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The Allegany County Emergency Services Board was created by Code Home Rule in 2007. The purpose of the board is to provide oversight on the county fire and rescue services within the guidelines established by the code home rule bill. The code establishes the organizations that are represented on the board. Those organizations recommend appointments to the Allegany County Commissioners who have final appointment authority. The Board works with two code created subcommittees, one for fire service issues known as the Fire Service Subcommittee, the second is for emergency medical services issues known as the EMS Subcommittee.