Victoria, TX · Victoria County

No notary required

Application for Transfer Ambulance Service Permit

This application is for ambulance service businesses seeking a City of Victoria permit to operate transfer ambulance vehicles on city streets.

What this form is

The application collects business and owner information, driver and attendant details, radio and vehicle descriptions, and the maximum rates proposed for services. Applicants certify that their vehicles meet the stated requirements, agree to follow the applicable chapter of the City Code, and provide a signature. The office-use checklist lists insurance, state licensing and inspection documents, plus application and permit fees.

Who needs it

Ambulance service businesses seeking permission to operate transfer ambulance vehicles on the City of Victoria’s public streets need this application.

How to submit it

The City Secretary’s Office checklist lists an application fee of $150 and permit fee of $35. Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed without a notary; the form asks the owner to sign and date it and lists attachments, but none is identified as notarized or sworn.

How to submit this form

  1. 1

    Download The Application

    Download the City of Victoria Application for Transfer Ambulance Service Permit.

  2. 2

    Complete The Application

    Fill in the business, owner, personnel, radio, vehicle, and rate information, then sign and date the application.

  3. 3

    Gather Listed Attachments

    Review the City Secretary’s Office checklist for the license receipt, insurance certificate, state AMS provider license, and state inspection report.

  4. 4

    Submit To The City

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What information does the transfer ambulance permit application request?
It asks for business and owner details, driver and attendant information, radio and vehicle descriptions, proposed maximum rates, and the owner's certifications and signature.
What attachments are listed on the application?
The City Secretary’s Office checklist lists a license receipt, certificate of insurance naming the City as additional insured, state AMS provider license, and state inspection report.
Do I need a notary for the transfer ambulance permit application?
No. The application has an owner signature and date field but no notary block. The form does not identify any listed attachment as requiring notarization or a sworn statement.
How do I submit the transfer ambulance permit application?
The form does not provide submission instructions or contact details. Submit it to the city department named on the form; check the city website for current contact details.