Committee Interest Form

Please complete the form below to apply to participate in a AAA committee in 2023 . (Please note that your organization must be an active member of the AAA in order to be eligible to participate.) Please compete the form by Wednesday, January 18th.

Committee Interest

Please indicate your interest in working on an American Ambulance Association committee by filling in the form below. *Please note that there is a maximum of two employees from a single company on any individual committee.

First Name*
Last Name*
Company*
Phone Number*
Email*
Committee of Interest*
- Government Affairs Committee
- Balance Billing Task Force
- Data Task Force
- Medicare Regulatory Committee
- Medicaid Finance Committee
- Education Committee
- Professional Standards Committee
- Workforce Committee
- Communications / PR Committee
- 2030 Committee
- AMBUPAC
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Committee of Interest
Why would you like to participate? What skills and knowledge would you bring to the Committee?*
Name
This field is for validation purposes and should be left unchanged.

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