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Use to provide specific information pertaining to a reconnaissance mission flight. Reference: FM 34-2-1, FM 100-103, and FM 101-5.

LINE 1 — DATE AND TIME______________________________(DTG)

LINE 2 — UNIT________________________________________(Unit Making Report)

LINE 3 — TRANSACTION_______________________________(LAUNCH, RECOVERY, RELAUNCH, or CHANGE)

LINE 4 — NICKNAME __________________________________(Approved Nickname)

LINE 5 — MISSION_____________________________________(Mission Number)

LINE 6 — TRACK ______________________________________(Track Number)

LINE 7 — FORCE_______________________________________(Count and Type of Aircraft)

LINE 8 — ACTUAL DEPARTURE__________________________(Actual Departure DTG Zulu)

LINE 9 — BASE________________________________________(Actual Launch Base ICAO Code or Coordinates)

LINE 10 — ESTIMATED ARRIVAL________________________(Estimated Recovery DTG Zulu)

LINE 11 — BASE_______________________________________(Anticipated Recovery UTM or Six-Digit Grid Coordinate With MGRS Grid Zone Designator)

LINE 12 — ACTUAL ARRIVAL ___________________________(Actual Landing DTG Zulu)

LINE 13 — BASE_______________________________________(Actual Recovery Base Using UTM or Six-Digit Grid Coordinate With MGRS Grid Zone Designator)

LINE 14 — STATUS_____________________________________(ABORT COMPLETE, ABORT INCOMPLETE, or AS SCHEDULED)

LINE 15 — REASON____________________________________(Reason for Aborting Mission)

**Repeat lines 3 through 15 to report multiple multitrack missions. Assign sequential line numbers to succeeding iterations; for example, first iteration 3 through 15; second iteration 3a through 15a; third iteration 3b through 15b; and so on.

LINE 16 — NARRATIVE_________________________________(Free Text for Additional Information Required for Clarification of Report)

LINE 17 — AUTHENTICATION___________________________(Report Authentication)

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