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Use to report any personnel who are in areas not authorized by current standing orders and are not assessed as missing in action. Reference: FM 19-1.

LINE 1 — DATE AND TIME______________________________(DTG)

LINE 2 — UNIT________________________________________(Unit Making Report)

LINE 3 — NUMBER_____________________________________(Number of Stragglers by Rank and Unit)

LINE 4 — LOCATION___________________________________(Location of Stragglers Picked Up: UTM or Six-Digit Grid Coordinate With MGRS Grid Zone Designator)

LINE 5 — AA__________________________________________(Disposition/Location of Straggler AA)

LINE 6 — NARRATIVE__________________________________(Free Text for Additional Information Required for Clarification of Report)

LINE 7 — AUTHENTICATION____________________________(Report Authentication)