STATE AMBULANCE LICENSURE MANUAL AND INSPECTION FORMS COMMONWEALTH LICENSURE FORMS: Pennsylvania Department of Health Ground and Air Ambulance Licensure Manual Pennsylvania Department of Health Ground and Air Ambulance Licensure Application Instructions for completing the PA DOH Licensure Application Pennsylvania Department of Health Quick Response Service Certification Manual Special Event EMS Plan and Post-event Reporting Form POLICY STATEMENTS AND SAMPLE ROSTERS FOR LICENSURE: Ground Ambulance Service Required Policies Sample Staffing Plans for Ground Ambulance Services Personnel Roster for Ground and Air Ambulance Services Personnel Roster for QRS Services Air Ambulance Service Required Policies Pilot Roster for Air Ambulance Service LICENSURE INSPECTION FORMS: Pennsylvania Department of Health BLS & ALS Ambulance Licensure Inspection Form Montgomery County EMS Approved Drug List Pennsylvania Department of Health ALS Squad Licensure Inspection Form Pennsylvania Department of Health Air Ambulance Inspection Form Pennsylvania Department of Health QRS Inspection Form MISCELLANEOUS FORMS: ALS Service Medical Director Signature Form
