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Use to convey UMT status and general assessment of unit morale by unit chaplain. Send as directed by commander. Reference: FM 16-1.

LINE 1 — DATE AND TIME______________________________(DTG)

LINE 2 — UNIT________________________________________(Unit Making Report)

LINE 3 — UMT STATUS_________________________________((Strength) Omit if green)

a. RED_________________________________________(UMT Loss)
b. AMBER______________________________________(Chap or Asst. Loss)
c. GREEN______________________________________(UMT up, Mission Capable)


a. Protestant_____________________________________
b. Roman Catholic________________________________
c. Jewish_______________________________________
d. Orthodox_____________________________________
e. Islamic_______________________________________
f. Buddhist______________________________________
g. Other________________________________________(Specify)


a. Religious Services

1. Protestant__________________________________
2. Roman Catholic _____________________________
3. Jewish ____________________________________
4. Orthodox__________________________________
5. Islamic____________________________________
6. Buddhist __________________________________
7. Other ____________________________________(Specify)

b. Rites, Sacraments, Ordinances

1. Baptism___________________________________
2. Communion________________________________
3. Last Rites _________________________________
4. Other_____________________________________(Specify)

c. Pastoral Care

1. Counseling_________________________________
2. Casualty Care ______________________________
3. Combat Stress/Battle Fatigue___________________
4. Critical Incident Debriefs ______________________
5. Memorials/Funerals__________________________
6. Other_____________________________________(Specify)

d. Religious and Humanitarian Support

1. Stability Operations

a. Civil Affairs_______________________________
b. Noncombatant Evac________________________
c. Peace Operations __________________________
d. Disaster Relief_____________________________
e. Other____________________________________(Specify)

2. Supporting Operations

a. Humanitarian Assistance______________________
b. Environmental Assistance_____________________
c. Other____________________________________(Specify)

LINE 6 — UMT ASSESSMENT____________________________(Assessment of Morale, Upcoming Mission, and so forth (if essential))

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

LINE 8 — AUTHENTICATION___________________________(Report Authentication)

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