MACR PILOT:      - 
MACR: FICHE :

ORGANIZATION
LOCATION: COMMAND: GROUP:
SQUADRON: DETACHMENT:  
     

DETAIL
DEPARTURE: INITIAL COURSE:  
INTENDED DESTINATION:    
MISSION TYPE:    

WEATHER & VISIBILITY AT TIME OF LAST REPORT
CONDITION:    

GIVE
DATE: TIME: LOCATION:

SPECIFY:

CONFIRMED OR BELIEVED REASON FOR LOSS
LOSS DUE TO :

OTHER REASON FOR LOSS:

AIRCRAFT:

TYPE: SERIES:  
     
     

ENGINES:
MODEL:    
A:
B:
C:
D:
   

INSTALLED WEAPONS:
A:
B:
C:
D: 		E:
F:
G:
H: 		I:
J:
K:
L:

PERSONS BELOW ARE LISTED AS:
CASUALTY TYPE:  
NUMBER OF PERSONS ON BOARD:    
CREW: PASS: TOTAL:

PERSONNEL:

POSITION NAME RANK SERIAL
P1
P2  
CP
NAV (N)
BOM (B)
RAD
ENG
BAL
WG (W)
WG (W)
TG (T)

PERSONS WHO ARE BELIEVED TO HAVE LAST KNOWLEDGE OF AIRCRAFT

   

PERSONNEL WHO ARE BELIEVED TO HAVE SURVIVED

REASON: OTHER:  

EYEWITNESS DESCRIPTIONS OF CRASH

Report: 

    

    

	    
    

    

	    
    

	    

      
      

	    

      Report:  

      

    





  
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