Forms/ Applications

header-title-decorationForms/ Applications

Ambulance Operator Business License Application

Please contact the EMS Agency at 562-378-1500 to request the most current application

  • Application Instructions
  • Exhibit A: Application Form
  • Exhibit B: Insurance
  • Exhibit C: Response Times
  • Exhibit D: Disclosure Forms
  • Exhibit E: Adherence to Rules and Regulations
  • Exhibit G: Vehicle Listing
  • Exhibit H: Dispatch Qualifications
  • Exhibit I: EMS Info Form for Live Scan
  • Request for Live Scan
  • Sample Org. Chart