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Ambulance Billing Information Request Form

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All ambulance bills can be paid at Saco City Hall, 300 Main Street. Checks can be made payable to the Saco Ambulance Service.

If you have recently received a bill for ambulance services and have a question about it, you can use the form below to request more information. Please be as complete as possible when submitting the form — it will help us to better answer your question.

You may also direct questions regarding ambulance billing in person at the Fire Department's Administration building or by calling (207) 282-3244, Fax (207)282-8203 and asking to speak with the ambulance billing secretary.

	Your Contact Information
Name
Address
City, state, zip
Email
Telephone
Date of Birth
	Information About The Bill
Acct. # on bill
Date of Service
	Insurance Company Information
Your health insurance company
Insurance Company Address
Insurance Company Telephone
Insurance ID number
Please describe your problem or request: