Notice to EMT applicants: Please read the message in the "News" tab below about upcoming changes to the application process.

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Alameda County Emergency Medical Services Agency

The Alameda County Emergency Medical Services Agency (ALCO EMS) is the Agency that plans, implements, and oversees all Emergency Medical Services (EMS) activities conducted in Alameda County.

COVID-19 (Coronavirus)
In order to gather all relevant information and resources into a single location, we have have created a separate page for topics related to COVID-19. Click:
 ALCO EMS COVID-19 Page to learn more.

02/24/2023 - Alameda County EMS Awards Program
We are happy to announce that we have started a new program to recognize the individuals that have made an extraordinary contribution to our EMS system. To nominate someone, simply fill out this linked form: Alameda County EMS Award Nomination form. Submissions are due by April 2, 2023 and awards will be issued during EMS Week 2023. 

02/09/2023 - 2024 field protocol updates
We are now accepting ideas for updates to the field protocols to be deployed in 2024. You can submit your ideas by complete the linked form here: ALCO EMS 2024 protocol ideas  or by sending an email to

02/01/2023 - New process for EMT applicants
Beginning April 1, 2023, the Alameda County EMS Agency is moving to an online platform to manage applications for initial EMT certification and EMT recertification. After that date, we will no longer be accepting paper applications for EMT certification. When the link to the new online application platform becomes available, it will be posted here.

Prior to April 1, 2023 those applying for initial EMT certification or EMT recertification via a paper application, those applications can be mailed to our office or dropped in the mailbox located in the 2nd floor lobby of our office located at: 1000 San Leandro Blvd, Suite 200, San Leandro.

EMS System Redesign Meetings
In September 2019, we began meeting with all of our EMS system stakeholders to start the process of redesigning Alameda County's EMS system. You can find the schedule for these meetings and related information and on our
 EMS System Redesign Page

04/28/2022 - Alameda County Trauma System Recommendations
At the Alameda Board of Supervisors on 04/26/2022,  Bishop+Associates in partnership with our Agency presented their evaluation of the current trauma system and the recommendations for the future. You may view that presentation here: Alameda County Trauma System Recommendations

01/27/2022 - 2022 ALCO EMS Field Manual 
The 2022 ALCO EMS Field Manual is now available through your provider agency or to purchase. If you would like to obtain a copy of the 2022 Alameda County EMS Field Manual, you will need to make a payment of $15.00 per field manual that you are requesting through our online payment system found here: Alameda County EMS Payment Platform.  Once you have submitted a payment, please contact Specialist Clerk Sonya Lee via phone at: 510-618-2034 or email at: to schedule a day and time to pick up your field manual.

01/06/2020- EMS System Plans Approval
The California EMS Authority (EMSA) recently approved our Agency's 2018-2019 System Plan and the STEMI, Stroke, Quality Improvement, and Trauma System Status reports. You can view any of these approved plans by visiting our Documents Page and scrolling down to the "Plans" section 

911 Transport Provider Compliance Reports
Response time compliance reports for the contracted 911 EOA transport provider (Falck) are now available. You can view these reports by following the links below

August 2022 (Preliminary)  Archived Reports 

Ambulance Patient Offload Time (APOT) Reports
APOT reports have been updated and are now available for viewing:

January 2023 | February 2023Archived Reports 

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