Oregon Secretary of State

Oregon Health Authority

Public Health Division - Chapter 333

Division 255
AMBULANCE VEHICLE LICENSING

333-255-0010
Application for an Ambulance Vehicle License

(1) An ambulance vehicle operated by a licensed ambulance service must be licensed by the Authority and comply with ORS chapter 682; OAR chapter 333, division 250; and these rules before being placed into operation.

(2) An ambulance service owner applying for an ambulance vehicle license must:

(a) Have a current ambulance service license; and

(b) Comply with all applicable federal, state and local laws and regulations governing the operation of a licensed ambulance vehicle.

(3) An application to license a ground ambulance shall be submitted electronically in a manner prescribed by the Authority and shall include, but is not limited to, the following information:

(a) The name and address of the person or public entity owning the ground ambulance;

(b) If other than the applicant's true name, the name under which the applicant is doing business;

(c) The description of the ground ambulance including:

(A) Whether the ground ambulance was purchased from an ambulance service in Oregon;

(B) Make of vehicle;

(C) Model type of vehicle;

(D) Year of manufacture;

(E) Whether the vehicle is a remounted chassis;

(F) Conversion manufacturer;

(G) Vehicle Identification Number;

(H) Vehicle license plate number;

(I) Mileage at the time of licensing;

(J) Ground ambulance colors:

(i) Body;

(ii) Stripe; and

(iii) Lettering; and

(K) Insignia name, monogram or other distinguishing characteristics. A photo of the ground ambulance shall be submitted to show these characteristics;

(d) A copy of the final stage ambulance manufacturer (FSAM) authenticated certification and label identifying that the ambulance and equipment comply with construction criteria specified in OAR 333-255-0060.

(4) Application to operate an air ambulance shall be submitted electronically in a manner prescribed by the Authority and shall include, but not be limited to, the following:

(a) The name and address of the person or public entity owning the aircraft;

(b) If other than the applicant's true name, the name under which the applicant is doing business;

(c) The description of the ambulance:

(A) Indication if the aircraft was purchased from an ambulance service in Oregon;

(B) Type of aircraft:

(i) Fixed-wing; or

(ii) Rotary-wing.

(C) Number of engines;

(D) Make of aircraft;

(E) Model of aircraft;

(F) Year of manufacture;

(G) Federal Aviation Authority (FAA) registration number;

(H) Whether a major repair or alteration has been made to the aircraft, and if so, a FAA Form 337 must be on file in the licensee's office for each repair or alteration made;

(I) Aircraft colors:

(i) Fuselage;

(ii) Stripe; and

(iii) Lettering.

(J) Insigne name, monogram or other distinguishing characteristics. A photo of the air ambulance shall be submitted to show these characteristics.

(5) A complete application to operate a ground ambulance or air ambulance shall be accompanied by a nonrefundable licensing fee in accordance with ORS 682.047.

Statutory/Other Authority: ORS 682.017
Statutes/Other Implemented: ORS 682.017 - 682.117 & 682.991
History:
PH 14-2019, amend filed 08/23/2019, effective 08/23/2019
PH 230-2018, amend filed 06/13/2018, effective 06/15/2018
PH 1-2013, f. & cert. ef. 1-25-13
PH 12-2010, f. 6-30-10, cert. ef. 7-1-10
PH 2-2007, f. & cert. ef. 2-1-07
OHD 5-2001, f. & cert. ef. 4-24-01
HD 18-1994, f. 6-30-94, cert. ef. 7-1-94


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