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Use to triangulate an object jamming friendly units by comparing lines of bearing from different origins. Reference: FM 34-40-9 and FM 34-54.

LINE 1 — DATE AND TIME______________________________(DTG)

LINE 2 — UNIT________________________________________(Unit Making Report)

LINE 3 — TRACK______________________________________(Strobe Number)

LINE 4 — BEARING____________________________________(Bearing of the EA Strobe From Affected/Detecting
Unit’s Position)

LINE 5 — POSITION____________________________________(UTM or Six-Digit Grid Coordinate With MGRS Grid Zone Designator)

LINE 6 — FREQUENCY_________________________________(EA Frequency)

LINE 7 — AFFECTING__________________________________(Type of Equipment Affected by EA, if Known)

LINE 8 — EMITTER_____________________________________(Emitter Call Sign and Name or Nomenclature)

LINE 9 — TIME________________________________________(DTG of EA Intercept)

LINE 10 — NARRATIVE_________________________________(Free Text for Additional Information Required for Clarification of Report

LINE 11 — AUTHENTICATION___________________________(Report Authentication)