Get Ambulance Service Permit Application Process - City Of Houston - Houstontx

The Ambulance Service Permit Application Process for the City of Houston ensures that emergency medical services providers meet the necessary regulations. This guide offers a comprehensive step-by-step approach to completing the application accurately and efficiently, paving the way for timely approval and inspection.

Follow the steps to complete the application process successfully.

1. Click 'Get Form' button to obtain the application and open it in your preferred document editor.
2. Fill in the ambulance service full name, TDSHS company license number, mailing and physical addresses, telephone number, and email address. Ensure all information is typed or entered digitally.
3. List the owner of the service by providing their last and first name along with their home address.
4. Provide details about the vehicle liability insurance provider, including the policy number and minimum coverage amounts for accidents and personal injuries.
5. Complete the section for the medical director, ensuring to include their business address, telephone number, and medical license number.
6. Identify the director of operations or designated person responsible for local operations by entering their name and Texas driver's license number.
7. Ensure the form is notarized. The signature of the claimant must be witnessed by a notary public.
8. Compile the required documentation: liability insurance certificate, medical protocols, employee and owner documentation, up-to-date business registration, and applicable licensing information.
9. Check that all application fees are included, and ensure forms of payment comply with city regulations.
10. Once complete, save your application, and review for accuracy before submitting.
11. Upon submission, retain a copy of your application for your records.

Complete your Ambulance Service Permit Application online today for timely processing.