MO Rev Stat § 190.090 (2021)
2021 Missouri Revised Statutes|Title XII - Public Health and Welfare|Chapter 190 - Emergency Services|Section 190.090 - Consolidation of ambulance districts, procedure for — form of ballot — transition provisions for consolidation.

Effective - 28 Aug 2005   190.090. Consolidation of ambulance districts, procedure for — form of ballot — transition provisions for consolidation. — 1. Two or more organized ambulance districts may consolidate into one ambulance district by following the procedures set forth in this section.  2. If the consolidation of existing ambulance districts is desired, a number of voters residing in an existing ambulance district equal to ten percent of the vote cast for governor in the existing district in the next preceding gubernatorial election may file with the county clerk in which the territory or greater part of the proposed consolidated district is situated a petition requesting the consolidation of two or more existing ambulance districts.  3. The petition shall be in the following form: We, the undersigned voters of the ______ ambulance district do hereby petition that ______ existing ambulance districts be consolidated into one consolidated ambulance district.  4. An alternative procedure of consolidation may be followed, if the board of directors of the existing ambulance districts pass a resolution in the following form: Be it resolved by the board of directors of the ambulance district that the ______ ambulance districts be consolidated into one consolidated ambulance district.  5. Upon the filing of a petition, or a resolution, with the county clerk from each of the ambulance districts proposed to be consolidated, the county clerk shall present the petition or resolution to the commissioners of the county commission having jurisdiction who shall thereupon order the submission of the question to the voters of the districts. The filing of each of the petitions in the ambulance districts shall have occurred within a continuous twelve-month period.  6. The notice shall set forth the names of the existing ambulance districts to be included in the consolidated district.  7. The question shall be submitted in substantially the following form: Shall the existing ______ ambulance districts be consolidated into one ambulance district?  8. If the county commission having jurisdiction finds that the question to consolidate the districts received a majority of the votes cast, the commission shall make and enter its order declaring that the proposition passed.  9. Within thirty days after the district has been declared consolidated, the county commission shall divide the district into six election districts and shall order an election to be held and conducted as provided in section 190.050 for the election of directors.  10. Within thirty days after the election of the initial board of directors of the district, the directors shall meet and the time and place of the first meeting of the board shall be designated by the county commission. At the first meeting the newly elected board of directors shall choose a name for the consolidated district and shall notify the clerk of the county commission of each county within which the consolidated district is located of the name of the consolidated district.  11. On the thirtieth day following the election of the board of directors, the existing ambulance districts shall cease to exist and the consolidated district shall assume all of the powers and duties exercised by those districts. All assets and obligations of the existing ambulance districts shall become assets and obligations of the consolidated district. ­­-------- (L. 1975 H.B. 642, A.L. 1978 H.B. 971, A.L. 2005 H.B. 58 merged with S.B. 210)