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Service Provider Certifications Forms and Information

If you have questions regarding rules, equipment or standards while filling out the applications, please refer to the Title 836 rules found at EMS Rules and Laws.

Emergency Vehicle Equipment Checklist-General
This checklist includes all of the mandated equipment to be carried on BLS and ALS vehicles. Please have ready only the equipment pertaining to your level of service.

Air Ambulance Provider

Applications
Medical Director Approval Form
Information

ALS Provider - Transport & Non-transport

Applications
Medical Director Approval Form
Information

BLS Ambulance Provider

Applications
Medical Director Approval Form

BLS Non-transport Provider

Applications
Medical Director Approval Form
Information

Supervising Hospital

Applications

Note: On Section E, "approval of medical staff" means the CMO or Chief of Staff, NOT the service or ED Medical Director.

Vehicle Certification & Other Forms

Other Provider Forms