These are the various forms to be utilized by EMS agencies when applying for certification, etc. in the District of Columbia. The form number corresponds to the associated EMS policy. Attachment(s): 2010-0007 Medical Aid Station Patient Care Report 2014-0024A Self-Assessment Application for Certification as an EMS Agency 2014-0024B Sample EMS Agency Renewal Short Form 2014-0024C Sample Response Agency Certificate 2014-0025A Application to Request Temporary Reciprocity 2014-0025B Sample Grant of Temporary Reciprocity 2014-0025C Sample Temporary Reciprocity Ambulance Certificate
