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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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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.
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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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EMS office use only is a section on a form reserved for internal use by EMS staff.
EMS staff or authorized personnel are required to fill out the EMS office use only section.
Fill out the EMS office use only section with relevant internal information as needed by EMS staff.
The purpose of EMS office use only is to keep internal information confidential and separate from information provided to external parties.
Internal notes, comments, or codes as required by EMS staff.
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