IDPH Request to Modify/Amend | This form is for modifying/amending approved system plans and vehicles. | ![]() |
Medication Replacement - BLS | Medication replacement for BLS units | ![]() |
Medication Replacement - ILS | Medication replacement for ILS units | ![]() |
Medication Replacement - ALS | Medication replacement for ALS units | ![]() |
| This is a combined list of the state and system equipment requirements | ![]() |
IDPH Non-transport Inspection Form | This is the inspection form for non-transport agencies. It only covers the state minimums. | ![]() |
IDPH Transport Inspection Form | This is the inspection form the state uses for inspections of transport units. It only covers BLS equipment. | ![]() |
Non-Transport Provider Form | This is an application for a new non-transport agency | |
IDPH Alternate Rural Staffing/Response | This form is for applying for a waiver to use either alternative rural staffing or alternate response mode. | ![]() |