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Non-municipal Ambulance Service Contact Designation Form - City of Philadelphia, Pennsylvania
Non-municipal Ambulance Service Contact Designation Form is a legal document that was released by the Regional Office of Emergency Medical Services - City of Philadelphia, Pennsylvania - a government authority operating within Pennsylvania. The form may be used strictly within City of Philadelphia.
FAQ
Q: What is the Non-municipal Ambulance Service Contact Designation Form?
A: It is a form used by the City of Philadelphia, Pennsylvania to designate contact information for non-municipal ambulance services.
Q: Who needs to complete this form?
A: Non-municipal ambulance services operating in Philadelphia, Pennsylvania need to complete this form.
Q: What information is required on the form?
A: The form requires contact information, including the name of the contact person, phone number, and email address for the non-municipal ambulance service.
Q: Is there a fee to submit this form?
A: No, there is no fee to submit this form.
Form Details:
- The latest edition currently provided by the Regional Office of Emergency Medical Services - City of Philadelphia, Pennsylvania;
- Ready to use and print;
- Easy to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Regional Office of Emergency Medical Services - City of Philadelphia, Pennsylvania.
Download Non-municipal Ambulance Service Contact Designation Form - City of Philadelphia, Pennsylvania
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