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CA EMSA AR-01 2024 free printable template

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CALIFORNIA EMERGENCY MEDICAL SERVICES AUTHORITY PARAMEDIC LICENSURE PROGRAM 11120 International Drive, Ste. 200, Rancho Cordova, CA TELEPHONE (916) 3239875 / FAX (916) 3242875STATE USE ONLYP.M.:___Rec:___By:___ 1st
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CA EMSA AR-01 Form Versions

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How to fill out CA EMSA AR-01

01
Download the CA EMSA AR-01 form from the official website.
02
Carefully read the instructions provided on the form before starting.
03
Fill in the applicant's information in the designated fields (name, address, contact information).
04
Provide details regarding the type of emergency medical services provided.
05
Complete sections concerning compliance with applicable regulations.
06
If applicable, fill out the sections regarding personnel and equipment.
07
Review the document for any errors or omissions.
08
Sign and date the form as required.
09
Submit the completed form to the appropriate agency or department.

Who needs CA EMSA AR-01?

01
Any organization or provider offering emergency medical services in California.
02
Paramedic services, ambulance providers, and other EMS agencies.
03
Entities seeking to comply with state regulations on emergency medical services.
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A California paramedic program will be at least 1,090 hours. EMT-level instruction is not credited toward this total; nor are hours spent assessing readiness for paramedic training. At least 450 hours will be spent in the combined areas of didactic instruction and skills laboratory.
In order to renew an EMT certification prior to expiration, you must submit proof of either 24 hours of approved EMS continuing education (CE) or an approved 24 hour refresher course certificate taken within the past two years. A link to approved CE courses in California can be found near the bottom this page.
California EMT & Paramedic Certification Requirements Must be 18 years of age when applying. Submit criminal background check with EMS agency. Must have a high school or GED diploma. May have additional agency-specific requirements.
In order to renew an EMT certification prior to expiration, you must submit proof of either 24 hours of approved EMS continuing education (CE) or an approved 24 hour refresher course certificate taken within the past two years. A link to approved CE courses in California can be found near the bottom this page.
It typically takes 12 weeks to finish the program, unless you choose the accelerated eight-week class option to earn your certificate faster. (In contrast, traditional EMT programs can take up to 16 weeks to complete.)

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CA EMSA AR-01 is the Annual Report form used by emergency medical services (EMS) providers in California to report various operational and financial information to the Emergency Medical Services Authority (EMSA).
All licensed emergency medical services providers operating in California are required to file CA EMSA AR-01 to ensure compliance with state regulations and to provide data for state-level assessments.
To fill out CA EMSA AR-01, providers must complete the required sections with accurate data on EMS operations, financials, and performance metrics as specified in the instructions accompanying the form. Ensure all fields are filled in clearly and any required documentation is attached.
The purpose of CA EMSA AR-01 is to collect uniform data from EMS providers to help assess the performance and effectiveness of emergency medical services in California, as well as to inform regulatory oversight and funding decisions.
CA EMSA AR-01 requires reporting of information including operational statistics, patient care data, revenue and expense details, staffing levels, and compliance with state EMS regulations.
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