Second Navy range fouler release

t!il!e~!!TilI\I!L TO tlSA, 1"tI!'. Tracking Number (Internal Use Only) ..1________--'
Please do not Use the purple
"submit" button above. Save and
Range Fouler Reporting Form email the co mplete 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'fiIREt , and treat your inputs as you would any
other classified government information. You should receive a response within 7 business days.
Rank Squadron SIPR Email Address Crew Position
I Other I tmDII (b) (6) IOther
UAPTF sanitizes all reports of Identifying Information. YOII" personal illform,1tiol1 will remait! completely privata, and is
req ut!5tE:r.f f!.ll pOlellH,,1' futu(f' d .btierif/ Y purposes only. AII/nlel and Of's Mfdressees hf'1Ve signed confidentiality stntermmts to
protect Vo w i(ierlllties nnd th e iltfm fll al ion in these reports.
(b) (1) 1 IDay
Da'o (mm/dd!yy) Time of detection Day / NigM
(hh:mm:ss Z)
(b) (1) _
Geogr8pJlic locntion
(Ex: W-72 1A)
(b) (1) •
Coolact Lamude
(DD:MM.'SS)
~NlS
(b)(1) • (b)(1) •
SidoNo.
(b) (1) •
Contact Longitude
(DD:AlM:SS)
SullO Missioo Doscripoon (CAS, BFM, a lc)
~WJlm 1
EM' Platform AllitUde Object Alli/ude
(Ex: 220(0)
Wind Oir / Wind Speed
(al ConlDct All)
PleBs~pt to determine a LDt / Long (or the contact at inWal detection. We recommend
lIsingllllllio reference tile sensor-derived bearing and range relative to the bullseye you had
in use. If that met/lod is no/ 8V(1ifable, Dlly reasonable derivaUofl of locatiof! will walk, but
please be as specifiC as possible and make a note m the comments sectiOn. The se locatiolls
may be used to ette other melitiS o( tracking.
Was the contact moving? I
Dlreclion/Speed ~I====~
(Ex. 090/15) _
(b) (1 ) (b) (1) Please check all that "n,",,'
# of Contacts in
"Group":
(b)(1) ..
(b) (1)
WingslAirffDme:
Appnf ent Propulsion.
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.
an area roughly
:oo,rdinated with air operations
began descending below
with filename "Date Locat/on_Squadron_RF_pdf' and
the at
in the global). For troubleshooting, call (b) (1)
tapes are ripped for the entire time of interaction and saved as
;:,qu3lOfQln intel personnel shall upload those files to the repository
3!eftE"?lJ~!L Te treAt ry"!'s'