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Use to override desired effects or standard volley factors in the Joint Munitions Effectiveness Manual [JMEM] for specified target types and subtypes. Reference: FM 6-20.

LINE 1 — DATE AND TIME______________________________(DTG)

LINE 2 — UNIT________________________________________(Unit Making Report)

LINE 3 — PLAN________________________________________(Fire Plan Designation)

LINE 4 — POI__________________________________________(Primary Option Indicator. Enter ADD, AMEND, or CANCEL)

LINE 5 — TARGET______________________________________(Target Type and Subtype)

LINE 6 — PROTECTION_________________________________(Degree of Personnel Protection)

LINE 7 — EFFECTS_____________________________________(Effects (Percent Damage) Required)

LINE 8 — VOLLEYS____________________________________(Fire for Effect Number of Volleys)

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

LINE 10 — AUTHENTICATION___________________________(Report Authentication)

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