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.

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.

New Ambulance Service License Application

EMS Service License Application Packet (GA EMS 1000)

Vehicle 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

Renewal License Requirements: 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.

Current Ambulance Service Renewal Application

EMS Service License Renewal Application Packet (GA EMS 1000)

Current Ambulance Service Revision Forms

Use the following revision forms to update insurance, add or delete locations, vehicles and EMS personnel. 

Update Insurance Information - Schedule A
Add/Delete Base Locations
Add/Delete Licensed EMS Personnel - Schedule E
Add/Delete Ambulance Vehicles - Schedule F

For other revisions please complete them on the EMS Service License Application Packet (GA EMS 1000) be sure to mark "Revision" on the application.

Instructions for Online Group Renewals