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Oregon Ambulance Forms

Forms and Applications

Renewal of an Ambulance Service and Vehicles

Service and ambulance vehicle renewal applications will be available April 1 every year. To ensure you receive your service and vehicle licenses before July, applications must be submitted by May 30.

Complete the Service License Renewal Application and the Ambulance Vehicle License Application here: eLicense log in and go to Service Applications.


Initial Ambulance Licensing

Use this link to go to eLicense for these services: 
  • Air Ambulance License Application
  • Ground Ambulance Vehicle License Application

Request for Variance

Please refer to Oregon Administrative Rule (OAR) Chapter 333, Division 250 - Ambulance Service Licensing:

For questions, please contact the Ambulance Service Coordinator: 

   Veronica Seymour 
   veronica.seymour@dhsoha.state.or.us


Ambulance Service and Vehicle Survey Checklists

Ground Ambulance Construction Criteria for Initial Licensure