MODIFICATION-EXCLUDE CRITERIA [MOD.XCLUDE]
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)
