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20222024
NORTH DAKOTA LICENSE RENEWAL APPLICATION
AIR AMBULANCE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
EMERGENCY MEDICAL SYSTEMS
SON 53889 (092022)Select Level of Licensure
Requested (check one)BLS
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01
Obtain the EMS office use only form from the relevant department or office.
02
Fill in the required information such as date, time, location, and relevant details related to the EMS office use.
03
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Who needs ems office use only?
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EMS office use only forms are typically required by employees or individuals who need to use EMS services for official purposes within an organization or institution.
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What is ems office use only?
EMS office use only is a section on a form reserved for internal use by EMS staff.
Who is required to file ems office use only?
EMS staff or authorized personnel are required to fill out the EMS office use only section.
How to fill out ems office use only?
Fill out the EMS office use only section with relevant internal information as needed by EMS staff.
What is the purpose of ems office use only?
The purpose of EMS office use only is to keep internal information confidential and separate from information provided to external parties.
What information must be reported on ems office use only?
Internal notes, comments, or codes as required by EMS staff.
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