(A) Application for a franchise to operate ambulances in the Counties of Pasquotank or Camden shall be made by the ambulance provider upon the forms as may be prepared or prescribed by the Pasquotank-Camden Ambulance Board.
(B) The forms shall contain:
(1) The name and address of the ambulance provider and of the owner of the ambulance(s);
(2) The trade or other fictitious names, if any, under which the applicant does business, along with a certified copy of an assumed name certificate stating the name or articles of incorporation stating the name;
(3) A resume of the training and experience of the applicant in the transportation and care of patients;
(4) A full description of the type and level of service to be provided including the location of the place or places from which it is intended to operate, the manner in which the public will be able to obtain assistance and how the vehicles will be dispatched; (An audited financial statement of the applicant as the same pertains to the operations in the Counties of Pasquotank or Camden, the financial statement to be in the form and in the detail as may be required by the county.)
(5) A description of the applicant's capability to provide for the district covered by the franchise applied for, and for an accurate estimate of the minimum and maximum times for a response to calls within the district; and
(6) Any information the Pasquotank-Camden Ambulance Board shall deem reasonable and necessary for a fair determination of the capability of the applicant to provide ambulance services in the Counties of Pasquotank or Camden in accordance with the requirements of state laws and the provisions of this regulation.
(Ord. passed 2-18-85)