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This website publishes administrative rules on their effective dates, as designated by the adopting state agencies, colleges, and universities.

Rule 4766-4-18 | Incorporated by reference.


(A) "1995 Emergency Vehicle Operators Course (Ambulance): National Standard Curriculum" can be found at

(B) "29 C.F.R. 1910.1030" (April 3, 2012) covers exposure to blood or other potentially infectious materials.

(C) "45 C.F.R. 164.512" (January 6, 2016) specifies what information can be shared under the HIPAA laws.

(D) "Mobile Intensive Care Unit - Mobile Stroke Unit Inspection" form or form EMS 4054 (June 2022) can be accessed at the division's website at

(E) "MoICU Inspection" form, or "Mobile Intensive Care Unit Inspection" form, or form "EMS 4022" (February 2017) can be accessed at the division's website at

(F) The MTLS online system collects and manages information in categories including service details; medical director; call volumes; communication equipment; service areas; contact information; insurance details; vehicle liability; company executives; satellite locations; vehicle information; and facility and vehicle inspection information. MTOs register and create an account to access the MTLS online system and use it to apply for, renew, and manage a medical transportation license.

(G) "Non-transport Vehicle Inspection" form or form "EMS 4026" (July 2021) can be accessed at the division's website at

(H) "Periodic Mechanical Safety Report" form or form "EMS 4039" (July 2021) can be accessed at the division's website at

(I) "Violation Notification" form or form "EMS 4029" (July 2021) is issued by the board to a MTO that is in violation of Chapter 4766. of the Revised Code and agency 4766 of the Administrative Code and a sample of the form can be viewed at the division's website at

Last updated June 15, 2022 at 9:54 AM

Supplemental Information

Authorized By: 4766.03
Amplifies: 4766.03
Five Year Review Date: 3/1/2027
Prior Effective Dates: 8/1/2017, 2/1/2020