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)

• CON General Information
• CON Provider List
• CON Certificates, Maps & Boundaries

Applications

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

Registration

• Registration General Information
• Registration and Renewal Application Word | PDF

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

• Rates & Charges General Information
• Rate Schedule
• Historical Rate Schedules
• CON Guidance Document
• CON Hearing Schedule
• Public Records Request Form

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