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 & Louise Roberts Louise.Roberts@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 Form (ALS)
IDPH Ambulance Inspection Form (BLS)
IDPH Non-Transport Inspection Form (BLS)
Additional IDPH EMS Provider and Vehicle Licensing Forms