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Duplicate License

 

Duplicate Certificate/Card Request Form (pdf)

This Form is to be used to request a copy of a lost or damaged Kentucky Ambulance Provider License. You must include a check/money order for $25.00 with your request. (Make payable to Kentucky Board of EMS). Mail to KBEMS @ 2545 Lawrenceburg Rd. Frankfort, KY 40601

 

Last Updated 9/14/2006
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