EMTS Branch complaint form
Use this form to file complaints about acts or practices related to state-regulated:

• Emergency medical service providers (an individual).
• Air ambulance services.
• EMS education programs.
• Designated trauma centers.

Complaints regarding licensed ambulance services must be filed with the county in which the service is based.

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Complainant information
Your information will be kept confidential and not shared with anyone. We will contact you if we need additional information.
Your name
Agency\organization
Email address
Phone number
Alternate phone number
Address
City
State
Zip code
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