Hi @Fusion24A,
Sorry to here your having problems with Fusion 360 Drawing's direct printing. After reading through the thread, what you are trying to print (the 245x180 plate) should print 1:1 on an A4 sheet. I've attached a photo of a similar part I created with steel rule for reference. Since you're wanting this as an overlay template, I created the drawing using the ISO drafting standard, mm units and A4 sheet size and placed the base view at 1:1 scale. I then turned off the title block and border since they're not needed (this doesn't impact print scale) and added annotations. I'm also running a MacBook and printed to my Epson ET-3600 (A4 printer) here in my home office.
Currently we do have some limitations with Direct Print (or File > Print) as mentioned by other users. Current, we use the rule -- if the available paper size on the printer is equal to or larger than the sheet size, use scale "1:1" and if the available paper size on the printer is smaller than the sheet size, use scale "Fit to Paper".
In regards to PDF Output, we always output the sheet size at 1:1 scale. So if you output an A3 sheet, you'll get a 1:1 A3 sheet in your PDF. Printing this to scale on an A4 printer is the tricky part and depends on the tool being used to view the PDF and printer. I tend to stick with Apple's Preview or Adobe's Acrobat Reader for viewing PDFs.
Hope this helps, and please let me know how you get on with this.
Cheers, Andrew
Andrew de Leon
Experience Designer - Fusion 360
MacBook Pro (16-inch, 2019), OSX 10.15.7, in Sydney, Australia