Ambulance Service License

Operating a private ambulance service or patient transport company requires a license under the emergency services legislation (Rettungsdienstgesetz) of your Bundesland. Since rescue services are a state-level responsibility, requirements vary across Germany.

You apply at the competent transport or health authority. The authority checks your personal reliability, financial capacity, and professional competence, which can be demonstrated through a qualification exam or at least three years of management experience in emergency services. Your vehicles and equipment must meet medical standards, and you must employ qualified paramedic staff. The authority may deny the license if granting it would impair the functioning of the existing public emergency service system in your operating area.