Get Application For Air Ambulance Permit

Completing the application for an air ambulance permit is an essential process for service providers in Florida. This guide will provide you with clear and detailed instructions to help you fill out the form accurately and efficiently online.

Follow the steps to complete your air ambulance permit application.

1. Click ‘Get Form’ button to obtain the application form and open it for editing.
2. Begin by filling out the 'Name of Service' and 'Provider ID#' sections, ensuring all information is accurate and complete.
3. Provide your contact details, including phone number, address, county, city, and ZIP code in the designated fields.
4. Choose the type of application you are submitting by selecting one of the following options: New, Renewal, or Duplicate.
5. Indicate the type of permit requested by selecting one or more options from prehospital (PH), interfacility (IF), or both, including the type of aircraft (Fixed Wing, Rotor Wing).
6. Fill in the aircraft data fields, including make, model, year, FAA number, and permit number.
7. Attach a copy of the FAA Part 135 certificate, ensuring that all parts A and D are included. If the certificate holder's name differs from the applicant's, attach a letter of agreement or contract.
8. Include a copy of the airworthiness certificate with your application.
9. Enclose the required permit fee by check, made payable to Emergency Medical Services. Ensure not to send cash.
10. Sign and print your name in the designated area, providing your position and the date of signing this application.
11. After completing all sections, review the form for accuracy. Save your changes, and you may choose to download, print, or share the application as needed.

Complete your application for air ambulance permit online today to ensure timely processing.