Get State Of Florida Department Of Health Bureau Of Emergency Medical Services Application For Vehicle

Completing the STATE OF FLORIDA DEPARTMENT OF HEALTH BUREAU OF EMERGENCY MEDICAL SERVICES APPLICATION FOR VEHICLE is essential for obtaining the necessary vehicle permits for emergency medical services. This guide provides step-by-step instructions to ensure a smooth and efficient online application process.

Follow the steps to accurately complete your application.

1. Click ‘Get Form’ button to obtain the application form and open it in the online editor.
2. Enter your Provider Number in the designated field. This number identifies your emergency medical services provider.
3. Fill in the EMS Provider name, ensuring it matches the name registered with the Florida Department of Health.
4. Provide the Business Address, including the street name and number, along with the City, State, and Zip Code.
5. Select the appropriate County from the available options based on your business address.
6. Indicate the Permit Type by selecting one of the following: Duplicate, New, or Current. Provide any relevant Permit Number if applicable.
7. Choose the type of service: Transport (TRANS), Advanced Life Support (ALS), or Non-Transport (NON-TRANS), and Basic Life Support (BLS) if applicable.
8. Fill out the Vehicle Data section. Enter the Year, Make, Model, and Vehicle Identification Number (VIN) for each vehicle being registered.
9. Enclose the permit fee as instructed, ensuring that you do not send cash. Indicate how you will make the payment, addressing the check to Emergency Medical Services.
10. Affirm the statement about equipment and medical supplies required by the relevant Florida Statutes and Administrative Codes by signing in the designated Signature field.
11. Include your Title and the Date when you are signing the application form.
12. Review the completed application for accuracy and completeness before submission.
13. Save your changes, and if needed, download, print, or share the completed application form for your records or to submit to the appropriate authorities.

Begin filling out your application online today for a seamless permitting experience.