Below are important documents that you may need for your next agency inspection. If you have questions, need more information or resources, please contact your Regional Program Representative.
EMS Agency License – Application Instructions
EMS Agency Application – RENEWAL – Log into the EMS Portal to complete your agency application.
New EMS Agency Application – INITIAL – Complete this form to request a New EMS Agency.
Inspection Documents:
Inspection Checklist 8-13-2022
EMS Agency Licensure Signature Page 9-26-19
Vehicle Checklist
4″ Stripe Example for Ground Ambulance
Non-Transport Vehicle Checklist
4″ Stripe Example for Nontransport Vehicle
Frequent Ambulance Marking Questions
Agency Licenses and Vehicle Permits Guidance
Temporary EMS Vehicle Permit Application | Log into the EMS Portal to complete a Temporary EMS Vehicle Permit Application. | For currently certified EMS agencies adding a new emergency vehicle. Temporary permit instructions. How to request a temporary EMS vehicle permit
Air Medical Checklist
Application for EMS Air Ambulance Permit
Mutual Aid Agreement Examples:
Sample Templates:
Anti-Substance Abuse Program Template
Driver Eligibility Policy Template