Agencies
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EMS Provider and Vehicle Licensing
IDPH licenses Emergency Medical Services provider agencies and their transport and non-transport vehicles to ensure compliance with equipment and staffing requirements, along with minimum build standards as adopted by the state and enforced through an inspection process. The Department also licenses stretcher vans, which must meet a defined set of safety feature requirements.
Resources
Forms
- EMS Dispatch Agency Certification Application
- EMS Dispatch Agency Recertification Application
- Stretcher Van Provider Application
- EMS Alternate Rural Staffing Authorization Request
- EMS Ambulance Staffing Waiver Application
- EMS Ambulance Inspection
- EMS Equipment Waiver
- EMS Non-Transport Inspection Form Provider
- EMS Non-Transport Provider Application
- EMS Non-Transport Application for Existing Transport Provider
- EMS Special Events Request Application
- EMS StretcherVan Inspection Form
- EMS Transport Provider Application
- EMS System Plan Modification
- Aircraft Inspection Form - Provider
- EMS Critical Care Transport Application