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Use to request forces to participate in a search and rescue (SAR) mission. Reference: FM 1-108 and FM 1-513.

LINE 1 — DATE AND TIME______________________________(DTG)

LINE 2 — UNIT________________________________________(Unit Making Report)

LINE 3 — REQUEST____________________________________(Request Number)

LINE 4 — PRIORITY____________________________________(Priority of Request: 1, 1A through 1Z; 2, 2A through 2Z; 3, 3A Through 3Z; 4, 4A through 4Z)

LINE 5 — TYPE________________________________________(Air Mission Type)

LINE 6 — ON TIME ____________________________________(DTG Aircraft Are Requested to be at SAR Location or ASAP)

LINE 7 — OFF TIME____________________________________(DTG Aircraft Are to Depart From SAR Location)

LINE 8 — NO. TYPE____________________________________(Number and Type of Assets Requested)

LINE 9 — LOCATION___________________________________(SAR Location in UTM or Six-Digit Grid Coordinate With MGRS Grid Zone Designator)

LINE 10 — NARRATIVE_________________________________(Free Text for Additional Information Required for Clarification of Report

LINE 11 — AUTHENTICATION___________________________(Report Authentication)