West Virginia Code § 16-4C-7

Vehicles, aircraft and persons aboard them exempted from requirements
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of article.
The following vehicles and aircraft are exempted from the provisions of this article and rules
promulgated pursuant to it and persons aboard them are not required to comply with the
provisions of section eight of this article:
(a) Privately-owned vehicles and aircraft not ordinarily used in the business or service of
transporting patients;
(b) Vehicles and aircraft used as ambulances in case of a catastruophe or emergency when
the ambulances normally staffed by certified emergency medical service personnel based in
the locality of the catastrophe or emergency are insufficient to render the service required;
(c) Ambulances based outside this state, except that emaergency medical service personnel
aboard any such ambulance receiving a patient within this state for transportation to a
location within this state shall comply with the provlisions of this article and the rules
promulgated pursuant to it except in the evenst of a catastrophe or emergency when the
ambulances normally staffed by certified emergency medical service personnel based in the
locality of the catastrophe or emergency aire insufficient to render the services required;
(d) Ambulances owned by or operated under the direct control of a governmental agency of
the United States; and
(e) Vehicles and aircraft designed primarily for rescue operations which do not ordinarily
transport patients.

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