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MODIFICATION-EXCLUDE CRITERIA [MOD.XCLUDE]

Use to disseminate exclusions from tactical fire control consideration for fire missions or specified fire-plan processing. Exclusions include specific weapons of fire units or combinations of shell and fuze by weapon type or fire unit. Reference: FM 6-20 and FM 6-16 through FM 6-16-3.

LINE 1 — DATE AND TIME______________________________(DTG)

LINE 2 — UNIT________________________________________(Unit Making Report)

LINE 3 — PLAN________________________________________(Fire Plan Designation)

LINE 4 — TIME________________________________________(DTG of Fire Plan)

LINE 5 — POI__________________________________________(Primary Option Indicator. Enter ADD, AMEND, or CANCEL)

LINE 6 — EXCLUDE____________________________________(Section, Platoon, Battery/ Company, Battalion/ Regiment, and Regiment/ Brigade/Division Designators, or Ship Call Sign(s))

LINE 7 — EXCLUDE____________________________________(Section, Platoon, Battery/ Company, Battalion/ Regiment, and Regiment/ Brigade/Division Designators, or Ship Call Sign(s))

LINE 8 — EXCLUDE____________________________________(Section, Platoon, Battery/ Company, Battalion/ Regiment, and Regiment/ Brigade/Division Designators, or Ship Call Sign(s))

LINE 9 — EXCLUDE____________________________________(Section, Platoon, Battery/Company, Battalion/Regiment, and Regiment/Brigade/DivisionDesignators, or Ship Call Sign(s))

LINE 10 — EXCLUDE___________________________________(Section, Platoon, Battery/ Company, Battalion/ Regiment, and Regiment/ Brigade/Division Designators, or Ship Call Sign(s))

LINE 11 — WEAPON EXCLUDED_________________________(Surface-to-Surface Weapon Type)

LINE 12 — WEAPON ___________________________________(Surface-to-Surface Weapon Type)

LINE 13 — PROJECTILE EXCLUDED______________________(Projectile Excluded)

LINE 14 — PROJECTILE ________________________________(Projectile Excluded)

LINE 15 — PROPELLANT EXCLUDED_____________________(Propellant Excluded)

LINE 16 — PROPELLANT________________________________(Propellant Excluded)

LINE 17 — FUZE EXCLUDED ____________________________(Fuze Excluded)

LINE 18 — FUZE_______________________________________(Fuze Excluded)

LINE 19 — NARRATIVE_________________________________(Free Text for Additional Information Required for Clarification of Report

LINE 20 — AUTHENTICATION___________________________(Report Authentication)