An air ambulance service is considered by TC to be a commercial air service except where the service is wholly owned and operated by a government agency and there is no direct charge to the patient. Commercial air services are regulated by Part VII, Canadian Aviation Regulations.

There is no requirement for an air operator to have an amendment to Operations Specification to operate an air ambulance service, unless a deviation from the Canadian Aviation Regulations (CAR) is desired. The following is a possible Operations Specification which may be required concerning Alternate Airport - IFR Weather Minima.

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