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Bureau of Emergency Medical Services & Trauma System

Ground Ambulance Program

The Ambulance Services Section oversees the regulatory process for ambulance providers in Arizona. Regulation includes all matters affecting services to the public, service areas, response times, and rates and charges to ensure providers are charging appropriately.

Certificate of Necessity (CON)

Applications

  • CON Initial Application Word | PDF
  • CON Renewal Application Word | PDF
  • CON Amendment Application Word | PDF

Registration

Forms

  • Ambulance Revenue and Cost Report Exhibit A (Long Form) Excel | Word | PDF
  • Ambulance Revenue and Cost Report Exhibit B (Short Form) Excel | Word | PDF
  • Automatic Rate Increase Sample Letter/Form Word | PDF
  • General Rate Increase Sample Letter/Form Word | PDF

Resources

Note: Information provided in PDF files, unless otherwise indicated.