Ambulance Service Licensure

The Georgia Department of Public Health Rules and Regulations Chapter 511-9-2 to license, re-license, and monitor Ambulance Services, Air Ambulance Services, Medical First Responders, and Neonatal Transport Services.

Initial License Requirements

An applicant for ambulance service licensure must submit to the Office of EMS and Trauma a complete application packet along with all other required documents and fees. Forms and additional documents can be found below. Each ambulance to be operated under the license must be inspected and approved by the department and so registered by affixing a department decal at a location specified by the department. See below for a initial license application.

Forms for Corporations and LLCs

Service License Application Packet

Supplemental Forms

Licensed EMS Personnel Information - Supplemental Form A
Vehicle Schedule - Supplemental Form B
Location Information - Supplemental Form C

Inspection Forms

R-E-01-A Vehicle Inspection Form - Ground Ambulance
R-E-01-B Vehicle Inspection Form - Neonatal Ambulance
R-E-01-C Vehicle Inspection Form - Medical First Responder
R-E-01-D Vehicle Inspection Form - Air Ambulance

Forms for Governments, Authorities, and Sole Proprietors

EMS License Application Packet (GA EMS 1000)

Supplemental Forms

Addendum A: Insurance Information
Addendum E: Personnel Information
Addendum F: Vehicle Information
GA EMS 1000 Supplemental Form

Inspection Forms

R-E-01-A Vehicle Inspection Form - Ground Ambulance
R-E-01-B Vehicle Inspection Form - Neonatal Ambulance
R-E-01-C Vehicle Inspection Form - Medical First Responder
R-E-01-D Vehicle Inspection Form - Air Ambulance


Yearly License Anniversary Dues

All ambulance services holding an active license must pay their anniversary dues every year with a check along with a copy of current insurance.


Service License Renewal

All ambulance service licenses must be renewed every two years. Renewal notices are mailed by the Regional Director and must be returned by the deadline with appropriate fees and application. See below for renewal applications for Corporations, LLCs, Governments, Authorities, and Sole Proprietors.

Renewal Application for Corporations and LLCs

Service License Renewal Application Packet

Renewal Application for Governments, Authorities, and Sole Proprietors

EMS License Renewal Application Packet (GA EMS 1000)


Service Group Renewal

Instructions for Online Group Renewals.


Georgia EMS Vehicle Verification

By using Vehicle Identification Verification you are able to search for EMS vehicles information certified by Georgia Emergency Medical Services.

 

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Page last updated 7/17/2017