Citizens and members of the Fire Department formed an Emergency Medical Service (EMS) Association in January of 1975 when they realized the City needed a trained medical response crew. Frings and Bayliff funeral home provided the service up to this time. The City formally accepted the EMS Division in March of 1975. The EMS Division was established independently from the Fire Department because many volunteers did not have the time to be involved in both organizations. Authorization for the EMS Division is in Chapter 35 of Tipp City Code.
The EMS Auxiliary operates for fund raising, Division social activities and promotion of CPR and First Aid education in the community. In 1996, the EMS Auxiliary attained tax exempt, charitable status.