*Please note the following updated information (last updated 10/17/2024):
- When logging in to begin the application process, do NOT enter any '0's before the agency number.
- The system will not allow you to move to the next page of the application if all required fields have not been completed
- The ‘Submit & Continue’ button on the bottom of each page is meant to save your progress as you work through the application
- There is NOT a resume button. If you exit the application, re-enter the process the same way you initially began the application
In accordance with North Dakota Century Code 23-27, all EMS agencies must be licensed by the North Dakota Department of Health and Human Services; Emergency Medical Systems.
EMS Personnel / Agency Registry (Big Picture) - *Please note: Upon your initial access to the Big Picture system you will need to create a new password. Squad Leaders please follow the instructions HERE to review your agency information and rosters. At this time squad leaders have the ability to review their personnel and vehicle rosters and print agency license.
Ambulance Service Relicensure 2024 - 20246 (09/23/2024) - APPLICATION DEADLINE 10/31/2024
The 2024 – 2026 re-licensure process for North Dakota ambulance services is via the online Big Picture system. There is not an option for a paper application. Only the agency squad leader is able to log in and complete the application.
The 'Submit & Continue' button is intended to save the information entered during the application process. This will enable you to resume where you left off if needed.
If you are unsure how to complete a field, please contact the ND EMS Unit (dems@nd.gov). Updating of both the personnel and vehicle rosters will be included in this re-licensure process.
Electronic submission of EMS run data (NDAC 33-11-01.2-10(5)) is a requirement of licensure. If your agency is unsure of its data submission status, please contact the EMS office for assistance.
EMS Operations holding multiple licenses will be relicensed with only one license. The ND Century Code does not have a provision for contiguous response areas to be awarded multiple licenses.
The following is a list of requirements and helpful links for completing the application:
- Equipment list for each vehicle or aircraft utilized by your service
- Transport plan approved by your medical director
- A copy of a one-month call schedule identifying two responders responsible for each shift
- A copy of a locally approved warning lights and sirens use policy (See a model policy HERE)
- ND EMS Agency Rules
- Instructions for obtaining a password for the ND EMS Big Picture System
- ND EMS Big Picture Dashboard
- An EMS registration form or an ALS license application must be uploaded for each NEW member being added to the agency roster during the re-licensure process
- List of all required documents / templates.
- Online payment for licensing fees will be required to complete the application process
Quick Response (QRU) Licensure 2023 - 2025
- QRU Licensure Memo
- QRU Application (Click on Emergency Medical Systems (EMS))
North Dakota Licensed EMS Agencies (list)
North Dakota Ambulance License Initial Application Supplement (Needs Assessment)