Author: peter

Application for Membership
National Association of Professional Ambulance Services
(1) Name of Company:
(2) Name of Registered Owner's):
(3) Registered Business Address:
(4) Base's) of Vehicles:
(5) Periods of Ambulance Availability:
(6) Time for vehicles to become mobile:
(7) Details of Ambulances / Medical Cars being operated _______________________________________________________________________________________________________________
Make Body Type/Category Reg. Number
A:
B:
C:
D:
E:
If more please attach additional list ( see code of practice for type/category based on equipment standards)
(8) Please give details of Liability Insurance (s) held:
_______________________________________________________________________________________________________________
Name of Company Type/amount/cover Renewal Date
Vehicles:
Professional:
Employers:
Public:
(9) (a) Are all vehicles equipped with communications YES / NO
(b) Type of communication:
If Range is restricted, briefly what is the procedure for communications in the event of an emergency
or vehicle breakdown ?
(c) Control Telephone Number's)
(d) Fax: Telephone Number's)
(e) Mobile Telephone Number's)
(f) E-mail address:
(g) Web-Site address:
(10) Please attach a separate listing of all staff employed on operational duties including their names and
professional qualifications. (Please note that all certification will be needed on inspection do not send this at this stage.)
(11) Please attach a list of all main equipment carried on each operational ambulance see Code of practice
(12) NAPAS provide an active help-line for health Insurers, Repatriation Companies, Independent Hospitals, NHS and
the General public, together with many Organisations within the sporting, Filming, and Corporate events sector.
If you wish to be included within these activities you are requested to include the following information
Provide Details of charges calculated on a mileage and waiting basis, or other timed basis.
(all charging information is confidential and is not released or published to any other person or body.)
Now send this form plus any supporting documents to:
NAPAS 19-21 Bassenhally Road, Whittlesey, Peterborough, Cambs. PE7 1RN
Telephone 01733-350916