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Applications for Service - Agency

Applications:

*    Emergency Medical Service - Ground Agency

*    Emergency Medical Service - Air Agency

*    Emergency Medical Service - Stretcher Aid Van

*    Emergency Medical Service - Specialty Care

*    Emergency Medical Response Agency

   Pre-hospital EMRA
    Pre-hospital EMRA's will operate as part of an Emergency Medical System, responding to requests for service within a response area, 
    supporting and being supported by a licensed ambulance service

   Event Stand-by EMRA
    Event Stand-by EMRA's will operate or contract for on-site medical care at locations that are open to the public or that will respond to the public. 
    These types of EMRA's are certified to standby at a location or site and provide medical care to the public.

Renewal Forms:

EMS Agency Renewal Form

EMRA Renewal Form

Amending a license or certification:

EMS Agency Amendment Form

EMRA Amendment Form

 

 

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