Second Navy range fouler release

3I!el\f'fiJIU!L TO dSA, ,. .'!!:,!, Tracking Number (Internal Use Only) IL-________.J
Range Fouler Reporting Form
Please do not use the purple
"submit" button above. Save and
email the complele 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. Please recognize that this form is classified ~!'!eR:E"fi\ f!!l!!t, and treat your inputs as you would any
other classified government information. You should receive a response within 7 business days.
Last Name, First Name Rank Squadron SIPR Email ArJdress Crew Position
~________~I ~I~I ~I____~I 1-1________~I~I__~
UAPTF sanitizes ali reports of Identifying Information. Your personal informaliollwill rema;1l completely private, and is
requested for potentia' future debriefing purposes only. Allinte' and Ops addressees have signed confidentiality statements 10
protect yoar idelltities Jnd the infom"13tion ill these reports.
[miDI I I I 1-.1-::--:::~I CJ ,-I--;:------11 ~I--==-=::-;:-;::-:-.-.-'1 r--I,Date (mmlddlyy) Time of detection Day I Nigflt Side No. Buno Mission Description (CAS, BFM, etc) ~
(hh :mm:ss Z)
~~~~III-~~~I[]~I~~~I[]~I~~I~I~~I~I~~=-~Geograp/lic location ContlJct Latitude N/S Contact Longilude EM Platform Altitude Object AltitlJdg Wind 0;, I Wind Speed
(Ex: W-72 1A) (DD.MM:SS) (OO,MMSS) (Ex: 22000) (at ContBct Alt)
Please attempt to detennine D Lat I Long for tlie contact ut initial detection We recommend
lIsing [lSlIIlo reference tile sensor-derived bearing and range relatIVe 10 I/)e bullseye you l lad
in lise. If tlla l mefhod is not llv(JifabJe. any reasonable c/eriva tion of location will wOlk" but
please be as specific as possible and make a note /fI tile comments section. Tf1ese locations
may be used to cue orller means oftrac/(ing.
(b) (1 )
# of Contacts in
"Group":
(b) (1 )
(b)(1) ..
(b) (1 )
Was the contact moving? I
:=====:Direction/Speed I(Ex. 090/15) L..____-I
Please check all that """"v .
ROllnd-
Square:
Battoon-s/mped.
Wings/Airframe:
Other Shape:
Apparent PlOpufsion:
Moving
Morkll1gs·
Please use the field below to describe the contact and what happened in your own words with as much detail as
possible. Please be sure to include any detail not included in questions above.
'(b) (1)
nll,nl.. "submit" button! Save this form with filename "Date Locatlon_Squadron_RF,pdf' and
Thank you for your
a .wmv (Example:
located at this link.
the t
in the global). For troubleshooting, call (b) (1 )
tapes are ripped for the entire time of interaction and saved as
"'4u .. 'oro'" intel personnel shall upload those files to the repository
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