Rules for Missouri Ambulance Districts

Page 23 of 23

Sources of Example Forms for Ambulance Districts

Custodian of Records

(custodian of records reference, page 21 in manual PDF)

A resolution for designating the custodian of records is provided by the Office of the Attorney General.

Financial Statement

(financial statement reference, page 24 in manual PDF)

The state auditor provides an electronic spreadsheet and printer-friendly format (PDF) financial form in the Local Government Forms and Reports section of its website.

Property Tax Calculators

(property tax calculations reference, page 34 in manual PDF)

To make assessed valuation comparisons and property tax calculations, the state auditor provides electronic spreadsheet versions of its forms in the Property Tax Calculations section of its website.

Meeting notice

(meeting notice reference, page 37 in PDF)

A Meeting Notice form is provided by the Office of the Attorney General.

Closed meeting notice

(closed meeting notice reference, page 38 in PDF)

A Notice of a Closed Meeting form is provided by the Office of the Attorney General.

Sunshine Law Policy Resolution

(Sunshine Law polciy reference, page 39 in PDF)

A sample sunshine law policy resolution is provided by the Office of the Attorney General.

Budget

(budget reference, page 42 in PDF)

The Office of the State Auditor provides budget forms for county governments. A generic budget template is provided. Clicking the Generic Budget link will provide an Excel worksheet. The website states that this budget is for officials and boards for funds held outside the county budget. The Ambulance District can modify the form or use it as a template to create a budget form.

Bid Form

(bid reference, page 46 in PDF)

The Office of Administration provides an example of a bid form (PDF). While it contains pages for multiple bids, a separate sheet can be used for each telephone bid and placed in a sealed envelope.

Financial disclosure form

(financial disclosure reference, page 64 in PDF)

Officials and director candidates for some FPDs may be required to file a Financial Disclosure Statement for Political Subdivisions. The form is available on the Missouri Ethics Commission website.

Example Forms for Ambulance Districts

The following forms are in approximate order that they are referenced in the text. They are suggestions and may be modified, unless required by law.

Example of Accounts Payable and Payroll Check Register (PDF)

(1 page) (accounts payable reference, page 23 in PDF)

Greatly simplifies creation of the financial statement.

Example of Equipment Inventory (PDF)

(1 page) (equipment inventory reference, page 26 in PDF)

Required as part of the financial statement.

Example of Land and Building Inventory (PDF)

(1 page) (land and building inventory reference, page 26 in PDF)

Example of an EMS Chief’s Report (PDF)

(1 page) (EMS chief's report reference, page 52 in PDF)

Suggestions of what to include.

Ambulance District Health and Safety Checklist (PDF)

(1 page) (health and safety reference, page 59 in PDF)

Use for the directors to maintain training and other items up to date.

Ambulance District Board of Director Annual Agenda Items (PDF)

(1 page) (board agendas reference, page 69 in PDF)

Items that must be acted on in a timely manner.

Meeting Agendas for Outgoing and Incoming Boards of Directors (PDF)

(1 page) (board agendas reference, page 69 in PDF)

Basically this is two meetings and this helps to not get confused.

Ambulance District New Director Checklist (PDF)

(2 pages) (new director reference, page 69 in PDF)

Useful information to have readily at hand, not just for the new directors.

Page 23 of 23