Navy range fouler reports (mirror)

SECRET//REL TO USA,- FVEY
2018-001 Range Fouler Reporting Form
Please do not use the purple
"submit" button above. Save and
email the complete file manually
(see below).
Please complete this form to the best of your ability. If you do not have the requested information,
please leave the field blank, if there was more than one "group,' please report each on a separate
form for data collection purposes. You should receive a response within 5 business days.
Last Name, Fast Name R an* Squadron S/P R Email Address Crew Position
(b)(6)
This information is for contact only. (b)(1) sanitizes all reports of Identifying information.
Absolutely no identifying information for aircrew or squadron will be recorded for analysis
(b)(1) (b)(1)
Date (mm/dd/yy) Time of detection W jM
(hhjn m s s Z )
Side No Bung Mission Description (CAS, BFM, etc)
Contact Working Area Contact Latituta M S Contact Longitude E /W Contact Altitude
(Ex W 7 2 1A) (D D M M .S S ) (DD:MM.SS) (Ex 22000)
PteasQrflltetiPPt t ° determine a L et/L o n g for the contact at initial detection We recommend
using [ 1 ^ 0 1 0 reference the sensor-derived bearing and range relative to the buitseya you had
muse If that method is not avaiiaUe, any reasonable derivation o f location w it work, but please
be as spectiK as possible and make a note in the comments section These locations may be
used to cue other means o f tracking.
Altitude Wind Dir at Wind
Constant? ContactAlt Speed
(From)
W as th e contact moving?
D lrection /S p eed
(Ex. 0 9 0 /1 5 )
(b)(1)
# o f Contacts in "Group":
Please check all that apply:
Round I
Square.
Balloon-shaped. I
Other Shqpe
Apparent Propulsion]
un <।i Moving Parts
Metallic.
Markings:
Translucent.
Opaque
Reflective
Please use the field below to describe the contact and any interaction in your own words with as much
detail as possible. Please be sure to include any detail not included in questions above.
The source is a fleet/combat experienced pilot, graduate of the
of flying time. (b)(1) with over (b)(1)]hours
Event:
side of
(b) (T)
(b)(1) lying (b) (T) He was on the west