New Application

ACE/Re-ACE Information

Medical

Fire

Police

Nurse Triage

ACE

Re-ACE

Check this box if ACE fee was pre-paid through previous arrangement or contract (subject to verification).

Accreditation Maintenance Plan:

If at the time of your accreditation you wish to enroll in the Accreditation Maintenance Plan, your agency will be billed $650/year over your 3-year accreditation period, reducing the total re-accreditation fee to $1950 nonrefundable (a $300 savings).

Enroll in the Accreditation Maintenance Plan

Currently enrolled in the Accreditation Maintenance Plan

Do not wish to enroll in the Accreditation Maintenance Plan at this time

General Contact Information

Agency Name (as you would like it to appear on the accreditation plaque)

Agency Contact First Name

Agency Contact Last Name

Contact Title

Email Address

Daytime Phone Number

Mailing Address

City

Country

Postal Code

State/Province

Authorized Signature of Chief or Executive Officer (or management equivalent)

On behalf of the agency or organization, I hereby affirm that all the above information is true and correct, and I acknowledge that if it is not correct, this application may be rejected or Accreditation rescinded. Furthermore, I hereby agree that we will abide by the Academy’s Code of Ethics, Code of Conduct, and practice standards set forth for an Accredited Center of Excellence and respect all copyrights, trademarks, and patents, and intellectual property regarding course materials and/or protocols.

By accessing this Website in any manner, I agree to the terms set forth in our Privacy Policy and Terms of Use.

Authorized Signature

Date

If you have issues accessing a current application, requesting a new application, or questions about accreditation please fill out the ACE Web Support form.