§ 1007.2. Applications.

 (a)  An application for an original or renewal license to operate as an air ambulance service shall contain the following information, as well as any additional information that may be solicited by the application form:

   (1)  The name and address of the applicant and the name, if different, under which the applicant intends to operate.

   (2)  The FAA certification number of the aircraft operator.

   (3)  The type of organization—profit or nonprofit.

   (4)  A description of each aircraft to be used as an air ambulance, including the make, model, year of manufacture, FAA registration number, name, monogram or other distinguishing designation and FAA air worthiness certification.

   (5)  The intended emergency medical service area and the location and description of the places from which the air ambulance service is to operate.

   (6)  The name, training and qualifications of the air ambulance medical director.

   (7)  A personnel roster which includes level of certification, licensure and recognition, and a staffing plan.

   (8)  A roster of pilots including training and qualifications.

   (9)  The communications access and capabilities of the applicant.

   (10)  Names, titles and summary of responsibilities of persons who will be staffing the air ambulance service as officers, directors or other air ambulance service officials, and information as to any misdemeanor or felony convictions, or disciplinary sanctions against licenses, certifications, or other authorizations to practice a health care occupation or profession, that have been imposed against them.

   (11)  A statement attesting to the veracity of the application, which shall be signed by the chief executive officer.

 (b)  An entity shall apply for a license as an air ambulance service or an amendment to a license as an air ambulance service, and a regional EMS council shall process those applications, as set forth in §  1005.2(b)—(e) (relating to applications).

Source

   The provisions of this §  1007.2 amended September 1, 1995, effective September 2, 1995, 25 Pa.B. 3685; amended October 13, 2000, effective October 14, 2000, 30 Pa.B. 5363. Immediately preceding text appears at serial pages (256639) to (256640).


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