CLASS IV BULK BARRIER MATERIALS REQUEST [BLKIVREQ]
LINE 1 — DATE AND TIME______________________________(DTG)
LINE 2 — UNIT________________________________________(Unit Making Report)
LINE 3 — REQUEST TYPE_______________________________(Update, Forecast, or Request)
LINE 4 — MATERIALS__________________________________(Type) a) Pickets
__________________________________________________________ b) Wire
__________________________________________________________ c) Sand Bags
__________________________________________________________ d) Wood Type/Size
LINE 5 — QTY OH______________________________________(Specify)
**Repeat as Required
LINE 6 — QTY REQ_____________________________________(Required Quantity)
**Repeat as Required
LINE 7 — UOM________________________________________(Unit of Measurement Times Number Requested)
LINE 8 — MOR________________________________________(Method of Resupply Requested (Aerial, LOGPAC))
LINE 9 — LOCATION___________________________________(UTM or Six-Digit Grid Coordinate With MGRS Grid Zone Designator) to Class IV Supply Point or LRP)
LINE 10 — NLT TIME___________________________________(Time Limit For Class IV to Arrive at Supply Point)
LINE 11 — NARRATIVE_________________________________(Free Text for Additional Information Required for Clarification of Report
LINE 12 — AUTHENTICATION___________________________(Report Authentication)
