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Use to add, amend, or cancel the specified nuclear target in a specified fire plan. Reference: FM 6-20.

LINE 1 — DATE AND TIME______________________________(DTG)

LINE 2 — UNIT________________________________________(Unit Making Report)

LINE 3 — POI__________________________________________(Primary Option Indicator. Enter ADD, AMEND, or CANCEL)

LINE 4 — PLAN_______________________________________(Fire Plan Designation)

LINE 5 — TARGET NO._________________________________(Fire Support Target Number)

LINE 6 — ZONE_______________________________________(UTM Grid Zone and 100-KM Square)

LINE 7 — GRID________________________________________(UTM or Six-Digit Grid Coordinate With MGRS Grid Zone Designator)

LINE 8 — ALTITUDE____________________________________(Altitude in Meters)

LINE 9 — DGZ GZ & 100-KM SQ__________________________(Desired Ground Zero – UTM Grid Zone and 100-KM Square)

LINE 10 — DGZ 1M E & 1M N____________________________(Desired Ground Zero – UTM 1-Meter Easting and UTM 1-Meter Northing)

LINE 11 — GZ ALTITUDE________________________________(Ground Zero Altitude in Meters)

LINE 12 — TARGET ELEMENTS__________________________(Number of Target Elements)

LINE 13 — TYPE_______________________________________(Target or Friendly Unit Type and Subtype)

LINE 14 — PROTECTION________________________________(Degree of Personnel Protection)

LINE 15 — RADIUS_____________________________________(Target or Friendly Unit Radius)

LINE 16 — LENGTH_____________________________________(Target or Friendly Unit Length)

LINE 17 — WIDTH______________________________________(Target or Friendly Unit Width)

LINE 18 — ATTITUDE___________________________________(Attitude in Mils)

LINE 19 — TIME_______________________________________(Time in Minutes Relative to H-Hour)

LINE 20 — DURATION__________________________________(Duration of Fire)

LINE 21 — UNIT DESIGNATORS_________________________(Section, Platoon, Battery/
Company, Battalion/ Regiment and Regiment/ Brigade/Division Designators)

LINE 22 — POSITION___________________________________(UTM or Six-Digit Grid Coordinate With Grid Zone Single Firing Site Designator)

LINE 23 — FIRE FOR EFFECT____________________________(Fire for Effect Number of

LINE 24 — PROJECTILE_________________________________(Fire for Effect Projectile)

LINE 25 — FUZE_______________________________________(Fire for Effect Fuze)

LINE 26 — NARRATIVE_________________________________(Free Text for Additional Information Required for Clarification of Report)

LINE 27 — AUTHENTICATION___________________________(Report Authentication)

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