Second Navy range fouler release

'seCR!'!""!!!' TO dSA, I VI!! I Tracking Number (Internal Use Only) L.I________-'
Please do nal use the purple
"submit" button above. Save and
Range Fouler Reporting Form 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. Please recognize that this form is classified 5l!eP':I'!TiI P;;EL, and treat your inputs as you would any
other classified government information. You should receive a response within 7 business days.
Lsst Name, First Name Rank Squadron SIPR Email Address Crew Position
~--------~I ~I~II~____~I ~I________~I~I__~
UAPTF sanitizes all reports of Identifying Information. YOllr personal inform<1tion will remain completely private, and is
reqll ~ 'te(/ for potential futu f f deuriefillg purposes only. All Intel and Ops addressees have signed confidentiality sfatements to
pro tect }/NU identities ami tile infDrtl!atiofl in t/lese reports.
_I I I I Ic::=J .......1 _--'Da'o (mmlddlyy) Time of detection Dey I NiglJt Side No. BUno
(b) (1 )
Mission Doscription (CAS, BFM, otc)
-(hh:mm:ss Z)
~~~~I~I~~~I[J~I~~~I[]I~~II~~I~I~~~~Geogmphic (oention Contact Latitude NJS Contnet Longitude EtW PIDtform Altitude Object Altitude Wind Dir I Wind Speed
iEx: W-72 1A) (DDMM:SS) (DDMM S8) (Ex: 22000) (D' ContDct AIt)
Please attempt to determine D Lat I Long for tfle contact Dt initial detection We recommend
lIsingmillto reference the sMsor-clerived bearing and range relal/ve to the bullseye you hacl
in use. If tll0t met/wd is no/ avai/tJble, any reasonable derivation of loca tion will work, but
please be as specific as possible and make a noto ill tile comments section. Tlwse locations
moy be used to cue other means of tracking.
(b) (1)
# of Contacts in
"Group":
(b) (1 )
(b) (1) ..
(b) (1)
Was the contact moving? 1
:==:~Direction/Speed I(Ex. 090/15) L.___...I
Please check all that aDlJlv:
Round;
SQlIflfe:
Balloon-shaped.
WmgslAirframe:
Otl1er Shope:
Apparent Propulsion:
Moving Parts:
Mota/he:
Markings:
Translucent;
OpaquQ:
Reflectlvo:
Please use the field below to describe the contact and what happened in your own words with as much detail as
possible. Please be sLire to include any detail not included in questions above.
UAS WAS SIGHTED. UAS TOOK STATION
A UAS WAS SIGHTED MOVING BACK ANDFORTH IN
""'·.... "10 UAS SPOTTED AT[IIU] LAST OBSERVATION
Don't use the purple "submit" button! Save this form with filename "Date_Locatlon_Squadron_RF.pdf' and
(b)(1) , nd the t
(b) (1)
Thank you for
a .wmv (Example
located at this link..
Both in the global). For troubleshooting, call (b) (1)
Qj§plslY tapes are ripped for the entire time of interaction and saved as
;:squaarc'n intel personnel shall upload those files to the repository
5EeRETliREL 1'6 IdSA, FOlEY