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Use to establish and exchange dispersed firing site data for individual cannon, rocket, or missile weapons for the purpose of making tactical fire direction decisions. Reference: FM 6-20-30 and FM 6-20-40

LINE 1 — DATE AND TIME______________________________(DTG)

LINE 2 — UNIT________________________________________(Unit Making Report)

LINE 3 — POI__________________________________________(Primary Option Indicator. Enter ADD, AMEND, or CANCEL)

LINE 4 — PLAN________________________________________(Fire Plan Designation)

LINE 5 — ZONE________________________________________(UTM Grid Zone and 100-KM Square)

LINE 6 — POSITION____________________________________(UTM or Six-Digit Grid Coordinate With MGRS Grid Zone Designator)

LINE 7 — UTM_________________________________________(UTM 1-Meter Easting, UTM 1-Meter Northing, and Altitude in Meters)

LINE 8 — RESPONSE___________________________________(Firing Site Response Time)

LINE 9 — HE __________________________________________(Number of High-Explosive Warheads)

LINE 10 — ICM________________________________________(Number of Dual Purpose ICM Warheads)

LINE 11 — MISSILE ASSEMBLIES________________________(Number of Main Missile Assemblies)

LINE 12 — POSTURE___________________________________(Firing Site Response Posture)

LINE 13 — STATUS_____________________________________(Fire Unit Status)

LINE 14 — RETURN TO OPERATION______________________(Expected Time, Return to Operation)

LINE 15 — RADIATION STATUS__________________________(Nuclear Radiation Exposure Status)

LINE 16 — NVC________________________________________(Nuclear Vulnerability Category)

LINE 17 — WARHEAD UPLOADED________________________(Warhead Type on Launcher)

LINE 18 — NARRATIVE_________________________________(Free Text for Additional Information Required for Clarification of Report)

**Repeat lines 5 through 18 up to four iterations if required. Assign sequential line numbers to succeeding iterations; for example, first iteration, 5 through 18; second iteration, 19 through 32; third iteration, 33 through 46; and so on.

LINE 19 — AUTHENTICATION___________________________(Report Authentication)

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