In order for us to export your report to the state we need the following information:
| Agency Name | The name that your state has on record. |
| Agency Certification Number | The certification number that your state will provide you |
| Type of Service | You can choose between 9-1-1 Response with Transport Capabilities, 9-1-1 Response without Transport Capabilities, Air Medical, ALS Intercept, Hazmat, Medical Transport (which is for transfers to nursing homes or other hospitals), Rescue, Community Para-medicine, or Critical Care (Ground). |
| Agency Type | You can choose between these options. Fire Department, Governmental (Non-Fire), Hospital, Private or Non-Hospital, or Tribal. |
| Service Area GNIS | Geographical number assigned to your agency |
| Agency Number | The number that your state has provided you with. (This might be the same as your agency certification number) |
| Agency State | The state your agency resides in |
| Fire Department ID | If you are involved with a fire department then your state will also provide you with a number for this field as well. |
| Agency Status | Select if you are either a Volunteer Agency, Non-Volunteer Agency, or a Mixed Agency |
| Tax Status | Choose whether you are a For Profit Agency, Not for Profit Agency, or Other. |
*If you are an education or events agency you just need to fill in the Agency Name.