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Agency Licensure

Life Support Agency & Vehicle Licensure

 

  • All Vehicle and Agency Applications must be submitted thru the Image Trend Licensing System. 
  • 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. 
  • 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 (1.8.20)

 

PDF copies of licenses are available through Michigan EMS eLicensing Portal

 

ImageTrend Licensing Documents 

Agency Renewal Flowchart

Verify EMS Agency

 

Equipment and Agency Requirements 

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

 

Required Ambulance Documents for Licensure 

 

Agency Licensing Documents 

 

Policy and Memos

 

Contact Information

Derek Flory, BAS, EMT-P / IC

Life Support Agency and Vehicle Licensing Coordinator

Phone 517-243-8205 

Email: FloryD@michigan.gov