICATION___________________________(Report Authentication)