EMS Inspection Forms and Information

Effective April 1, 2021, IDPH will resume in-person transport vehicle inspections. These inspections will be scheduled in advance by an IDPH EMS Inspector.

Transport providers with vehicles due for inspection prior to April 1, 2021, should self-inspect their vehicles and send the completed inspections to the respective IDPH Emergency Medical Services (EMS) Inspector based on the regions below.

Region 1, 7, 8, 9, 10 and 11 – Emily Doering: Emily.Doering@lllinois.gov
Region 2 – Mike Epping: Mike.Epping@lllinois.gov
Region 3, 4, 5, 6 – Beau Elam: Beau.M.Elam@illinois.gov

System Modifications requiring an inspection will still need to be reviewed and approved by the EMS Medical Director or EMS System Coordinator and the Regional EMS Coordinator before inspections can be entered into the licensing database.

Please share this memo with your EMS providers.

As we continue to navigate the COVID-19 situation, we will keep you up to date with the most current information we have available. Thank you for your continued support and dedication to EMS.

Region 11 Ambulance Inspection For m (ALS)

Region 11 Ambulance I nspection Form (BLS)

Region 11 Non-Transport Inspection Form A (ALS Engines/Trucks)

Region 11 Non-Transport Inspection Form B (ALS Medical Cart)

Region 11 Non-Transport Inspection Form C (ALS Bike/Segway Units)

Region 11 Non-Transport Inspection Form D (BLS Engines/Trucks)

Region 11 Non-Transport Inspection Form E (BLS Crisis and Opioid Response Teams)

IDPH Ambulance Inspection Form (BLS)

IDPH Non-Transport Inspection Form (BLS)

Region 11 EMS System Modification/Special Events Flow Chart