UXO/IED 9-Line Report
Radio Operator – Fill in all blanks on this form for UXO/IED reports from Battalion. If a line is missed ask for
clarification from reporting unit.
Line 1: Date-Time Group: _04 1255U JUN 06__________
Line 2: Reporting Activity (Unit) and location (grid of UXO).
Unit: _MAP 1__________ & Grid: _9090 9041_________________
Line 3: Contact Method:
Freq: ____________ & Call sign: _________________
Line 4: Type of Ordnance: Possible IED
Line 5: NBC Contamination: _NONE_______________________
Line 6: Resources Threatened: ASR TEXAS
Line 7: Impact on Mission: Unable to continue patrol to B Co VCP
Line 8: Protective Measures: Cordon set
Line 9: Recommended Priority: (Circle One)
Immediate Indirect Minor No Threat
For Mojave Viper Exercise Use Only.
Link up point for EOD? ______________________
(Street Intersection or Grid)
SPOT Report
Radio Operator – Fill in all blanks on this form for SPOT Report from Battalion. If a line is
missed ask for clarification from reporting unit.
Line 1: Date-Time Group: __04 1331U JUN 06__________________
Line 2: Unit: _C Co., 2nd Plt___________________ (Unit Making Report)
Line 3: Size: _2 Military Age Males______________ (Size of Enemy Unit)
Line 4: Activity: (Enemy Activity at DTG of Report)
Firing AK-47s towards patrol on Isabel
Line 5: Location: _Bldg 706K_______________________
(Grid of Enemy Activity or Event Observed)
Line 6: Unit: _Unknown______________________________ (Enemy Unit)
Line 7: Time: _04 1331U JUN 06_____________ (DTG of Observation)
Line 8: Equipment: (Equipment of Unit Observed)
AK-47s
Line 9: Sender’s Assessment: (Specific Sender Information)
None
Line 10: Narrative: (Free Text for Additional Information)
MAMs shot and ran away. Going to search the building.
Line 11: Authentication: (Report Authentication)
CASREP # 1
Radio Operator – Fill in all blanks on this form for CASREP from Battalion. If a line is
missed ask for clarification from reporting unit.
Line 1: Name, Grade, SSN, Unit:
Line 2: Time of Incident: _04 1331U JUN 06_________
Line 3: Location of Incident: _Bldg. 706K_______________
Line 4: Type of Wound: (Circle all that apply)
A – Gunshot B – Shrapnel C – Concussion D – Burn E – Other
Line 5: Part of Body Affected:
5 – Right Arm & 7 – Right Leg
(1 – Head, 2 – Face, 3 – Chest, 4 – Abdomen, 5 – Rt Arm, 6 – Lt Arm, 7 – Rt Leg, 8 – Lt Leg, 9 – Rt Shoulder, 10 –
Left Shoulder, 11 – Rt Foot, 12 – Lt Foot, 13 – Back, 14 – Buttocks)
Line 6: Status: (Circle One)
A – KIA B – MIA C – WIA (evac) D – WIA (non-evac)
Line 7: MEDEVAC: Y /N
Line 8: Activity that Marine was Engaged In:
Patrol in WaS
CASREP # 2
Radio Operator – Fill in all blanks on this form for CASREP from Battalion. If a line is
missed ask for clarification from reporting unit.
Line 1: Name, Grade, SSN, Unit:
Line 2: Time of Incident: _ 04 1331U JUN 06_________
Line 3: Location of Incident: _Bldg. 706K_______________
Line 4: Type of Wound: (Circle all that apply)
A – Gunshot B – Shrapnel C – Concussion D – Burn E – Other
Line 5: Part of Body Affected:
6 – Left Arm & 10 – Left Shoulder
(1 – Head, 2 – Face, 3 – Chest, 4 – Abdomen, 5 – Rt Arm, 6 – Lt Arm, 7 – Rt Leg, 8 – Lt Leg, 9 – Rt Shoulder, 10 –
Left Shoulder, 11 – Rt Foot, 12 – Lt Foot, 13 – Back, 14 – Buttocks)
Line 6: Status: (Circle One)
A – KIA B – MIA C – WIA (evac) D – WIA (non-evac)
Line 7: MEDEVAC: Y /N
Line 8: Activity that Marine was Engaged In:
Patrol in WaS
CASEVAC REQUEST / MEDEVAC INFO #1
(FROM FAC TO DASC/DASC(A)/TACC(A) HIGHER)
VHF (S/C/PT) (PRI) ______________ (ALT) ______________
UHF (PRI) ______________ (ALT) ______________
SAT PH______________
CASEVAC REQUEST/NATO 10-LINE
1. Pick up site: GRID Coordinates ______________________
2. Pick up site: Freq and C/S _____ ____
3. Number of patients by precedence:
# of A – Urgent (1 hour) 1
# of B – Urgent Surgery (1hr)
# of C – Priority (4-6 hrs)
# of D – Routine
# of E – Convenience
4. Special equipment needed by Patients:
A - None C - Extractor equipment
B - Hoist D - Ventilator
5. Number of patients by Type:
# of L – Litter 1
# of A – Ambulatory
6. Security at Pick up site (tactical)
N – No enemy
P – possible enemy troops
E – Enemy troops (caution recommended)
X – Enemy troops (armed escort recommended)
7. Marking at P/U site: Day/Night
A – Panels (color)
B – Pyrotechnics (color)
C – Smoke (color) White
D – None
E – Other
8. Patient Nationality and Status:
A – US Military
B – US Civilian
C – Non US Military
D – Non US Citizen
E – EPW
9. NBC Contamination: N – Nuclear B – Bio
C – Chem D – None
10. Patient information: First Intial, Middle Initial, Last Name, Last 4 SSN, Blood type
RAPID REQUEST #1
A Requesting Unit C Co.
B Location (6-8 digit grid) NT 908 900
C Support Required Resupply
H Class V (W) (ground ammunition) 5,000 rds A080
V Clarifying instructions Less than half DOS O/H
W Mission precedence Urgent
Y Contact instructions Insert Callsign and NetID for link-up