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9 Line MEDEVAC Request

 

Line 1. Location of the pick-up site.

Line 2. Radio frequency, call sign, and suffix.

Line 3. Number of patients by precedence:
A - Urgent
B - Urgent Surgical
C - Priority
D - Routine
E - Convenience

Line 4. Special equipment required:
A - None
B - Hoist
C - Extraction equipment
D - Ventilator

Line 5. Number of patients:
A - Litter
B - Ambulatory

Line 6. Security at pick-up site:
N - No enemy troops in area
P - Possible enemy troops in area (approach with caution)
E - Enemy troops in area (approach with caution)
X - Enemy troops in area (armed escort required)
* In peacetime - number and types of wounds, injuries, and illnesses

Line 7. Method of marking pick-up site:
A - Panels
B - Pyrotechnic signal
C - Smoke signal
D - None
E - Other

Line 8. Patient nationality and status:
A - US Military
B - US Civilian
C - Non-US Military
D - Non-US Civilian
E - EPW

Line 9. NBC Contamination:
N - Nuclear
B - Biological
C - Chemical
* In peacetime - terrain description of pick-up site