EMSAPC has 9 Divisions. Each has elected 2 Division leads to represent the system issues to the Steering Committee. Each Division is broken up into zones lead by a Deputy which cluster 3 to 5 Stations, Garages, VACs or Bases. Each base is represented by a council of 3-5 Advocates.

Divisions may choose to become allied & confederated chapters by a. establishment of their own incorporation & governance (and) b. codification of a local Basic Collective Bargaining Objectives Statement.

All Divisions and chapters will maintain interoperability, democratic governance and are ti be united behind the EMS BILL OF RIGHTS, when ratified.