Thank you for your interest in Lee County EMS!

We appreciate your interest in joining our team in Southwest Florida.  For more than 45 years, Lee County EMS has provided Emergency Medical Services to the citizens and visitors of Lee County.  Starting with just a handful of employees in the 1970s when the county assumed the responsibility of EMS delivery, we now have more than 300 employees operating more than 40 stations across the county.

Lee County EMS will be conducting testing for EMTs and Paramedics in Fort Myers.  To get the latest information on employment and testing opportunities, please fill out a Job Interest Card.

 System information

​Community Demographics

​Lee County is home to more than 750,000 permanent residents and welcomes more than 4 million visitors to our community each year.

​System volumes

2019 incidents:  87,560

2019 responses: 92,502

2019 transports: 57,971

​System Design

​We operate 31 24-hour ALS ambulances, 4 12-hour BLS ambulances, 8 ALS Peak Load ambulances, and three ALS non-transport locations.   Ambulances are based from fixed stations and move to cover adjacent communities when those service areas need help.


Most of our providers work 24/48 schedules.  We do have a variety of 12-hour assignments for peak load and air medical assignments.


Our fleet of 54 ambulances consists of Sprinter Type III, Ford Type II, and Freightliner Type III vehicles.  Through an aggressive fleet replacement program, nearly all of the front-line fleet operates vehicles that are less than six-years-old.

Cardiac monitors

​We have Zoll X-Series monitors with Wifi transmission to hospitals and cloud-to-PCR integration.

Patient Care Reporting​

​We use ESO for patient care reporting.  Each employee on the ambulance has an iPad Pro for use for the shift for reporting, completing checklists, and training activities.  We also link patient care reports with local hospitals, providing real-time feedback on patients to providers.


​The county's Emergency Communication Center, known as Lee Control, processes fire and EMS calls for nearly all of the county's providers. 


​Each vehicle is a rolling hotspot Sierra Wireless technology, with Hexagon Computer Aided Dispatch, Automated Vehicle Locators, and wireless patient care reporting.


​All training needed for state recertification, including AHA certification classes, is provided by the county and employees are paid to attend.

Job Interest Cards

If you are interested in the latest information related to testing opportunities with Lee County EMS, please complete a Job Interest Card.  This information is used to contact candidates when application and testing opportunities arise.

Training & Staff Development​

The training and development of our Emergency Medical Services (EMS) staff is critical to ensuring our employees provide the highest level of pre-hospital emergency medical care and top-notch customer service. The Office of the Medical Director develops and conducts programs that continuously educate and develop these attributes in our employees.

EMS Training is led by the Division Chief of Training and Staff Development, who oversees the staff and the division's short- and long-term training goals. The Training Captain works with the Division Chief to develop the educational programs necessary for continued state licensure and the evidence-based medicine delivered by the emergency medical system.

Three Lieutenants are also detailed to EMS Training and are responsible for oversight of the Field Training Officer Program, continuing education training, and recertification courses.

For more information about our training programs and what you can expect as a new member of our team, click on EMS Training Programs.

Florida Certification for Out-of-State Applicants

The Florida Department of Health certifies EMTs and Paramedics to practice in the State of Florida.  This certification can be achieved in a number of ways. 

Florida Department of Health Requirements​

Emergency Medical Technician​

​Take the NREMT EMT exam to qualify for a Florida certification or use an NREMT EMT certification for reciprocity.


Take the NREMT EMT exam to qualify for a Florida certification or use an NREMT NRP certification for reciprocity.

More information about reciprocity through FDOH can be found on their website:

FDOH EMS Certification Information

Forms and Instructions for Online Application

Florida Retirement System

EMS employees are eligible for special risk classification in the Florida Retirement System.  FRS is one of the best-funded retirement plans in the nation.  Employees may select a traditional pension plan or an investment option.  Employees contribute 3 percent of their salary, while the employer covers 23.27 percent of the employee’s salary.  Vesting in the FRS pension plan generally occurs at eight years of service with an FRS employer.

For more information on FRS, visit:

Employee Benefits

The county offers employee benefits that are difficult to find in the public and private sector.  This includes a generous medical and dental plan from Aetna, with employee-only coverage premiums of just $15 per month and family coverage for just $160 per month.  The county also offers short-term disability coverage, flexible spending accounts, and additional life insurance products.  For more information, visit:

Housing and communities

Lee County offers a diverse array of communities, from waterside residences to rural retreats.  To learn more about the communities within our county, visit Fort Myers Islands, Beaches and Neighborhoods.

Labor agreements

The EMTs and Paramedics employed by Lee County EMS are covered by a Collective Bargaining Agreement.  This agreement was recently ratified: 

Local 1826 IAFF Contract - October 21, 2021 through September 30, 2024