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Use to provide specific detailed orders for airspace management from a higher command to subordinate units. Reference: FM 100-103-2.

LINE 1 — DATE AND TIME______________________________(DTG)

LINE 2 — UNIT________________________________________(Unit Making Report)

LINE 3 — AIRSPACE___________________________________(Type of Airspace)

LINE 4 — NUMBER ____________________________________(Name or Serial Number of Area)

LINE 5 — FROM_______________________________________(DTG Area to be Established)

LINE 6 — UNTIL_______________________________________(DTG Area to be Disestablished)

LINE 7 — ACTION_____________________________________(Type Action: ESTABLISH or CANCEL)

LINE 8 — SERIAL NUMBER______________________________(ACO Serial Number)

LINE 9 — AREA________________________________________(Description of the Area to be Defined (Boundary or Circle))

LINE 10 — COORDINATES______________________________(UTM or Six-Digit Grid Coordinate With MGRS Grid Zone Designator)

LINE 11 — WIDTH/RADIUS______________________________(Width or Radius)

LINE 12 — LOWER_____________________________________(Lower Altitude of Designated Area to Nearest 100 Feet or Ground Level)

LINE 13 — UPPER______________________________________(Upper Altitude of Designated Area to Nearest 100 Feet)

LINE 14 — CONTACT___________________________________(Call Sign of Control Agency)

LINE 15 — PRIMARY___________________________________(Primary Frequency or Frequency Designator)

LINE 16 — SECONDARY________________________________(Secondary Frequency or Frequency Designator)

LINE 17 — NARRATIVE_________________________________(Free Text for Additional Information Required for Clarification of Report)

LINE 18 — AUTHENTICATION___________________________(Report Authentication)

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