GENERAL INSTRUCTIONS: Use to report information and combat actions obtained on mounted and
dismounted patrols. Reference: FM 17-98, FM 17-95, FM 7-92, and FM 34-3.
LINE 1 – DATE AND TIME __________________________________ (DTG)
LINE 2 – UNIT _____________________________________________ (Unit Making Report)
LINE 3 - DPT & RTN DTG___________________________________ (Patrol Departure and Return DTG)
LINE 4 - ROUTE ___________________________________________ (Patrol Route (if Applicable))
LINE 5 – CHECK POINTS ___________________________________ (Check Points Patrol Route Will Follow)
LINE 6 - RESULTS _________________________________________ (Results (if Specified in Mission Task and Purpose))
LINE 7 - CONDITION OF PATROL ___________________________ (Status Report of Patrol, Friendly Losses)
LINE 8 - SALUTE __________________________________________ (Enemy Encountered, SALUTE)
LINE 9 - BDA ENEMY ______________________________________ (Battle Damage Assessment Enemy)
LINE 10 - ROUTE RECON RPT_______________________________ (Description of Terrain, Route Recon Report, Correction to Maps (if Applicable))
LINE 11 – NARRATIVE _____________________________________ (Free Text for Additional Information Required for Clarification of Report)
LINE 12 – AUTHENTICATION _______________________________ (Report Authentication)
LINE 1 – DATE AND TIME __________________________________ (DTG)
LINE 2 – UNIT _____________________________________________ (Unit Making Report)
LINE 3 - DPT & RTN DTG___________________________________ (Patrol Departure and Return DTG)
LINE 4 - ROUTE ___________________________________________ (Patrol Route (if Applicable))
LINE 5 – CHECK POINTS ___________________________________ (Check Points Patrol Route Will Follow)
LINE 6 - RESULTS _________________________________________ (Results (if Specified in Mission Task and Purpose))
LINE 7 - CONDITION OF PATROL ___________________________ (Status Report of Patrol, Friendly Losses)
LINE 8 - SALUTE __________________________________________ (Enemy Encountered, SALUTE)
LINE 9 - BDA ENEMY ______________________________________ (Battle Damage Assessment Enemy)
LINE 10 - ROUTE RECON RPT_______________________________ (Description of Terrain, Route Recon Report, Correction to Maps (if Applicable))
LINE 11 – NARRATIVE _____________________________________ (Free Text for Additional Information Required for Clarification of Report)
LINE 12 – AUTHENTICATION _______________________________ (Report Authentication)
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