The agency and vehicle licensing expert oversees the licensing and inspection process for all life support agencies and life support vehicles. Responsibilities include:
Rules & Regulations
Forms & Publications
Contact Information
Frequently Asked Questions (FAQs)
Rules & Regulations
Public Health Code (Article 17, Part 209) (PDF)
Life Support Agency & Medical Control Rules (PDF)
Contact Information
Complete the appropriate Department forms and submit directly to:
MDCH-EMS & Trauma Systems Section
Agency/Vehicle Licensing Application
P.O. Box 30437
Lansing, Michigan 48913
Phone: (517) 241-3026
Fax: (517) 241-9458
Applications will not be accepted in person, they must be mailed.
Frequently Asked Questions (FAQs)
How do I become licensed?
What are the fees?
What do I need to do to add or remove a vehicle from the Agency license?
Does my agency have to be available to provide services at all times?
How often do I have to renew my license?
How do I become licensed?
The appropriate forms need to be completed by the agency seeking licensure and submitted to the department. These forms can be found on our website or you can contact our office at (517) 241-3026 to have them mailed to you.
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Form
|
Type of Agency
|
|
|
Medical First Response
|
Basic Life Support
|
Limited Advanced Life Support
|
Advanced Life Support
|
|
BHS/EMS-180
Life Support Agency License Application
|
X
|
X
|
X
|
X
|
|
BHS/EMS-181
Life Support Vehicle Application
|
X |
X
|
X
|
X
|
|
BHS/EMS-0092
Certificate of Insurance for Life Support Agencies
|
X
|
X
|
X
|
X
|
|
BHS/EMS-314
Manufacturers Certificate of Compliance (Transport ONLY)
|
|
X |
X |
X |
| BHS/EMS-316 Ambulance Safety Inspection Certificate of Compliance (Transport ONLY) |
|
X |
X |
X |
| BHS/EMS-318 Ambulance Safety Inspection (Transport ONLY) |
|
X
|
X
|
X
|
|
BHS/EMS-327
Emergency Medical Services Personnel List
|
x
|
X
|
X
|
X
|
|
BHS/EMS-352
Application to Operate
|
|
X
|
X
|
X
|
What are the fees?
Licensing Fee’s for Basic Life Support, Limited Advanced Life Support, and Advanced Life Support Agencies:
Initial and renewal fee: $100.00 for the Agency License and a $25.00 fee per vehicle
Late fees are enforced if license is not renewed by the expiration renewal date: $300 for the Agency License and a $100.00 fee per vehicle
Licensing Fee’s for a Medical First Responder Agency:
No Initial or renewal fees apply.
Late fees are enforced if license is not renewed by the expiration renewal date: $300 for the Agency and $100.00 fee per vehicle
Remove or Downgrade a vehicle:
No fee.
Add, Upgrade, or Replace a vehicle:
$25.00 fee per vehicle
What do I need to do to add or remove a vehicle from the Agency license?
You need to complete form # BHS/EMS-181, Life Support Vehicle Application and submit it to the department. If the vehicles are for transporting patients, you will also need to complete form # BHS/EMS-314. If the transporting vehicle is two years from the date of manufacture, then you will also need to complete form # BHS/EMS-316 and BHS/EMS-318.
Does my agency have to be available to provide services at all times?
Yes, all levels of licensed life support agencies need to be available to respond to pre-hospital emergencies 24/7.
How often do I have to renew my license?
Life support agencies renew annually. A renewal packet is mailed to your agency 90 days prior to the license expiration date.
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