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Use to request information from requesting unit’s command post or other units. Reference: FM 101-5.

LINE 1 — DATE AND TIME______________________________(DTG)

LINE 2 — UNIT________________________________________(Unit Making Report)

LINE 3 — REQUEST ____________________________________(Desired Information (Specific Order or Request))

LINE 4 — PRIORITY____________________________________(Requestor’s Priority: ONE, TWO, THREE, or FOUR)

LINE 5 — BY__________________________________________(DTG Information Required)

LINE 6 — LTIOV_______________________________________(DTG of Latest Time of Intelligence/Information Value)

LINE 7 — NARRATIVE__________________________________(Free Text for Additional Information Required for Clarification of Report

LINE 8 — AUTHENTICATION___________________________(Report Authentication)

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