Second Navy range fouler release

'3!el\l!'fd~!t TO 113*, r '.'!';' Tracking Number (Internal Use Only) 1......________..1
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. Please recognize that this form is classified (!\'EeRE'Fh'REL, and treat your inputs as you would any
other classified government information. You should receive a response within 7 business days.
Last NBm6, First Name Rank Squadron SIPR Emeil Address Crew Position
~________~I ~I~I ~I____~I ......1________~I~I__~
UAPTF sanitizes all reports of Identifying Information. Yow personal informaCion will remain completely privare, and is
reqves ted for I'0lential f(lWI~ debriefing purposes only. Allintef and Ops addressees have signed canUdentiafity statements to
protec l Vow identities afld tile iI/formation in tilese reports.
(b) (1) I (b) (1) I ~~I CJ I II 11L-.-mlWft'I--lDay / Night Side No. L..--:8""u-no--..J Mission Description (CAS. BFM, etc) _Oat. (mmlddlyy) Time of delection
(hh:mm:ss Z)
~----~I~I====~I[]~I==-=~I[]~I~71~1~~I~I~====~Geograpllic locatJon Con/Dcl Latitude NIS Con rElct tong/tude EM! Platform Allitude Object Altitude Wind Dir I Wind [Jpood
(Ex: W. 721A) (DD:MM:SS) (DD:MM:SS) (Ex: 22000) (at Contact Aft)
Pleas~lJ) t to determine D Lat I LOllg for tIle cantact at initial detection. We recommend
usingfllllllJro reference fi le sensor·dedved bearing and rllnge relative to the bullseye you "ad
III use. If tlwl method is flat (Ivai/able, any reasonable denvBlion of Ioc..ltion will work., bul
please be as specific as possible ond make a note in the comments section. These locallons
may be used to we other means of tracking.
(b) (1 )
# of Contacts in
"Group":
(b) (1)
(Check aU that apply):
(b) (1)
Was the contact moving? I
::=:==:Direction/Speed I(Ex. 090115) L.___.....
Please check all that
Apparellt Pro,pul"iol';
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.
Don 't use the purple ·submlt" buttonl Save this form with filename "Date LocatJon_Squadron_RF.pdf" and
(b) (1) ; nd the at
(b) (1 )
Thank you for
a .wmv (Example:
located at this link.
Both in the global). For troubleshooting, call (b) (1 )
tapes are ripped for the entire time of interaction and saved as
~iJCIl:lrtln intel personnel shall upload those files to the repository
• 81!!@ftI!!Tl!ft!l "8 118 .... f";'eY