“Ç.”45 pages
- p. 3 …og- "'- P-/:":liC- /:""oc- a""tio- ,-, -' '-'::c"'on-:ta-c""t ':"La-:I,':"tud"":'"'e-' NlS…
- p. 5 …reqflf:st€'d (or f'0tenlial future c/elJriefing purposes only. All Intel and Ops addte5se…
- p. 6 …b)(1) I L.......-----li I I c=J 1..-1--,:0---111 I1..-1___--'oats…
- p. 7 …I__~--II~I~--II~I~--III~~~~Geograpfl;c location Contact Latitude I'VS Contact Longitude E…
- p. 8 …AlllnteJ ..md Ops addressees have signed c;onfidentiallty statemems fo
protect your IdetlWies (; no th ~ iflformntiofl…
- p. 9 …L.....::--,.~:---'I 1.-1::--.,...."...,.--JI D ,-:1---,---,--c-........ID I~...,.,.,.---'I.....,...,.I--..,.,.,-........11~...,.,.,...,..,~.,.."....-~Geogmpllic location Contact…
- p. 10 …any reasonable c/eriva tion of location will wOlk" but
please be as specific as possible…
- p. 12 …IJ~I~~I~I~~II~~~~GeograpJ);c location ConlDel Latitude NIS Co"tact Longiwde EIW…
- p. 14 …Yollr personal illform,1tioll will remain c<>mpletely private, and is
I'eqfles tecl (or potential…
- p. 15 !!.I!CPU!'I'iI'I\I!L TO ~:')::!c , r ll!Y Tracking Number (Internal Use…
- p. 17 SE6RE1'h'REL TO VO",", P'v'C'!'
Weather:. QirCf'e'W characterized lAsibiUty as clear…
- p. 19 …Dale (mmlddlyy) Time of dejection
L---,.,.,,-~I c=J1L__----lll IIL.-................1
Day I NiglJl Side…
- p. 26 …in /h9 c "~lis sec/ion. JboSII /oc"'/OfU nIOy be
US8d kI Clie Olhf1f moons…
- p. 29 …Form
P!e:ast? do not u:;c 1M p U l p!~
' subl nil" b…
- p. 34 …Dol'(~' r.,.aldGtection Day l NighI
(hh:mnl'Ss Zl
thsionDe~(C.AS, 8F14, .'el
C…
- p. 35 …Threat
Mitigation? N/A
c. Any/all C-UAS equipment used: NONE
d. Was the UAS…
- p. 36 …fi ......,c" oj hoi" ... ", I ....""" "" f""
form with filename O.'to•• s,quaciroi~
(Also in the…
- p. 41 …mt\'1:S.5 Z)
Q)1I!~c:t War~ At'"
(E~ . W_72 IAJ ContlCcdions…
- p. 43 …Dale {mm/cldlyy} Time of detection
'---::---c~1 c:=:J I II I1-1_...._..--'Day I…
- p. 44 …SJI~too m; mIl~ 00
usOO to C/Je O/tPIIr mHIIS of Imc1OOl1,
Was tr…
- p. 45 …1) (b) (1)# of Contacts in "Group~:
C)) (1
(b) (1 )
Was the contact moving?
D…
- p. 47 …of Contacts in "Group~:
(b) (1' (Ch~ c k all that apply):
(b) (1)
Please use…
- p. 48 …If/HI be (;;,c orded (or analysis
(b) (1) No
Oars (nvrr.udl)oy) Tl/h8…
- p. 49 …Fnt NIJI~ SIPR EIOOII A/Mr6S5
(bl (6) 0-3 (b} (6)
C/eII' Pool NCJ…
- p. 53 …T/lt,st Irx:BtitJrIs /My OIJ
"sed 10 c.... 0""'- me"&'l3 of VI) CJt…
- p. 55 …og-'-.P'":/"'liC'":'O-C-."'tio-fl--l '--:::C-oo'":ta-c"'t:-L.-:u""/U…
- p. 58 …These /Or:tlfiom may bg
IIWfi to ClB ~h<K _8 01 rrac!fin<;.
(b…
- p. 62 seel\~'nR!:C ro USA, r O!O"j Tracking Number (Internal Use Only) 11-________-'
Range…
- p. 75 …Buno
IINO'-:M':'iss-'"io-n":De:-sc-ri'""p/;'-;o-n-:(c:::A':":S::-,":S…
- p. 77 …22000) (at Con/act All)
PJ~8...t to determine a Lall Long for the c…
- p. 80 GE6RETfJREl TO elSA, F'IE¥
to conduct a (b) (1 ) , slowing from approximately (b) (1 )
~C…
- p. 86 …We recommend
lJsing -";0 reference the sensor··c/er;ved bearing ;J(Jd rfjllge relative to…
- p. 87 …gl':"iJP-I'"'J/C-/~OC-""'tiO-I-)-''-O:::c-on'":/.-c'''t':"La'":/,':"·/U':"d…
- p. 89 …Please be sure to include eny detail not included in questions above.
:::-:-:c==
with filename "Dare…
- p. 90 …nwke II note In the comlnfmls S6'C~on. TilesfI/oc91kms
may 00 used to CUf…
- p. 94 …hh:mm:ss Z)
(b) (1) •
Geograph;c locatIon
IEK: W,72 1A)
(b)(1) •(b…
- p. 96 …For troubleshooting, c;all (b) (1 )
tapes are ripped for the entire time of interaction and…
- p. 98 …tIDNl1 IDay
Dale (mmlddlyy) Timo of dotedion C"'D~,yC;"N;;'i,""7,...J
(b) (1…
- p. 100 …Your personal jnformalion will remain c{)mph~!e{y private, and is
requesred ror potential future…
- p. 101 …UAS HO"V c~(E
HOLDING
FROM THE WEST DIRECTLY AHEAD OF ~riiiiijl
LAST OBSERVATION AT…
- p. 102 …b) (1) I 1....------11 I I c:::.J 1..-1-,,-----1
Date (mmlrldlyy) Time of…
- p. 103 …Coot~c/longitade FIW Pia/form AlJitude Obiect Ailitude Wind air / Wind Speed
(C~ W-721AJ…
- p. 105 …I IDala (mmJrJd/yy) LTIO,mC,C'"'"dC"C"O,,,,,--' Dl:Jy ! Ni!)hI Side No…
- p. 108 …of Identifying Infprmlltlon. 'trwr per50nallnformatiOll will remain c;omplete/y prlvatll, ana is
requested for potential…
- p. 109 …b) (1)L,----,-~I 1 10 ,--I-=c--'
Data (mmldd/yy) TImo of d~toction OilY…
3!el\!ThPtI!L TO t:l3A, ro! , Tracking Number (Internal Use Only) LI________...I
Please do not use the purple
"submi!" 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 ha .... e the requested information, please leave
the freld 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 classifiedoSE8Jii1;Eli¥JitEL, and treat your inputs as you would any
other classified go.... ernment information. You should receive a response within 7 business days.
Lasl Name, First Name Rallk SIPR Email AdrJress GrewPosWon
(b) (6) _ lother I (b) (6)
UAI'TF sanitizes all reports of Identifying Information. Your peofsonal ir!formal;on will remain completely private, and is
,,?quested for pOleul/,ll future detJrieofill9 p(jrposes only, All Intel alld Ops addfPSSeeS hal'P Signed conridentiillity statements to
prutect yow id~nlities Jnd tile luro/malion in fhese reports.
tIDNl1 IDay
Dale (mmlddlyy) Timo of dotedion C"'D~,yC;"N;;'i,""7,...J
(b) (1) I (b) (1 )
Mission Dt:JscripIion (CAS, BFM, elc! _
(hh:mm:s5 Z)
(b) (1) •
GliJO!}Taphic locotion
(b.· W-721AJ
(b) (1) •
Contact L9/iri.JdG
(DD.MMSS)
(b)(1) I
Contact Longi/ude
(DD:MMSS)
o (!DIm 1[11101 IIEIW Platform AlliliJde ObJed Altitude
(Ex.· 22(00)
Wind DirPMnd Speed
(8/ Con1acf All)
PI~a~t ro delermine (J Lar I Long for I/le contact at inilia/ de/action. WEI fet,;Qfflmend
vsinglltMlllo refer9IlCB the sensor-denil6d bearing alld fllllfJfI fIIla/Ne to the bullsBy& you hiJd
in use. If IMt mellllXi is no! /Jv/Jil~b1f), ony [fJOS()fJOb/e dedvfltlDn of localiori Will WOIk, bu/
plea~ /)9 os specific as possibla and maJre e nolein Ih8 comments serno/l. Th8sa Iocatio!!!s
may be used /0 Clle OIhW means rJllmc/(ing.
WJIS tile contact moving?
Direction/Speed I(Ex. 09(1115) L.___.J
(b) (1 )
# of Contacts in
"Group":
Please check all that apply:
Wings/Airframe
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 abo .... e.
~~~~
purpl'e "submIt" button! Save this form with filename "Date LocBtlon_Squadron_RF.pdf" and
Thank Y/cD~U,:~~;~u
a .WTTW (I
located at
(b)(1) , t
in the global). For troubleshooting,
iPh.y,"[)e. are ripped for the entire time of interaction and sa.... ed as
intel personnel shaU upload those files to the repository
3I!e~!T;;~I!L Te tI!iA, r. I! ,