Permits are issued by the Bureau of Emergency Medical Services (BEMS) to a licensed ambulance service after an inspection of the vehicles and equipment has been completed and a determination made by BEMS that all requirements have been met.

Permits issued shall expire concurrently with the service license.

A BEMS form shall be completed by BEMS and signed by the service representative.

A list of permit and licensure fees can be found here.

All permits for vehicles are issued by licensed location. If, at any time, a vehicle is permanently moved to a new location a new inspection must be made and a new permit issued in accordance with the service license for the new location.

Common grounds for suspension or revocation of vehicle permit are, for example:

• Improper or lack of essential required equipment, design and construction standards.
• Sanitary requirements not maintained.
• Lack of properly certified personnel in rear of vehicle when patient is present or lack of properly qualified driver.
• Failure to maintain insurance as required.
• Change in location of vehicle.
• Failure to carry BEMS issued permit card on vehicle.

Common grounds for issuance of temporary permit (limited to 90 days) are for example:

• Minor equipment items missing, but to be replaced within a reasonable time period.
• Permitted vehicle is under repair and a replacement vehicle, meeting standards, is needed on a temporary basis.