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Use in fire support operations (1) to request a one-time fire support report or (2) to establish a standing requirement for a report. Reference: FM 6-71.

LINE 1 — DATE AND TIME______________________________(DTG)

LINE 2 — UNIT________________________________________(Unit Making Report)

LINE 3 — POI__________________________________________(Primary Option Indicator. Enter ADD, AMEND, or CANCEL)

LINE 4 — PLAN________________________________________(Fire Plan Designation)

LINE 5 — REPORT TYPE ________________________________(Type of Fire Support Report)

LINE 6 — FREQUENCY_________________________________(Report Frequency)

LINE 7 — FROM_______________________________________(DTG Effective From)

LINE 8 — TO__________________________________________(DTG Effective to)

LINE 9 — TARGET LIST_________________________________(Target List/Last Target Indicator)

LINE 10 — GEOMETRY TYPE____________________________(Battlefield Geometry Type)

LINE 11 — GEOMETRY NAME___________________________(Battlefield Geometry Type Name)

LINE 12 — ELEMENT___________________________________(Section, Platoon, Battery/ Company, Battalion/ Regiment, and Regiment/ Brigade/Division Designators, or Ship Call Sign(s))

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

LINE 14 — AUTHENTICATION___________________________(Report Authentication)

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