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Use to report results of route reconnaissance. Reference: FM 5-34, FM 17-95, and FM 17-98.

LINE 1 — DATE AND TIME______________________________(DTG)

LINE 2 — UNIT________________________________________(Unit Making Report)

LINE 3 — RECON TIME_________________________________(DTG Start and Completion of Recon)

LINE 4 — RECOND ROUTE______________________________(Route Reconned)

LINE 5 — TRAFFICABILITY _____________________________(Trafficability of Route)

LINE 6 — BUILT-UP AREAS _____________________________(Built-up Areas Along Route/Grid Coordinates)

LINE 7 — LATERAL ROUTES ____________________________(Lateral Routes Reconned/ Results)

LINE 8 — BRIDGE CLASS _______________________________(Bridge Classification Report/Grid Coordinates)

LINE 9 — FORDS ______________________________________(Fords and Crossings Site/ Grid Coordinates)

LINE 10 — BYPASSES__________________________________(Overpasses, Underpasses, Culverts/Grid Coordinates)

LINE 11 — OBSTACLES_________________________________(UTM or Six-Digit Grid Coordinate With MGRS Grid Zone Designator of All Obstacles, Minefields, Contaminated Areas)

LINE 12 — ENEMY_____________________________________(Enemy Activity That Can Influence Route/Grid Coordinates)

LINE 13 — NARRATIVE_________________________________(Free Text for Additional Information Required for Clarification of Report)

LINE 14 — AUTHENTICATION___________________________(Report Authentication)