836 IAC 2-14-2
836 IAC 2-14-2 Application for certification
Cite as Ind. Admin. Code tit. 836, r. 2-14-2
Sec. 2. (a) Application for advanced life support nontransport vehicle certification shall be made by the provider organization on such forms
as provided by the agency and shall comply with the following requirements:
(1) An applicant shall complete and submit the required forms to the agency with the following information:
(A) Name and address of provider organization.
(B) Vehicle information including:
(i) make;
(ii) model;
(iii) year; and
(iv) vehicle identification number.
(2) Each advanced life support nontransport vehicle for which certification is requested shall be made available for inspection by the
agency with its equipment as required by this article or 836 IAC 1 prior to approval for certification.
(b) Upon approval, a certificate shall be issued to the advanced life support nontransport vehicle provider organization for each advanced
life support nontransport vehicle.
(c) The certificate:
(1) expires on the date appearing in the expiration date section of the certificate; and
(2) shall be prominently displayed within the advanced life support nontransport vehicle driver compartment.
(d) Except as provided in subsection (e), a provider organization shall not operate an advanced life support nontransport vehicle on any
public way in Indiana if the advanced life support nontransport vehicle:
(1) is not in full compliance with the advanced life support nontransport vehicle certification requirements established in this article;
and
(2) does not have a certificate issued under IC 16-31.
(e) A provider organization may operate, for a period not to exceed sixty (60) consecutive days, a noncertified advanced life support
nontransport vehicle if the noncertified advanced life support nontransport vehicle is used to replace a certified advanced life support nontransport
vehicle that has been taken out of service providing the following:
(1) The replacement advanced life support nontransport vehicle shall meet all certification requirements.
(2) The provider organization shall notify the agency in writing within seventy-two (72) hours of the time the replacement advanced
life support nontransport vehicle is placed in service. The written notice shall identify the following:
(A) The replacement date.
(B) The certification number of the replaced advanced life support nontransport vehicle.
(C) The:
(i) vehicle identification number; and
(ii) make and type;
of the replacement advanced life support nontransport vehicle.
Upon receipt of the notification, a temporary certificate shall be issued effective the date the certified advanced life support nontransport vehicle
was replaced. Temporary certification shall not exceed sixty (60) days from the date that the replacement ambulance is placed in service and, upon
return to service of the certified ambulance, the use of the replacement vehicle shall cease.