Download the form
DA Form 7595-5-4 exists to initiate a 9-line medevac request — that is the short version. Title of record: INITIATE A 9-LINE MEDEVAC REQUEST. The page covers the download, the entries and the disposition, nothing else. Current here: edition May 2014, status not stated, 1 page(s), near 117 fields.
Two references decide everything about your use of it: TRADOC maintains the content, TC 8-800 sets the trigger and the routing. Consult the directive when your case is not routine; otherwise the printed blocks tell you enough. The person named in the entries fills it, or the administrative office holding the file does it for them.
The formats are PDF, and the choice comes down to keyboard or pen. Fillable pdf for typing — live fields, tab order, saved entries. Printable pdf for handwriting — same page, no interactive objects, print it blank. Content is identical; only entry method differs.
A standalone reader is the safe choice for fillable work. Browser viewers vary in whether entered data survives the session, and there is no warning when it does not; a one-field save test settles it in seconds.
Nothing is charged and no sign-up applies. Files are served as published, without changes to the page image.
What the form asks for
- ContentArea1
- Date1
- Eval_Comments
- Fail1_a
- Fail1_b
- Fail1_c
- Fail2_a
- Fail2_b
- Fail2_c
- Fail3_a
- Fail3_b
- Fail3_c
- FinalEval
- InitialEval
- Page1
- PageArea1
- Pass1_a
- Pass1_b
- Pass1_c
- Pass2_a
- Pass2_b
- Pass2_c
- Pass3_a
- Pass3_b
The heading entries carry more weight than the body. Name spelled as in official records, identification number, organisation, date prepared. Retrieval runs on those values, so a transposed digit or a casual spelling costs someone a file search. Fill them before anything else.
Tabbing beats clicking for coverage. The order was set at build time and tracks the page layout, so following it leaves no gaps. Boxes and buttons are clicked; where options are exclusive, one selection cancels another by design. Watch field width on long entries: one-line fields have no wrap, and what runs past the edge disappears in print though the screen still shows it. Move that text to remarks or a continuation. Never leave an inapplicable field empty — enter the nil mark, because a reviewer cannot distinguish a skipped question from a considered answer.
Signature comes after every other entry — ink or an approved electronic means, and without it the document is a draft. Where reviewing, approving or witnessing signatures are called for, take them in printed block order, each dated on the day applied. Before release, one pass from the top. The defects worth hunting are always the same four: mandatory fields left empty, identification digits transposed, dates with day and month reversed, and stale data surviving in a copy reused in place of a blank form.
Privacy Act statement first, personal entries second. The notice covers who is authorised to collect, why, who else routinely sees it, and whether you must answer. After completion the file carries personal data and is stored and sent under the corresponding safeguards.
The prescribing directive names the destination; office custom does not. Depending on the case that means a specific office, the unit administrative channel, or the personal record. Keep a copy first, because the original does not come back. Retention runs on the applicable records schedule.
Look for associated forms by series and number. In the DA series, documents sharing a proponent or a governing directive tend to travel together, and anything referenced on the page normally submits alongside. Collect continuations, covers and transmittals in advance of sending.
Check the edition date before reusing a saved copy. Revisions come from the proponent without notice to you, and the printed date is the only version marker on the page. Already-submitted records under a superseded edition stand as filed; the change does not run backwards.
These are reproductions of published Department of the Army documents, offered for download. The site is independent, connected to nothing official, and issues no forms of its own. Nothing here is legal advice and no statement is made about acceptance by any office. Questions about an entry, a requirement or eligibility go to TRADOC or your servicing administrative office.
Questions and answers
- What is DA Form 7595-5-4?
- INITIATE A 9-LINE MEDEVAC REQUEST
- Which edition is current?
- May 2014
- Who is responsible for this form?
- TRADOC
- In which formats can it be downloaded?