Delaware Code § 16-6709

Permit required to operate ambulances
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(a) No person, firm, corporation or association either as owner, agent or otherwise shall hereafter furnish, operate, conduct, maintain,
advertise or otherwise engage in or profess to be engaged in the business or service of transporting patients under emergency conditions
upon the streets or highways of this State unless the person, firm, corporation or association holds a currently valid permit for each
ambulance used in such business or service issued by the Commission or a duly authorized representative thereof.
(b) Before a permit may be issued for a vehicle to operate as an ambulance, the registered owner must apply to the Commission for an
ambulance permit. Application shall be made upon forms and according to procedures established by the Commission. Prior to issuing an
original or renewal permit for an ambulance, the Commission or a duly authorized representative thereof shall determine that the vehicle
for which the permit is issued meets all requirements as to medical equipment and supplies and sanitation as set forth in this chapter and the
regulations of the Commission. Permits issued for ambulances shall be valid for a period specified by the Commission not to exceed 1 year.
(c) The Commission may issue temporary permits for vehicles not meeting required standards valid for a period not to exceed 90 days
when it determines the public interest will be served thereby. Any temporary permit issued hereunder shall not be renewed.
(d) When a permit has been issued for an ambulance as specified herein, the vehicle for which issued and records relating to maintenance
and operation of such vehicle shall be open to inspection by duly authorized representatives of the Commission at all reasonable times.
(e) The issuance of a permit hereunder shall not be construed so as to authorize any person, firm, corporation or association to provide
ambulance services or to operate any ambulance without compliance with all ordinances and regulations enacted or promulgated by any
county or municipal government concerning ambulances.

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