DA Form 7212 Missile Firing Data Report (Stinger)

DA Form 7212 or the "Missile Firing Data Report (stinger)" is a Department of the Army-issued form used by and within the United States Military.

The form - often incorrectly referred to as the DD form 7212 - was last revised on January 1, 2007. Download an up-to-date fillable DA Form 7212 down below in PDF-format or look it up on the Army Publishing Directorate website.

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MISSILE FIRING DATA REPORT (STINGER)
REQUIREMENT CONTROL SYMBOL
AMC 224/CSGLD 1332
For use of this form, see DA PAM 700-19; the proponent agency is DCS, G-4.
COMMANDER,
Whenever a missile firing is attempted, this form must be completed and sent directly to:
US ARMY AVIATION AND MISSILE COMMAND
ATTN: AMSRD-AMR-SE RA
REDSTONE ARSENAL, AL 35898-5290
1. PREPARED BY
2. FIRING ORGANIZATION
3. GUNNER'S NAME
4. DATE OF FIRING
(YYYYMMDD)
5. TIME OF FIRING
6. MISSILE SERIAL #
9. BCU SERIAL #'S
Success/Failure
7. MISSILE LOT #
8. GRIPSTOCK SERIAL #
1.
10. FIRING LOCATION
2.
FT. BLISS
PUTLOS, GE
FT. STEWART
3
11. TYPE OF TARGET
FT. HOOD
FT. IRWIN
TODENDORF, GE
1/5 HIND
OTHER
BAT
WSMR
KOREA
OTHER
STOVETOP
1/5 SU25
12. LAUNCH PLATFORM
13. GRIPSTOCK ANALYSIS
MANPADS
ATAS
FUNCTION
DID NOT FUNCTION
AVENGER
OTHER
14. FIRING ANALYSIS
WIDE MISS
MISFIRE
HANGFIRE
MOTOR RUPTURE
DIRECT HIT
NEAR MISS < 10M
EJECT ONLY
GUNNER ERROR
BALLISTIC
15. WARHEAD ANALYSIS
16. WEATHER
TARGET DETONATE
NO DETONATION
CLEAR
RAIN
SMOKE/DUST
EARLY FUZE
SELF DESTRUCT
OTHER
OVERCAST
FOG/MIST
(CONTINUE ON REVERSE IF NECESSARY)
17. REMARKS IF MISSILE FLIGHT WAS UNUSUAL OR TARGET MISS OCCURED:
18a. OFFICER IN CHARGE
(PRINT)
19a. DATE
(YYYYMMDD)
18b. SIGNATURE
19b. PHONE NUMBER
DA FORM 7212, JAN 2007
PREVIOUS EDITIONS ARE OBSOLETE.
APD LC v1.01ES

Download DA Form 7212 Missile Firing Data Report (Stinger)

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