Online Ambulance Bill Pay

Online Ambulance Bill Pay

Credit card payment authorization form

Please fill out all the fields in this form before submitting your information for payment.

Account Information
Fire Rescue Call or Patient Number
Name On the Account
 
How much would you like to deduct from your card
$

Before Submitting Please insure that All the Information is Correct.
It could result in a delay in processing your payment.


Alachua County aims to continually improve the accessibility and usability of its website. If you are an individual with a disability and you experience difficulty or require assistance or accommodation in using our website, please contact the Alachua County ADA Coordinator at ADA@alachuacounty.us or call the Alachua County Equal Opportunity Office at 352-374-5275; TDD/TTY Users please call 711 Florida Relay Service.


If you have a disability and need an accommodation in order to participate in a County program, service or public meeting, please contact the Equal Opportunity Office at 352-374-5275 at least 2 business days prior to the event. TDD users, please call 711 (Florida Relay Service).