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Get Iowa White Light Permit

Iowa Department of Public Health BUREAU OF EMERGENCY AND TRAUMA SERVICES www. idph. state. ia.us/ems WHITE FLASHING LIGHT PERMIT INSTRUCTIONS DIRECTIONS TO ISSUE A WHITE FLASHING LIGHT PERMIT 1. I agree to use white flashing lights in accordance with Iowa law and administrative rules. Signature Date COMPLETED BY THE SERVICE DIRECTOR Date permit issued THIS PERMIT EXPIRES 5-YEARS FROM THE DATE OF ISSUE. Service Name Service City Service Director First Name Phone Email address Page 1 of 1 White Flashing Light Permit October 2014. Read 641 133 147A www. idph. state. ia.us/ems Bureau Iowa Code and Administrative Rules. 2. Iowa law permits the use of white flashing lights for identification of emergency providers who are responding to an emergency at the scene of an emergency and while transporting a patient during a disaster. 3. Displaying white flashing lights does not grant the right of way the light is for identification purposes only. 4. White flashing lights does not permit the vehicle operator to violate laws governing vehicle operation. 5. 4. DO NOT SEND COPIES TO THE BUREAU OF EMERGENCY AND TRAUMA SERVICES. INFORMATION FOR THE PERMIT HOLDER The Service Director or the IDPH may approve or deny an application. The IDPH may place on probation suspend or revoke a permit if the Service Director or IDPH finds reason to believe the applicant failed to follow the rules governing the white flashing lights has been convicted of a moving violation while using the white flashing lights has utilized a white flashing light without a permit does not have a valid driver s license or does not have a current vehicle registration. 1. Read 641 133 147A www. idph. state. ia.us/ems Bureau Iowa Code and Administrative Rules. 2. Iowa law permits the use of white flashing lights for identification of emergency providers who are responding to an emergency at the scene of an emergency and while transporting a patient during a disaster. Complete this form online. 2. Print and keep signed copies on file at the service while the permit remains active. 3. When a permit is issued log into the System Registry select the provider on the service roster and enter the requested information within 15-days. 4. DO NOT SEND COPIES TO THE BUREAU OF EMERGENCY AND TRAUMA SERVICES* INFORMATION FOR THE PERMIT HOLDER The Service Director or the IDPH may approve or deny an application* The IDPH may place on probation suspend or revoke a permit if the Service Director or IDPH finds reason to believe the applicant failed to follow the rules governing the white flashing lights has been convicted of a moving violation while using the white flashing lights has utilized a white flashing light without a permit does not have a valid driver s license or does not have a current vehicle registration* 1. Read 641 133 147A www. idph. state. ia*us/ems Bureau Iowa Code and Administrative Rules. 2. Iowa law permits the use of white flashing lights for identification of emergency providers who are responding to an emergency at the scene of an emergency and while transporting a patient during a disaster.

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