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Apply for an ambulance service license

Instructions for ambulance services in Massachusetts to apply for initial licensure with the Department of Public Health (DPH).

Office of Emergency Medical Services - Ambulance Services

The Details of Apply for an ambulance service license

What you need for Apply for an ambulance service license

If you are applying for an ambulance service license for the first time, you must complete all parts of the application. The Office of Emergency Medical Services (OEMS) must receive your complete application and all required fees before your application can be reviewed.
 
To apply for a new an ambulance service license, download and complete the entire Ambulance Service License Application (All Parts).

You may also access each application part individually:

Initial applicants must submit the following:

  • A Notice of Intent (enclosed in application)
  • Letter of endorsement from highest elected/appointed municipal official (for municipal applicants)
  • A Certificate of Good Standing for the applicant from the Secretary of State’s office from the state in which the corporate headquarters are located (for private and corporate applicants)
  • A Certificate of Good Standing from the Department of Revenue of the state in which the applicant resides or the corporate office is based (for private and corporate applicants)
  • A list of all officers, directors, shareholders and operation managers of the applicant
  • A current copy of the Articles of Organization of the applicant
  • Other information that is deemed necessary pursuant to the Department’s review of the submitted material

Fees for Apply for an ambulance service license

Make checks payable to the Commonwealth of Massachusetts.

Name Fee Unit
Initial ambulance service licensure - BLS $400 per license
Initial ambulance service licensure - ALS $600 per license
Ambulance vehicle certification inspection $200 each vehicle

How to apply Apply for an ambulance service license

Mail completed application packet, fee, proof of insurance, and any other required materials and information to:

Office of Emergency Medical Services
Department of Public Health
67 Forest Street
Marlborough, MA 01752

Contact for Apply for an ambulance service license

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