OFFICE
SYMBOL (MARKS NUMBER) DATE
THRU Chief of Staff
FOR Commanding General
SUBJECT:
1. FOR: Decision
2. PURPOSE: (Briefly state the issue or problem being addressed.)
3. RECOMMENDATION: (What decision is wanted or required? Quantify dollars, manpower, and equipment, if involved. Clearly state desired decision.)
4. ASSUMPTIONS:
     a. (State assumptions, i.e., it is assumed that current funding levels will remain constant.)
     b. (If there are no assumptions, state, "none.")
5. FACTS:
     a. Background. (Provide a brief background of the issue or problem.)
     b. Facts. (Provide a brief description of the current status of the issue or problem.)
6. RATIONALE FOR RECOMMENDATION: (The assumptions, if any, and facts should support the recommendation in paragraph 2 .)
7. IMPACT OF SUCCESS OR FAILURE: (State the results of putting and not putting the recommendation into action.)
8. COORDINATION: (If coordination is not required, state, "not required.") (Draw a line through "concur" or "nonconcur", date and write the name of the person with whom coordination was made.)
     ACofS, G3: Concur Nonconcur Name and Date:
     ACofS, G4: Concur Nonconcur Name and Date:
9. APPROVED ___ DISAPPROVED ___ SEE ME ___
DRAFTED BY: Typed name/Position Title/Telephone
RELEASED BY: Typed name/Position Title/Telephone