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Use to provide commander of incidents where the unit has detained civilian personnel. Send IAW unit SOPs. Reference: FM 19-40.

LINE 1 — DATE AND TIME______________________________(DTG)

LINE 2 — UNIT________________________________________(Unit Making Report)

LINE 3 — NO. DETAINEES/ ______________________________(Number of Personnel NO. AWAITING RELEASE Detained and Awaiting Release to Foreign Nation Authorities)

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

LINE 5 — REASON FOR DETENTION_____________________(Reason for Detaining Civilian Personnel)

LINE 6 — MEDICAL CONDITION ________________________(Report if Detained Persons Require Any Emergency Medical Treatment)

LINE 7 — POC_________________________________________(POC of Foreign Nation Support)

LINE 8 — PM ASSESSMENT_____________________________(PM Assessment)

LINE 9 — NARRATIVE__________________________________(Free Text for Additional Information Required for Clarification of Report)

LINE 10 — AUTHENTICATION___________________________(Report Authentication)

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