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Use to report a periodic update or formal request of fuel unit requirements. Send as needed with ROUTINE precedence on A&L nets. Reference: FM 63-20 and FM 63-11.

LINE 1 — DATE AND TIME______________________________(DTG)

LINE 2 — UNIT________________________________________(Unit Making Report)

LINE 3 — REQUEST____________________________________(Request or Forecast (Include DTG))

LINE 4 — FUEL TYPE___________________________________(Type Fuel)

a) Diesel
c) JP – 4
d) JP – 8

LINE 5 — QTY OH)_____________________________________(Specify Gallons or Liters)

LINE 6 — QTY REQ____________________________________(Required Quantity)

LINE 7 — NARRATIVE__________________________________(Free Text for Additional Information Required for Clarification of Report)

LINE 8 — AUTHENTICATION____________________________(Report Authentication)

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