This website is not affiliated with the U.S. government or military. All proceeds from the operation of this site are donated to veteran and other charities.


Use to report blood shipments. Reference: FM 8-10-5.

LINE 1 — DATE AND TIME______________________________(DTG)

LINE 2 — UNIT________________________________________(Unit Making Report)

LINE 3 — ACTIVITY____________________________________(Reporting Unit’s Activity

Code Letter:
A = Joint Blood Program Office
B= Area Joint Blood Program Office
C = Armed Services Whole Blood Processing Laboratory
D = Blood Donor Center
E = Blood Products Depot
F = Blood Transshipment Center
G = Blood Supply Unit
H = Medical Treatment Element
I = Naval Vessel)

LINE 4 — LOCATION___________________________________(UTM or Six-Digit Grid Coordinate With MGRS Grid Zone Designator)

LINE 5 — RENDEZVOUS________________________________(NAVAL VESSELS ONLY: UTM or Six-Digit Grid Coordinate With MGRS Grid Zone Designator for Delivery of Blood Products)

LINE 6 — ARRIVAL_____________________________________(NAVAL VESSELS ONLY (Hospital Ship): Estimated DTG at the Projected Location)

LINE 7 — PRODUCT____________________________________(Brevity Code Letter of Blood Product Being Shipped:
J =Red Blood Cells
K =Whole Blood
L =Frozen Red Blood Cells
M =Fresh Frozen Plasma
N =Frozen Platelets)

LINE 8 — O POSITIVE__________________________________(Number of Units)

LINE 9 — O NEGATIVE_________________________________(Number of Units)

LINE 10 — A POSITIVE_________________________________(Number of Units)

LINE 11 — A NEGATIVE________________________________(Number of Units)

LINE 12 — B POSITIVE_________________________________(Number of Units)

LINE 13 — B NEGATIVE________________________________(Number of Units)

LINE 14 — AB POSITIVE________________________________(Number of Units)

LINE 15 — AB NEGATIVE_______________________________(Number of Units)

LINE 16 — TOTAL_____________________________________(Total Number of Units of Blood Product Being Shipped)

**Repeat lines 7 through 16 as a group when shipping more than one blood product. Assign sequential line numbers to succeeding iterations; for example, first iteration 7 through 16; second iteration 7a through 16a; third iteration 7b through 16b; and so on.

LINE 17 — CONTROL___________________________________(Airbill Number or Transportation Control Number (TCN))

LINE 18 — MISSION____________________________________(Airline and Flight Number or Mission Number Assigned at the Shipment’s Origin)

LINE 19 — ARRIVAL____________________________________(Estimated DTG of Shipment’s Arrival at Destination)

LINE 20 — BOXES______________________________________(Number of Boxes in Shipment)

LINE 21 — CONTACT___________________________________(Name of Shipper’s Point of Contact)

LINE 22 — PHONE _____________________________________(24-Hour Telephone Number of Shipper’s Point of Contact)

LINE 23 — NARRATIVE_________________________________(Free Text for Additional Information Required for Clarification of Report

LINE 24 — AUTHENTICATION___________________________(Report Authentication)

Important Information: We strive to provide information on this website that is accurate, complete and timely, but we make no guarantees about the information, the selection of schools, school accreditation status, the availability of or eligibility for financial aid, employment opportunities or education or salary outcomes. Visit here for important information on these topics.