La Porte, TX · Harris County
Company or Organizational Ambulance License Application
Companies and organizations use this application to request a new or renewed City of La Porte ambulance license.
What this form is
The application is for companies or organizations seeking a new or renewed ambulance license from the City of La Porte EMS. Each application is subject to EMS approval and is valid until the last day of September of the following year. Applicants provide company and business contact details, select a service type, and list the medical director. A non-refundable $200 permit fee is due with each application.
Who needs it
A company or organization applying for a new or renewed City of La Porte ambulance license needs this application.
How to submit it
The form lists City of La Porte EMS at 10428 Spencer Highway, La Porte, TX 77571, and [email protected]. It says the $200 non-refundable fee is due with each application; check, money order, or credit card is accepted.
About notarization
No notary is required; the form has no applicant signature or notarized attachment, and it asks for company, service, and medical-director information.
How to submit this form
- 1
Download The Application
Download the Company or Organizational Ambulance License Application PDF.
- 2
Complete The Application
Mark new or renewal and provide the requested company, contact, service type, and medical director information.
- 3
Prepare The Fee
Include the non-refundable $200 permit fee; the form lists check, money order, or credit card as accepted payment methods.
- 4
Contact City EMS
The form lists City of La Porte EMS at 10428 Spencer Highway and [email protected]. It does not state a submission method.
Frequently asked questions
- Do I need a notary for the ambulance license application?
- No. The application has no applicant signature or notarized attachment and asks for company, service, and medical-director information.
- How do I submit the ambulance license application?
- The form lists City of La Porte EMS at 10428 Spencer Highway, La Porte, TX 77571, and [email protected]. It does not specify a submission method.
- What is the ambulance license application fee?
- The form states that a non-refundable $200 permit fee is due with each application. It says payment may be made by check, money order, or credit card.
- What information does the application request?
- It requests the company name and business address, owner or agent, director of operations, phone and dispatch numbers, service type, and medical director details.
Need something notarized?
This Company or Organizational Ambulance License Application doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.