Ambulance

You may use the following references to assist you with upcoming ALS/BLS Ambulance and ALS Squad Licensure inspections


Click Here for PA approved EVOC Courses

Basic Life Support (BLS) Ambulance Inspection Checklist with References

Advanced Life Support (ALS) Ambulance Inspection Checklist with References

 

Advanced Life Support (ALS) Squad Inspection Checklist with References

Ambulance Service Licensing Manual


KKK Specs



To access The Pennsylvania Electronic Ambulance Service License Application, click on the link below:
Electronic Ambulance License and QRS Application

 

If you are interested in downloading the Modification of Ambulance Fleet form, click here.

 

 

 

How To Apply For An EV Plate

Please click on the links below to download the application for an EV plate:

 

Click Here to download the emergency vehicle process definition.

 

Click Here to download the application for an EV plate.

 

 

 

 

How To Apply For A CLIA Certificate of Waiver

Please click on the links below to download the instructions and application to obtain the CLIA Certificate of Waiver.

 

Click Here to download the application for the CLIA Certificate of Waiver.

 

Click Here to download application instructions.

 

Click Here to download a list of state CLIA contacts.

 

Click Here to download the Subpart B.

Contact EMSI

 

1002 Church Hill Road

Pittsburgh, PA 15205-9006

Local Calls: 412-242-7322
Fax: 412-787-2340

 

Click here to contact EMSI online.