This website is not affiliated with the U.S. government or military. All proceeds from the operation of this site are donated to veteran and other charities.


Use to provide data required to request establishment of a temporary cemetery and special burial procedures/ceremonies. Reference: FM 10-296.

LINE 1 — DATE AND TIME______________________________(DTG)

LINE 2 — UNIT________________________________________(Unit Making Report)

LINE 3 — REQUESTING AGENCY________________________(Identification of the Component/ Unit Making the Request)

LINE 4 — COORDINATES_______________________________(UTM or Six-Digit Grid Coordinate With MGRS Grid Zone Designator of the Requesting Unit)

LINE 5 — SITE JUSTIFICATION__________________________(Reason a Temporary Burial Site is Necessary)

LINE 6 — FEATURE ____________________________________(Prominent Terrain Feature of the Proposed Site)

LINE 7 — COORDINATES_______________________________(UTM or Six-Digit Grid Coordinate With MGRS Grid Zone Designator of the Area Containing the Features Listed in the Preceding Line)

LINE 8 — NAME_______________________________________(Cemetery Name or Title)

LINE 9 — GRADIENT___________________________________(Relative Terrain Gradient (GENTLY ROLLING, MODERATE, STEEP, or VERY STEEP)

LINE 10 — DRAINAGE__________________________________(Type of Drainage (NATURAL, MAN-MADE, or NONE)

LINE 11 — SOIL _______________________________________(Type of Soil)

LINE 12 — LAND USE __________________________________(Current Use of the Land)

LINE 13 — ROAD NUMBER______________________________(Access Road Number)

LINE 14 — ROAD NAME ________________________________(Name of Access Road to Cemetery Site)

LINE 15 — ROAD SURFACE _____________________________(Type of Surface on Access Road)

LINE 16 — VEGETATION________________________________(Type of Vegetation)

LINE 17 — LOCAL LABOR_______________________________(Number of Local Laborers Available)

LINE 18 — EQUIPMENT_________________________________(Type, Name, or Nomenclature of Available Cemetery Equipment)

LINE 19 — BURIAL TYPE________________________________(Type of Special Burial Procedure/Ceremony Requested)

LINE 20 — PERSONNEL QUANTITY AND CLASS___________(Quantity and Classification of Remains (Military and Whether US, Allied, or Enemy))

**Transmit lines 19 and 20 for a special burial request.

**Repeat lines 19 through 20 to request multiple types of special burial procedures/ceremonies. Assign sequential line numbers to succeeding iterations; for example, first iteration 19 through 20; second iteration 19a through 20a; third iteration 19b through 20b; and so on.

LINE 21 — BURIAL JUSTIFICATION______________________(Reason for Requesting Mass Burial)

LINE 22 — NARRATIVE_________________________________(Free Text for Additional Information Required for Clarification of Report)

LINE 23 — AUTHENTICATION___________________________(Report Authentication)