■ 119 rescue and emergency law rules on aid	Complaints 24 (www.minwon.go.kr) can also be made.
Certificate of rescue or emergency Application
※ [] Are those where the "√" will display.
Receipt No.		Date of receipt			Processing time	instant
Applicant	Name	Phone number
Address	Date of birth
Purpose	Relationship to Patient [ ]principal [ ]guardian [ ]Government [ ]Insurance Company [ ]etc.Other
Patient personal data	Series Number	Name	Social Security Number	Address	Remarks
「119 rescue and emergency law rules on aid」 In accordance with Article 19 (1) above must apply for credentials. (□ Rescue □ Emergency)
Date of application :
Applicant	(Signature or Seal)
Dear Chief of Gwan-ak Fire station
Identification document with the applicant	1. Identification ( identity card, driving license, passport, etc.), identification 2. Delegation and documents that can prove 3. Patient of insurance documents to prove 4. Other rescue and emergency rescue activities and the need for evidence to prove the documents * From Chapter 2 to Chapter 4 only if applicable	Commission Free
Officials Checklist	Guardian, if applying certificate of family relations, social security, including a copy of the table to determine the relationship between patient data that can be
Consent for Joint use of administrative information
Your business processes with regard to the officials of the " E- Government Act " pursuant to Article 36 (1) through the joint use of administrative information, check the above information to determine which officials agree. * If you do not accept the applicant must submit documents directly.
		Applicant			(Signature or Seal)
Procedures
Application form	□	reception	□	consideration	□	approval	□	certification
Applicant		Fire Department		Fire Department		Fire Department
※ Fire authorities ( the central 119 nine trillion, Fire Department, 119 Safety Center, 119 emergency, 119 paramedics and 119 emergency centers nine trillion ).
210mm × 297mm [ Plain Paper 60g / ㎡ ( recycling )]