An application for a license or provisional license shall be made to the license officer. The application shall be made upon forms prescribed by the license officer and shall contain the following:
(1) The name and address of the owner of the ambulance service or
proposed ambulance service;
(2) The name under which the applicant is doing business or proposes to do business;
(3) The training and experience of the applicant in the transportation and care of patients;
(4) A description or photograph of each ambulance, including the make, model, year of manufacture, and motor and chassis number; and the color scheme, insignia, name, monogram, or other distinguishing characteristics to be used to designate the applicant’s ambulance or ambulances;
(4.1) Adescription or photograph of each air ambulance, including the color scheme, insignia, name, monogram, or other distinguishing characteristics to be used to designate the applicant’s air ambulance or air ambulances; and
(5) The location and description of the place or places from which the ambulance service is intended to operate.