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Use to request authorization to establish or disestablish a military postal facility. Reference: FM 16-1.

LINE 1 — DATE AND TIME______________________________(DTG)

LINE 2 — UNIT________________________________________(Unit Making Report)

LINE 3 — TYPE FACILITY_______________________________(Identify the Type Postal Facility Reported)

LINE 4 — DATE (OPENING) (CLOSING) ___________________(State Whether Proposed Opening or Proposed Closing and the DTG)

LINE 5 — PERSONNEL__________________________________(Number of Personnel Affected)

LINE 6 — UNITS_______________________________________(Major Units Affected)

LINE 7 — LOCATION___________________________________(Enter the Place Name of the Current or Proposed Postal Facility, the UTM or Six-Digit Grid Coordinate With MGRS Grid Zone Designator)

LINE 8 — JUSTIFICATION_______________________________(Information to Rationalize the Need to Open or Close a Military Postal Facility)

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

LINE 10 — AUTHENTICATION___________________________(Report Authentication)