About this form
Use this form to make the following payment:
- Ambulance Account
For more information, visit the ACT Ambulance Service website.
Emergency Services Agency, ACT Dept of Justice & Community Safety
Phone: 13 22 81
Payments up to $10,000 can be made with either Visa or MasterCard.
Your personal information
Access Canberra uses this form to collect information which is necessary to allow the ACT Government to provide services to you. Personal Information may be used or disclosed in accordance with the Information Privacy Act 2014.