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Use to report information pertaining to nuclear detonations on areas outside the North American continent. This report will support damage assessment at the national level. Reference: FM 3-14.

LINE 1 — DATE AND TIME______________________________(DTG)

LINE 2 — UNIT________________________________________(Unit Making Report)

LINE 3 — AS OF_______________________________________(As of DTG for Applicability of NUDETSUM Information)

LINE 4 — SEQUENCE___________________________________(Serial Number Assigned to This Nuclear Detonation)

LINE 5 — PLACE_______________________________________(Place or Area Name of the Nuclear Detonation)

LINE 6 — COORDINATES _______________________________(Detonation’s UTM or Six-Digit Grid Coordinate With Grid Zone Designator)

LINE 7 — DETONATION ________________________________(DTG Detonation Occurred)

**Repeat lines 4 through 7 to report all observed nuclear detonations.

LINE 8 — NARRATIVE__________________________________(Free Text for Additional Information Required for Clarification of Report)

LINE 9 — AUTHENTICATION____________________________(Report Authentication)

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