Agency Documents

All documents are in PDF format, unless noted.

• EMS Agency Application Package - Initial and Renewal
• EMS Agency Status Report: PDF Format    1997-2003 Microsoft Word Format    2007 Microsoft Word Format
• Air Ambulance Vehicle Checklist (19K)
  Required equipment for Air Ambulance vehicles.
• Complaint Form: PDF Format    Microsoft Word Format
• Ground Ambulance Vehicle Checklist (25K)
  Required equipment for Ground Ambulance vehicles.
• Line of Duty Deaths (LODD)
• Non-Transport Vehicle Checklist (21K)
  Required equipment for non-transport first responder vehicles.
• Officer Change Form: PDF Format     1997-2003 Microsoft Word Format     2007 Microsoft Word Format
• EMS Physician Application for Endorsement (185 K)
• Temporary Vehicle Permit Application (107K)
  For currently certified EMS agencies adding a new emergency vehicle.
• Triage Tag Request Form (96K)