โ PAGE 1 โ
(b) (1)1.4a
Misrep 8799515
Narrative
(b) (1)1.4a
(b) (1)1.4a, (b)(1)1.4c
Admin
CLASSIFICATION
โข Classification: SECRET
โข Associated Caveats: (b) (1)1.4a
โข Classification Source (MS or Classification Guide ID): (b)(1)1.4a
โข Declassification Date (YYYYMMDD): 20480603
OPERATION
โข Operation: (b)(1)1.4a
โข Domain: 0701)143
โข Operations Center: (b/11.4a
โข Major Command (MAJ COM): AFCENT
โข Combatant Command (COCOM): (b)(1)1.4a
MSGID
โข Report Type: MISREP
โข Originator (Unit or Squadron): (b)(1)1.4a
โข Submit Date (Auto-generated):
(b) (1)1.4a
โ PAGE 2 โ
(6014a
MSNID
โข Tasking Order (ATO): (oy1)14a
โข Mission Type: (b)(1)1.4a
โข ATO Mission Number : (5X1)1-46
โข Country Tasked: US - UNITED STATES
โข Service Tasked: A - AIR FORCE
Poc
POC
โข Rank: 070710
โข Full Name: (b) (6), (b(5) 10 U.5.0157305
โข Unit: (3Te, LISTOUSC.
โข Wing: (715, 075) 10 05033
โข Phone Number: (6) (6), (678) 10 U.5.075 1305
โข Email o5, tyy Tu 05re7vsl
โข Service: Air Force
โข Operations Center : (oe) Dy67 uScK
@mail.smil.mil
QC
โข Rank: (515), 09
โข Full Name: (b) (6), (078) 10 U.5.0751305
โข Unit: (5) 16), (bX3) 10 U.,01
โข Wing:|
(0 0. ( D 3 100.0.0.013
โข Phone Number: 1b) 6), (573) 10 U.5.0157305
โข Email "), tyey T0 005160
โข Service: Air Force
โข Operations Center : oYe), bye) ToUsSe,
@mail.smil.mil
APPROVER
โข Rank : byo), tyea
โข Full Name: 97e), t)10 0130731500
โข Unit: 15) 16), 1078) 10 U53037305
โข Wing: 170, 057
โข Phone Number: (b) (6), (0(3) 10 U.5.0737305
โข Email: (b) (6), (b)(3) 10 U.S.C.ยง130b smil.mil
โข Service: Air Force
โข Operations Center : b6, brsTous
(b) (1)1.4a
โ PAGE 3 โ
INGEST
โข Rank:
โข Full Name:
โข Unit:
โข Wing:
โข Phone Number:
โข Email:
โข Service:
โข Operations Center:
ACEQUIP
ACEQUIP
โข Aircraft Callsign: (b)(1)1.4a
โข Radar Name or Destination:
โข Radar Software Load or Mission Data:
โข Radar Warning Receiver (RWR) Name or Designator:
โข RWR Software Load or Mission Data:
โข MWS Name or Designator:
โข MWS Software Load or Mission Data:
โข IRCM Name or Designator:
โข IRCM Software Load or Mission Data:
โข ECM Name or Designator:
โข ECM Software Load or Mission Data:
โข CMD Name or Designator:
โข Chaff Designator:
โข Num Chaff or Cartridges:
โข Flare Designator:
โข Num Flares:
โข (b) (1)1.4a
โข Type of Radar-Guided AAM:
โข Num Radar-Guided AAM:
โข Type of IR-Guided AAM:
โข Num IR-Guided AAM:
โข Gun Name or Designator:
โข Num Gun Rounds:
โข Air-to-Ground Wn to Include Num of Each: (b) (1) 1.4a
โข TGT Pod Name or Designator: :u4ะฐ
โข Additional Avionics: '"(b)(1)1.4a
(b) (1)1.4a
โ PAGE 4 โ
โข Data Link:
โข Gentext:
Timeline
Takeoffยฎ
โข Callsign: (b)(1)1.4a
โข Number of Aircraft: ยฐ
โข Asset Type (Aircraft):
โข Aircraft Tail Number (s): (b)(1)1.4a
โข Takeoff Location (ICAO Code):ยฐ
โข Takeoff Time DTG: (b)(1)1.4a
โข Mode 3 (IFF Codes):
โข Gentext/Additional Details: (SECRET/REL TO USA, FVEY) WEATHER WAS (NOT) A FACTOR
(EXPLAIN WHY IF IT WAS)
โข Mission Canceled:
Landing
โข Last Land Location (ICAO Code): (b)(1)1.4al
โข Last Land Time: (b)(1)1.4a
โข Last Engine Shutdown Time: (b)(1)1.4a
โข Total Mission Time: (b) (1)1.4a
โข Gentext/Additional Details:
ISR
โข Time-on Station DTG: (b)(1)1.4a
โข Time-off Station DTG: (b)(1)1.4a
โข Aircraft Callsign: (b)(1)1.4a
โข Msn Type: (b)(1)1.4a
โข Primary Sensor: (b) (1)1.4a
โข Sensors Available: (b)(1)1.4a
โข Tasking Type: (b)(1)1.4a
โข Tasking or Request Number (J TAR#, AEM#, PRI#, or TIC#): -
โข BE Number (if NTISR): -
โข Tasked Start Point: (b) (1)1.4a
โข Activity Description: ISR
โข FMV or Image File Name (if NTISR): -
โข EEls Observed:
โข Number of EEIs:
(b) (1)1.4a
โ PAGE 5 โ
(bX1)1.4a
โข Global Campaign Plan:
(b)(1)1.4a
(b)(1)1.4a
โ PAGE 6 โ
โข Killbox (Location):
โข Mission Type: (b)(1)1.4a
โข JTAC Callsign:
โข Gentext/Additional Details:
โข Did not Arrive On Station:
Off Station
โข Time Off Station DTG: (b)(1)1.4a
โข Total Time On Station: (b)(1)1.4a
โข Gentext/Additional Details:
UAP
โข Initial Contact DTG: 0/0143
โข UAP Event Type: (b)(1)1.4a
โข UAP Maneuver ability Observations:
โข UAP Response to Observer Actions:
โข MDS Type / Asset Type:โข
โข Tail Number: (b)(1)1.4a
โข Friendly Aircraft Location:
โข Friendly Aircraft Altitude/Depth: (b)(1)1.4a
โข Friendly Aircraft Trajectory:
โข Observer Assessment of UAP:
โข Friendly Aircraft Speed: (b)(1)1.4a
โข Observation Interrogation of UAP (yes/no; if yes list sensors) and returns)::
โข Third-party Observers and/or Reporters:
โข Friendly Aircraft State:
โข Training Range (If applicable):
โข Operational Range:
โข UAP First Seen Location: (b)(1)1.4a
โข UAP Last Seen Location *) 4a
โข UAP Altitude, Depth, Velocity, and Trajectory (indicate estimated or measured):
โข UAP Physical State: (by0)1.4a
โข Number of UAP Sighted: *
โข UAP Propulsion Means:
โข UAP Payload:
โข UAP Under Intelligent Control (yes/no; if yes, describe):
โข UAP Signatures:
โข UAP Advanced Capabilities And/Or Materials (yes/no; if yes, describe): NO
โข UAP RF Frequency:
โข UAP RF Duration:
โข UAP Event Serial Number: -
(b) (1)1.4a
โ PAGE 7 โ
(b) (1)1.4a
โข UAP Effects on Persons:
โข UAP Objects/Material Recovered (yes/no; if yes, describe):
โข UAP Effects on Equipment:
โข Full Name:
โข Rank/Grade:
โข Email:
โข Phone Number (VOSIP/STE):
GENTEXT/UAP
โข UAP Description (e.g., size, shape, color, mar kings, recognizable features): 4X UAP OBSERVED
FLYING IN p01.4a FOV. CLOUD COVERAGE OBSTRUCTED (X01.4a FROM FOLLOWING AND
GETTING A CLEAR VISUAL. (SEE ISR 1).
โข Gentext (UAP Event Description): AT APPROX 1736Z 4 UAP WERE OBSERVED BENEATH
(0X1)1.42 1X UAP OBSERVED AT 17:36:22, 2X UAP OBSERVED SIDE BY SIDE AT 17:36:30, AND 1X
UAP OBSERVED AT 17:36:49.