EMSPAC has multiple Divisions. Each has elected 1 Division lead to represent their state system issues to the Steering Committee, until they form their own on a state or regional level.

Each Division is usually a county/ borough/parish broken up into subunits led by a Deputy per agency.

Advocates represent their Stations, Garages, or Bases at a ratio of 30 workers to 1 Advocate.

Divisions may choose to become allied & confederated chapters by a. establishment of their own state-level incorporation & governance (and) b. codification of a local mission-charter.

All Divisions and chapters will maintain interoperability, democratic governance, and be united behind the 25 articles of the EMS BILL OF RIGHTS. Divisions are under the governance of our bylaws until they incorporate on the state level and draft their own.