The Emergency Services Department dispatches ambulances upon request and provides emergency services.
The Revenue and Collections Division of the Tax Office collects for these services. In addition, Revenue and Collections collects other bills resulting from Fire Inspections, HazMat, and Emergency Services Attendance of Special Events for the Emergency Services Department.
For assistance with an ambulance bill please contact the Tax Office at 919-245-2100 option 3
Before Revenue and Collections can file insurance, the office needs a signed medical release form on file for each ambulance trip occurrence.
EMS Ambulance Bill Payment Options:
- Payment can be made by cash, check, money order.
- (NEW) Pay Online
- Pay with debit/credit cards by phone at 1-844-435-3981. When prompted for 22-digit bill number, please use your Run Number instead.
- E-Payment Transactions: A fee is charged by the service provider, with a minimum of $2.00 and can be 2.35% of the amount paid and include an additional processing fee.
Payment is due 30 days after the billing date.
Ambulance Billing Payment Assistance
If you have received a bill for Orange County ambulance service you may be eligible for assistance in paying the bill. Please see the chart provided to determine if your income is 200% or less of the 2015 Federal Poverty Guideline according to your household size. If your income does fall within the 200% or less category, please contact us for further assistance.