Get Arlington Ems Ready Care

This guide provides detailed steps to assist you in completing the Arlington EMS Ready Care Membership Agreement online. By following these instructions, you will ensure that your application is filled out correctly and submitted efficiently.

Follow the steps to complete the Arlington EMS Ready Care Membership Application.

1. Use the ‘Get Form’ button to access the Arlington EMS Ready Care Membership Application and open it in your preferred PDF editor.
2. Indicate whether you are submitting a renewal or a new application by selecting the appropriate checkbox.
3. Complete your personal information by filling in your first name, middle initial, last name, home address, home phone number, zip code, Social Security number, date of birth, and email address.
4. Provide details about your primary insurance, including the insurance company name, policy number, phone number, and group number. Ensure to include the address of the insurance company as well.
5. If applicable, fill out the section for supplemental insurance, repeating the same details as you provided for primary insurance.
6. List all other family members residing in your household by providing their first name, middle initial, last name, Social Security number, date of birth, gender, and primary insurance details.
7. Do not forget to attach copies of both the front and back of all your primary and secondary insurance cards to your application.
8. Ensure that all adults in the household 19 years of age or older have signed the application to acknowledge agreement to the terms of membership.
9. Review all the information for accuracy and completeness before finalizing your submission.
10. Once you have completed the application, you may save your changes, download a copy, or print the form for submission to AMR.

Complete your Arlington EMS Ready Care Membership Application online to secure your benefits today!