Complete our Survey

DSHS would like you to complete a short online survey. The information provided assists  DSHS to continually improve and be more responsive to the needs of customers. 

First Responder Organizations

For information and forms visit the First Responder Registration information page. 

For additional help or if you have questions about EMS First Responder forms or processing contact 512-834-6734.

Rules and Policies

• EMS Trauma Systems Rules
• EMS Trauma Systems Policies

Forms and Documents

Applications

• Provider Licensing Application
• Online Licensing (renewal only)

Checklists
Use the following checklist as a guide regarding required documentation and elaboration of each provider licensing requirement.  

• EMS Provider Initial License Checklist
• EMS Provider Renewal License Checklist
• EMS Provider Initial Survey Checklist & Questionnaire 
• EMS Provider Compliance Survey Checklist & Questionnaire
• EMS Provider Survey FAQs
• EMS Quality Assurance/Quality Improvement Plan Development Tool
• EMS Provider Virtual Inspection Process Overview

Licensing Forms

• EMS Administrator of Record Initial Application
• EMS Administrator of Record Renewal Application
• EMS Provider License Declaration Form
• EMS Provider Personnel Form
• EMS Provider List of Station Locations
• EMS Headquarters Physical Location Change
• EMS Provider Vehicle Form
• Subscription Program Surety Bond
• Medicaid Surety Bonds for Ambulance Providers
• EMS Provider Medical Director Information Form
• EMS Provider Notification/Change Form
• EMS Provider License Replacement Request
• EMS Provider Variance Request

Notices and Signs

• EMS Consumer Complaint Notice
• EMS Vehicle Out of Service Sign

Fees
Note that money mail is to be submitted to a different address than submittals without payment.

Mailed/Overnight Fee Payments
Use/Submit the below linked cover sheet and address for mailed/overnight fee payments:

• Cover Sheet - Mailed/Overnight Documents Containing Fee Payments

Submission with No Fee
Use one of the links below for the appropriate cover sheet and address for any submission with no fee payment: