Ambulance Licensing and Regulations

Ambulance Licensing and Regulations

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The Delaware State Fire Commission’s Ambulance Licensing and Regulation Division provides leadership and direction to support the operations and growth of Delaware’s ambulance industry. It aims to protect the health, safety, and welfare of individuals using these services by developing and modifying statewide requirements for both emergency and commercial ambulance services throughout the state of Delaware.

At the conclusion of FY 2024, there were 88 commercial (private) ambulance services and 169 emergency (911) ambulance units that held licenses issued by the Commission.

The division reviews applications for EMS providers and issues permits and licenses for operation. The division also conducts annual and spot inspections to ensure compliance with these regulations.

For more information or to speak with a representative please contact the office.

Phone: 302-739-3160

Email – fire.commission@delaware.gov

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Delaware EMS Regulations

• Ambulance-Regulations-710.pdf

Ambulance Applications, Information and Misc Forms

• Ambulance Information – State Fire Commission – State of Delaware
• DSFC Approved Equipment and Supplies 1-1-25
• State of Delaware Water Ambulance Inspection Form
• 2026 Delaware_BLS_Ambulance_Inspection_Form
• Microsoft Word – Renewal Ambulance Service Provider License-Permit Application Packet.doc
• Renewal Permits/Application
• Ambulance Regulations 710
• Removing An Ambulance from Service
• Adding or Replacing An Ambulance – State Fire Commission – State of Delaware
• Ambulance Service Providers
• 2019 NFPA 1917 Standards
• Request for Ambulance Reinspection Form – State Fire Commission – State of Delaware
• Application for New Ambulance Service Provider Licensing Form – State Fire Commission – State of Delaware

2026 License and Permit Fees	Fee
Annual BLS Ambulance License	$750.00
Annual BLS Water Ambulance License	$500.00
Annual Unit Permit Fee	$100.00

2026 Miscellaneous Service Fees	Fee
Ambulance License Transfer	$50.00
Replacement of Vehicle License Decal	$15.00
Replacement of Expiration Decal	$5.00
New Service Application	$175.00
Drop/Add Ambulance Unit	$25.00
Reinspection Fee (Includes Nonprofits)	$100.00
Late Fee	$100.00