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Use to request Army aviation units for support. Send from subordinate units to division/corps aviation cell at the main command post. Reference: FM 1-100 and FM 1-114.

LINE 1 — DATE AND TIME______________________________(DTG)

LINE 2 — UNIT________________________________________(Unit Making Report)

LINE 3 — ASSETS______________________________________(Assets Required)

EXAMPLE: Three (3) CH-47s

LINE 4 — PURPOSE____________________________________(Purpose)

EXAMPLE: Emergency Logistical Resupply of Class IV at BP 53

LINE 5 — PRIORITY____________________________________(Priority)

LINE 6 — DTG and GRID of PZ____________________________(DTG and Location of Pickup Zone, include marking system, frequency and call sign of unit at the PZ)

LINE 7 — DTG and GRID of LZ____________________________(DTG and Location of Loading Zone, include marking system, frequency and call sign of unit at the LZ)

LINE 8 — A2C2________________________________________(A2C2 Route and Information (Ingress/Egress Route))

LINE 9 — ENEMY ADA_________________________________(Probability of Enemy ADA)

LINE 10 — TARGET_____________________________________(Target Location and Information for Planning)

LINE 11 — LOAD_______________________________________(Estimated Load Requirements (Slings/Type of Ammunition))

LINE 12 — POC________________________________________(POC of Requesting Unit for Coordination)

LINE 13 — POC AT PZ/LD_______________________________(POC at Pickup Zone or LD)

LINE 14 — POC AT LZ__________________________________(Unit Requesting POC at LZ)

LINE 15 — FARP_______________________________________(Suggested FARP Locations Within Supported Area)

LINE 16 — REMARKS___________________________________(Remarks with Safety Risk Assessment)

LINE 17 — WEATHER___________________________________(Aviation Weather Forecast Within Supported Areas)

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

LINE 19 — AUTHENTICATION___________________________(Report Authentication)

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