Ambulance and First Responder Service Licensing Information
EMS licensure statute and rules
- Vermont Emergency Medical Services Statute (24 V.S.A.)
- Vermont Emergency Medical Services Rules
Additional Licensing Information
- First Responder Service Information
- Ambulance Service Information
- Sample Operational Letter of Agreement (Word) - dispatching and patient care agreement between transporter and first responder.
First Responder License Regulation
3.1 No person shall operate as a First Responder Service after March 1, 1997, unless duly licensedby the Department under these rules.
3.2 A First Responder Service's license shall be kept at the place listed on its application as the service's address, or at another location reported to the Department on the service's license application. No official entry on any license shall be altered or removed, except by anauthorized representative of the Department.
3.3 A service license is issued for a specific service, at a specific level of care, and at a single location. Before any of these factors change, the service must apply for a new license. A service must be separately licensed for each base facility from which it operates.
3.31 Not less than 30 days before an anticipated change in one of these factors, the service shall notify the Department and the EMS district board of the expected change and shall apply for a new license. Once the service's application for a new or amended license is complete and has been accepted by the Department, the Department shall grant, refuse or conditionally grant the license within 60 days.
Initial Service Licensure
3.4 To obtain a First Responder Service license for the first time:
3.41 The applicant must apply on forms available from the Department and provide duplicates of all required information to the EMS District Board.
3.42 The applicant must demonstrate to the Department that:
3.421 The applicant has placed a notice, approved by the Department, in newspapers serving the area where the service proposes to operate. The notice informs the public of the applicant's intention to begin a new service and invites public comments to be addressed to the Department. The Department shall forward copies of all comments received to the EMS District Board.
3.422 The applicant can provide personnel in numbers adequate to provide service on a 24 hours/day, 365 days/yr basis, and that these persons have the training required in these rules.
3.423 As of January 1, 1987, that the service has communications equipment adequate to allow the service to be in contact with a dispatching facility, and or with the ambulance service(s) which will regularly transport the service's patients, and or with the medical facility which will routinely receive the service's patients.
3.424 Where the applicant is an individual, that he or she is of good character. If the applicant is a partnership, association, or corporation, then the partners or principal officers must be of good character. Four character references for each principal must be submitted as a necessary condition of meeting this requirement; none may be from a relative of the applicant.
3.425 Where the type of service to be offered requires advanced training or medical control to be supplied by the hospital(s) within the EMS district, that the applicant can receive the necessary training and medical control.
3.426 The service has the equipment required in these rules and that the service's mode of operation will deliver the equipment to the place where patients require emergency medical treatment. Equipment required of all First Responder services is listed in the appendix to this section.
3.427 As of March 1, 1997, that the First Responder service has entered into written agreements with the ambulance service(s) which will transport its patients, guaranteeing continuity of care for the patient and coordinated dispatch. This agreement or a successor agreement must remain in effect throughout the year for the service's license to remain in effect.
3.428 The First Responder service agrees to provide coverage according to response plans determined by the EMS district board in conjunction with municipal officials.
3.5 In reviewing an application for First Responder service licensing, the Department will seek the advice of the EMS district board for the area where the new service is proposed. The EMS district board shall assist the Department in determining compliance of the applicant with the provisions of the EMS Statute (T.24) and VT EMS rules.
3.51 An initial license is issued for the remaining portion of the calendar year through December 31st.
License Renewal
3.6 To renew a First Responder service license:
3.61 The service must complete the application form provided by the Department and forward it to the EMS district board on or before November 1st.
3.62 The EMS district board shall review the form and advise the Department as to the service's continued compliance with the provisions of the EMS Statute (T.24) and the VT EMS rules. The EMS district board shall forward all applications to the Department by the December 1st.
3.63 Renewal licenses are issued for the calendar year January 1st to December 31st.
3.64 Provided that a renewal license application has been submitted to the EMS district board by November 1st, a service may continue to operate as a licensed service beyond December 31st unless otherwise notified by the Department.
Advanced Service Licensure
3.7 Advanced emergency medical treatment licensing for first responder services.
3.70 Advanced emergency medical treatment licenses are issued at two ascending levels:
3.701 Intermediate Service
3.702 Paramedic Service
3.71 Application: In order to apply for licensure as an advanced service at some level, a first responder service shall:
3.711 Demonstrate to the Department that it can obtain the training and medical control necessary to provide service at the level sought.
3.712 Show that it can provide the equipment necessary to offer advanced service, under the protocols for the EMS district.
3.8 Issuance of a license at a particular advanced level is provided for the purposes of certifying personnel and recognizing a service's ability to receive medical control. The licensure does not require the service to provide that particular level of advanced treatment.
3.9 Licenses denied: When an application for a service license under this section has been denied by the Department, neither the applicant nor the proposed service may reapply, unless the applicant or the proposed service can demonstrate a material change in the factors relied upon by the Department in denying the application.
Ambulance Service Licensing Information
License Regulation
2.1 No person shall operate as an ambulance service after March 1, 1997, unless duly licensed by the Department under these rules.
2.2 An ambulance service's license shall be conspicuously posted at the place where the service's ambulance(s) are garaged. No official entry on any license shall be altered or removed except by an authorized representative of the Department.
2.3 An ambulance service license is issued for a specific service at a specific level of care with a specific ownership and at a single location. Before any of these factors change, the service must be relicensed. A service must be separately licensed for each base facility from which it operates
2.31 Not less than 30 days before an anticipated change in one of these factors, the service shall notify the Department and the EMS District Board of the expected change and shall apply for a new license. Once the service's application for a new or amended license is complete and has been accepted by the Department, the Department shall grant, refuse, or conditionally grant the license within 60 days.
Initial Service Licensure
2.4 To obtain an ambulance service license for the first time:
2.41 The applicant must apply on available from the Department and provide duplicates of all required information to the EMS District Board.
2.42 The applicant must demonstrate to the Department that:
2.421 The applicant has placed a notice, approved by the Department, in newspapers serving the area where the service proposes to operate. The notice informs the public of the applicant's intention to begin a new service and invites public comments to be addressed to the Department. The Department shall forward copies of all comments received to the EMS District Board.
2.422 The applicant can provide personnel in numbers adequate to provide service on a 24 hrs/day, 365 days/yr basis, and that these persons have the training required in these rules.
2.423 That the service's vehicles have installed two-way communications equipment adequate to allow the vehicles to be in contact with the medical facilitie(s) where the service's patients are routinely transported on the EMS HEAR frequency, and with a dispatch facility.
2.424 Where the applicant is an individual, that he is of good character. If the applicant is a partnership, association, or corporation, then the partners or principal officers must be of good character. Four character references for each principal must be submitted as a necessary condition of meeting this requirement; none may be from a relative of the applicant.
2.425 Where the type of service to be offered requires advanced training or medical control to be supplied by the hospital(s) within the service area, that the applicant can receive the necessary training and medical control.
2.426 The ambulance service agrees to provide coverage according to response plans determined by the EMS District Board in conjunction with municipal officials.
2.5 In reviewing an application for licensing, the Department will seek the advice of the EMS District Board for the area where a new service is proposed. The EMS District Board shall assist the Department in determining compliance of the applicant with the provisions of the EMS statute (T.24) and these rules.
2.51 An initial license is issued for the remaining portion of the calendar year through December 31st.
License Renewal
2.6 To renew an ambulance service license:
2.61 The service must complete the application form provided by the Department and forward it to the EMS District Board on or before November 1st.
2.62 The EMS District Board shall review the form and advise the Department as to the service's continued compliance with the EMS Statute (T.24) and VT EMS rules. The EMS District Board shall forward all applications to the Department by December 1st.
2.63 Renewal licenses are issued for the calendar year January 1st to December 31st.
2.64 Provided that a renewal license application has been submitted to the EMS District Board by November 1st, a service may continue to operate as a licensed service beyond December 31st unless otherwise notified by the Department.
Advanced Service Licensure
2.7 Advanced Emergency Medical Treatment Licensing for Ambulance Services.
2.70 Advanced emergency medical treatment licenses are issued at two ascending levels:
2.701 Intermediate Service
2.702 Paramedic Service
2.71 Application: In order to apply for licensure as an advanced service at some level, a service shall:
2.711 Demonstrate to the Department that it can obtain the training and medical control necessary to provide service at the required level.
2.712 Show that it can provide the equipment necessary to offer advanced service under the protocols of the EMS district.
2.8 Issuance of a license at a particular advanced level is provided for the purposes of certifying personnel and recognizing a service's ability to receive medical control. The licensure does not require the service to provide that particular level of advanced treatment.
2.9 When an application for a service license under this section has been denied by the Department, neither the applicant nor the proposed service may reapply, unless the applicant or the proposed service can demonstrate a material change in the factors relied upon by the Department in denying the application.