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Use to provide an abbreviated imagery interpretation report in a tactical situation

LINE 1 — DATE AND TIME______________________________(DTG)

LINE 2 — UNIT________________________________________(Unit Making Report)

LINE 3 — SERIAL ______________________________________(Originator’s Report Serial

LINE 4 — REQUEST____________________________________(Requestor Identity and
Serial Number)

LINE 5 — PROJECT_____________________________________(Project Identifier Code)

LINE 6 — MISSION_____________________________________(Mission Number)

LINE 7 — DATE________________________________________(Mission Date, DTG)

LINE 8 — ITEM________________________________________(Item Number)

LINE 9 — NAME_______________________________________(Target Name or

LINE 10 — NUMBER____________________________________(BE Number)

LINE 11 — LOCATION__________________________________(UTM or Six-Digit Grid
Coordinate With MGRS
Grid Zone Designator) of

LINE 12 — TIME_______________________________________(DTG of Sighting)

LINE 13 — STATUS ____________________________________(Status of Activity/Target)

LINE 14 — COUNT_____________________________________(Count of OB Items)

LINE 15 — TYPE_______________________________________(Type of OB Item)

LINE 16 — FURTHER___________________________________(Follow-Up Report:
Yes or No)

LINE 17 — WEATHER___________________________________(Weather Conditions Over

LINE 18 — IMAGERY CONFIRMS________________________(Imagery Confirmation of
the Pilot Report/Debrief)

LINE 19 — SENSOR_____________________________________(Type of Sensor Used)

LINE 20 — COVERAGE__________________________________(Percent of Target Covered.
If less than 100 percent,
explain why)

LINE 21 — NARRATIVE_________________________________(Free Text for Additional
Information Required for
Clarification of Report

LINE 22 — AUTHENTICATION___________________________(Report Authentication)

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