Herrin, IL · Williamson County
Ambulance Service License Application
This application is for a business seeking an ambulance service license from the City of Herrin and collects applicant, ownership, and business location details.
What this form is
A business uses this application to provide information for an ambulance service license. It asks for applicant contact details, business addresses and ownership, corporate officers and directors when applicable, principal owners, and the business location. The form requests proof of Advanced Life Support Systems and proof of an insurance policy or bond; corporations and some partnerships must also attach specified business documents.
Who needs it
A business applying for an ambulance service license in Herrin should complete the application and provide the attachments that apply to its ownership and operation.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details. The form lists City of Herrin, 300 N Park Ave, Herrin, IL 62948, and (618) 942-3175.
About notarization
This application is signed and dated without a notary; it requests no sworn or notarized attachment, so the signer just signs and dates it.
How to submit this form
- 1
Download The Application
Download the Ambulance Service License Application PDF.
- 2
Complete The Application
Provide applicant and business contact information, ownership details, and the business location.
- 3
Gather The Attachments
Include proof of Advanced Life Support Systems and proof of an insurance policy or bond, plus applicable business documents.
- 4
Sign And Date
Sign and date the application. Partnerships, corporations, or associations must follow the signature instructions on the form.
- 5
Submit To The City
Use the city contact information printed on the form and check the city website for current contact details.
Frequently asked questions
- Who uses the Ambulance Service License Application?
- A business applying for an ambulance service license from the City of Herrin uses this application to provide applicant, ownership, and location information.
- What attachments does the application request?
- It requests proof of Advanced Life Support Systems and proof of an insurance policy or bond. It also specifies corporate incorporation documents and, for certain partnerships, a business name certificate.
- Do I need a notary for the Ambulance Service License Application?
- No. This application is signed and dated without a notary, and it requests no sworn or notarized attachment.
- How do I submit the Ambulance Service License Application?
- The form lists City of Herrin, 300 N Park Ave, Herrin, IL 62948, and (618) 942-3175. Check the city website for current contact details.
Need something notarized?
This Ambulance Service License Application doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.