1. A. To be eligible for a commercial ambulance license, an ambulance shall:

   1. (1) Be owned or operated by a licensed commercial ambulance service;

   2. (2) If a ground ambulance, be marked as follows:

      1. (a) The name of the licensed commercial ambulance service in letters at least 4 inches high,
      2. (b) For ambulances newly licensed or repainted after January 1, 2000, if other lettering is present naming a sponsoring or serviced facility, organization, or entity, the lettering of the licensed commercial ambulance service name prominently displayed in lettering at least the same size as the lettering in §A(2)(a) of this regulation, and
      3. (c) A unit designation number assigned by the commercial ambulance service in letters that are at least 3 inches high;

   3. (3) If an air ambulance, be marked with:

      1. (a) The name of the licensed commercial ambulance service in letters that are clearly visible, and
      2. (b) Any other markings required by the FAA; and
   4. (4) If a ground ambulance, be mechanically inspected as required under Regulation .05D(4) of this chapter;
   5. (5) Be properly equipped as required by COMAR 30.09.07 and 30.09.10—30.09.13;
   6. (6) Comply with all applicable statutes and regulations governing the operation of a commercial ambulance;
   7. (7) Be properly insured as required by Regulation .06 of this chapter; and
   8. (8) Have proper communication equipment as required in COMAR 30.09.10.04.

2. B. Additional Lettering for Ground Ambulances.

   1. (1) If the ambulance is licensed as an ALS licensed commercial ambulance, the words “Advanced Life Support” may be displayed.
   2. (2) If the ambulance is licensed as a neonatal licensed commercial ambulance, the words “Neonatal Transport”, “Neonatal Ambulance”, or “Neonatal Intensive Care”, or similar words implying, in the judgement of SOCALR, that the ambulance is licensed as a neonatal commercial ambulance, may be displayed.

3. C. The applicant shall submit a diagram of the markings intended to be displayed on the ambulance including:

   1. (1) Numbering;
   2. (2) Lettering; and
   3. (3) Symbols.
4. D. The applicant shall submit an application as required under Regulation .05 of this chapter.
5. E. The applicant shall pay the required fees.

Authority: Education Article, §§13-508 and 13-515, Annotated Code of Maryland

Effective date: October 12, 1992 (19:20 Md. R. 1816)

Chapter recodified from COMAR 14.22.04 to COMAR 30.09.04, August, 1997

Regulations .01—.02, Advertisement and Licensure Disclosure, repealed effective January 10, 2000 (26:27 Md. R. 2017)

Regulations .01—.07, Eligibility, Application, and License Renewal, adopted effective January 10, 2000 (26:27 Md. R. 2017)

Regulation .02 amended effective October 15, 2004 (31:20 Md. R. 1486)

Regulation .03B amended effective October 15, 2004 (31:20 Md. R. 1486)

Regulation .04A, B amended effective October 15, 2004 (31:20 Md. R. 1486)

Regulation .05 amended effective October 15, 2004 (31:20 Md. R. 1486)

Regulation .06A amended effective October 15, 2004 (31:20 Md. R. 1486)

Regulation .07 amended effective January 15, 2005 (31:26 Md. R. 1866)

Regulation .07A amended effective October 15, 2004 (31:20 Md. R. 1486)

Regulation .08 adopted effective May 14, 2001 (28:9 Md. R. 892)

Regulation .08 amended effective July 7, 2025 (52:13 Md. R. 657)

Regulation .08B, F amended as an emergency provision effective August 26, 2021 (48:20 Md. R. 850); amended permanently effective January 13, 2022 (49:1 Md. R. 16)

Regulation .08G adopted as an emergency provision effective August 26, 2021 (48:20 Md. R. 850); amended permanently effective January 13, 2022 (49:1 Md. R. 16)