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Please do not use the purple
                                                                       liE9REif:1:'~IQFQRtl                                      "submit" button above. Save and
                                                                                                                                 email the comp lete file manually
                                                     Range Fouler Debrief Form                                                   (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. You should receive a response within 5 business days.

         Last Name, First Name                         Rank               Squadron                         SIPR Email Address                      Crew Position

                                                     0-4                                                                                         Pilot
           This information is for contact only. -sanitizes all reports of identifying information.
           Absolutely no identifying information for aircrew or squadron will be recorded for analysis.

                                            Day
Date (mmlddlyy)       Time of detection       Day I Night            Side No.          Buno
                        (hh:mm:ss Z)



  Contact Working Area            Contact Letitute          NIS     Contact Longitude         EIW      Contact Altitude      Altitude           Wind Dir at         Wind
  (fa· W- 72 1A)                  (DD.MM:SS)                        (DD.MMSSJ                          (Ex 22000)            Constent?          Contact Alt         Speed
                                                                                                                                                 (From)
Pleas~pt to determine a Lat I Long for the contact at initial detection. We recommend
using-a reference the sensor-derived bearing and range relative to the buf/seye you had                                      Was the contact moving?            Yes
in use. If that method is not available, any reasonable derivation of location will work, but please
be as specific as possible and make a note in the comments section. These locations may be
                                                                                                                                     Direction/Speed
used to cue other means of tracking.
                                                                                                                                     (Ex. 090115)

                                                                                                                               Please check all that apply:
                                                                                                                                      Round: D                Moving Parts.   ·D
                                                                                                                                     Square. D                    Metallic.   [Z]
                                                                                                                              Balloon-shaped    D                Markings:  D
                                                                                                                                            :0
                                                                                                                               Wings/Airframe                  Translucent: D
                                                                                                                                 Other Shape D                    Opaque: D
                                                                                                                           Apparent Propulsion. □               Reflective:   [Z]

    Please use the field below to describe the contact and any interaction in your own words with as much
    detail as possible. Please be sure to include any detail not included in questions above .
                                                                                                                      ..
                           apparent object also captured with
    Appeared quite smal l. Speed appeared to be          and continued in constant direction . Shape
    indiscernible but the bottom was refilective .




 Don't use the purple "submit" button! Save this form with filename "Date_Squadron_RF.pdf" and email
 it t                                          (Also in the global). For troubleshooting, call

 Thank you for your time. Please ensure all display tapes are ripped for the entire time of interaction and
 saved as a .wmv (Example:                                 Squadron intel personnel shall upload those files
 to the repository located at
                                                                       liE9REif1'1'rn~F@RP4

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Department of the Navy
DUSN (M) DRMD
Authority: FY 24 NDAA, now codified at 44 U.S.C. 2107
Date: 5/19/2026
Released in Part: X



   AARO 44 U.S.C. 2107 § 1843(a)(3)
  AARO FY2024 NDAA § 1843(a)(l)(C);E.O. 13526, section 1.4(a)
  AARO FY2024 NDAA § 1843(a)(l)(C);E.O. 13526, section 1.4(e)