Life Support Agency & Vehicle Licensure

Effective January 1st 2020 the EMS Section will No Longer Accept Paper Applications for Agencies and Vehicles

The agency module of the eLicensing system is now active.

The module will enable Life Support Agencies (LSAs) to maintain and renew the agency license and vehicles online. Individual(s) will be given system permissions.This role in the eLicensing system will be known as an Agency Licensure Administrator. Each agency must designate the person(s) to be assigned to this role.

The following form has been sent to all agencies, and should have been returned before January 1, 2020.

Instructions on how to claim your ImageTrend account can be found here.

Instructions on how to create a ImageTrend account can be found here.

eLicensing Public Portal Userguide PDF (1-08-20)


NOTE: PDF copies of licenses will be available through Michigan EMS eLicensing Portal due to mailing delays related to COVID-19 response.



Verify EMS Agency


Forms & Publications

All forms and publications are in PDF format unless otherwise noted.  To preview and download the PDF forms, you will need Adobe Acrobat Reader.  If you do not have this program, it can be downloaded from the Adobe website.


Requirements for Licensure of Remounted Ground Ambulances Effective 6/1/20 (Updated: 11/20/20)


Medical Waste Registration Memo 8-7-19


EMS Air and Ground Out of State /Canada Mutual Aid 10-29-21


Ambulance Operation Licensing

Life Support Agency Licensure and Inspection Manual


PDF Version 1.5 (1-29-21)


eLicensing Public Portal Userguide PDF Version 1 (06-08-21)
Flowchart for Agency Licensing Renewal PDF (1-02-20)
Agency Renewal Checklist PDF (5-11-20)

Certificate of Insurance for Life Support Agencies

BHS/EMS-0092 (Revision: 2016) 

Ambulance Safety Inspection (Transport ONLY)

BHS/EMS-316 (Revision: 2016) 

Ambulance Safety Inspection - Notarized Statement (Transport ONLY)

BHS/EMS-318 (Revision: 2016) 

Vehicle Operation Course Criteria


Manufacturers Certificate of Compliance (Transport ONLY)

BHS/EMS-314 (Revision 11/20/20)

Data Collection Requirements 


MI-EMSIS / Data Page


Loaner Vehicle Application (New or Extended Loan)

Data Collection Requirement - MI-EMSIS

MI-EMSIS / Data Page


BHS/EMS-182 (Revision: 4-30-17)

Medical Waste Information (EGLE, Formerly the DEQ)) Website
Michigan Occupational Safety & Health Administration (MIOSHA) Website

CLIA Information

Instructions for obtaining CLIA Waiver     PDF
Michigan Department of Licensing and Regulatory Affairs CLIA  Website

Equipment and Agency Requirements 

Items listed under MCA Approved Equipment is only required if included in MCA protocols.

Important Safety Information Regarding Newborn Warming Mattresses 9-16-19

MFR Vehicle Minimum Equipmenmt Requirements    (Updated 10-15-21)

BLS Transport Minimum Equipment Requirements     (Updated 10-15-21)

BLS Non-Transport Minimum Equipment Requirements   (Updated 10-15-21)

LALS Transport Minimum Equipment Requirements    (Updated 10-15-21)

LALS Non-Transport Minimum Equipment Requirements    (Updated 10-15-21)

ALS Transport Minimum Equipment Requirements    (Updated 10-15-21)

ALS Non-Transport Minimum Equipment Requirements    (Updated 10-15-21)

Rotary Minimum Equipmet Requirements (Updated 10-15-21)

Fixed Wing Minimum Equipment  Requirements (Updated 10-15-21)

Required Life Support Agency Criteria (Updated 10-15-21)




Miscellaneous Publications

MEDCOM Requirements

MEDCOM 9.23.2020

Certificate Of Need (CON) Review Standards For Air Ambulance Services

CON Review Standards

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Life Support Agency Operating at an Increased or Decreased Level of Service    EMS 202

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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 

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What do I need to do to add or remove a vehicle from the Agency license? 

You need to log into the Image Trend Licensing System and fill out the corresponding application. 

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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 emergencies 24/7. 

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How often do I have to renew my license? 

Life support agencies renew annually. 


Contact Information

Derek Flory, BAS, EMT-P / IC

Life Support Agency and Vehicle Licensing Coordinator

Phone 517-335-8382 

Fax: 517-335-9434




Agency/Vehicle Licensing Application
P.O. Box 30437
Lansing, Michigan 48909
Phone: 517-335-8382
Fax: 517-335-9434