| AKRON VOLUNTEER FIRE COMPANY Akron · EMS | volunteer | 72 | 1 | |
| ALDEN HOOK AND LADDER FIRE COMPANY Alden · EMS | volunteer | 85 | 2 | |
| ANGOLA VOLUNTEER FIRE COMPANY Angola · EMS | other | — | — | |
| ANGOLA VOLUNTEER FIRE COMPANY Angola · EMS | volunteer | 55 | 2 | |
| ARMOR VOLUNTEER FIRE COMPANY INCORPORATED Hamburg · EMS | volunteer | 60 | 1 | |
| BELLEVUE VOLUNTEER FIRE DEPARTMENT Cheektowaga · EMS | other | — | — | |
| BIG TREE VOLUNTEER FIRE COMPANY Hamburg · EMS | other | — | — | |
| BIG TREE VOLUNTEER FIRE COMPANY INCORPORATED Blasdell · EMS | volunteer | 75 | 2 | |
| BLASDELL VOLUNTEER FIRE DEPARTMENT Blasdell · EMS | volunteer | 37 | 1 | |
| BLOSSOM VOLUNTEER FIRE COMPANY Elma · EMS | other | — | — | |
| BOSTON VOLUNTEER FIRE COMPANY Boston · EMS | other | — | — | |
| BOSTON VOLUNTEER FIRE COMPANY Boston · EMS | volunteer | 42 | 2 | |
| BOWMANSVILLE VOLUNTEER FIRE COMPANY Lancaster · EMS | other | — | — | |
| BOWMANSVILLE VOLUNTEER FIRE COMPANY Bowmansville · EMS | volunteer | 65 | 2 | |
| BRIGHTON FIRE COMPANY Tonawanda · EMS | other | — | — | |
| BRIGHTON FIRE COMPANY Tonawanda · EMS | volunteer | 82 | 3 | |
| BUFFALO FIRE DEPARTMENT Buffalo · EMS | career | 765 | 22 | |
| CATTARAUGUS INDIAN RESERVATION VOLUNTEER FIRE DEPARTMENT Irving · EMS | volunteer | 40 | 2 | |
| CITY OF TONAWANDA FIRE DEPARTMENT Tonawanda · EMS | volunteer | 74 | 2 | |
| CLARENCE CENTER VOLUNTEER FIRE COMPANY INCORPORATED Clarence Center · EMS | volunteer | 82 | 1 | |
| CLARENCE VOLUNTEER FIRE COMPANY Clarence · EMS | volunteer | 65 | 1 | |
| CLEVELAND HILL FIRE DEPARTMENT Cheektowaga · EMS | volunteer | 60 | 1 | |
| COLDEN FIRE COMPANY Colden · EMS | other | — | — | |
| COLDEN FIRE COMPANY Colden · EMS | volunteer | 50 | 2 | |
| COLLINS CENTER VOLUNTEER FIRE COMPANY Collins Center · EMS | volunteer | 40 | 1 | |
| COLLINS VOLUNTEER FIRE COMPANY Collins · EMS | volunteer | 75 | 1 | |
| CRITTENDEN VOLUNTEER FIRE COMPANY Akron · EMS | volunteer | 40 | 1 | |
| DEPEW FIRE DEPARTMENT - NORTH SIDE Depew · EMS | other | — | — | |
| DRS TECHNOLOGIES INCORPORATED FIRE SQUAD Cheektowaga | career | 12 | 1 | |
| EAST AMHERST FIRE DEPARTMENT INCORPORATED East Amherst · EMS | volunteer | 45 | 2 | |
| EAST AURORA FIRE DEPARTMENT East Aurora · EMS | volunteer | 70 | 1 | |
| EAST CONCORD FIRE DEPARTMENT East Concord · EMS | volunteer | 46 | 2 | |
| EAST EDEN VOLUNTEER FIRE DEPARTMENT Eden · EMS | other | — | — | |
| EAST SENECA VOLUNTEER FIRE COMPANY West Seneca · EMS | other | — | — | |
| EDEN VOLUNTEER FIRE DEPARTMENT Eden · EMS | volunteer | 49 | 1 | |
| EGGERTSVILLE HOSE COMPANY Buffalo · EMS | volunteer | 75 | 1 | |
| ELLICOTT CREEK VOLUNTEER FIRE COMPANY INCORPORATED Amherst · EMS | volunteer | 51 | 1 | |
| ELMA VOLUNTEER FIRE COMPANY Elma · EMS | career | 35 | 1 | |
| EVANS CENTER FIRE COMPANY Angola · EMS | volunteer | 42 | 2 | |
| FARNHAM VOLUNTEER FIRE COMPANY INCORPORATED Irving · EMS | volunteer | 35 | 1 | |
| GETZVILLE FIRE COMPANY INCORPORATED Williamsville · EMS | other | — | — | |
| GETZVILLE FIRE COMPANY INCORPORATED Getzville · EMS | volunteer | 65 | 2 | |
| GOWANDA VOLUNTEER FIRE DEPARTMENT Gowanda · EMS | volunteer | 78 | 2 | |
| GRAND ISLAND FIRE COMPANY INCORPORATED Grand Island · EMS | other | — | — | |
| GREATER BUFFALO INTERNATIONAL AIRPORT RESCUE FIREFIGHTERS Cheektowaga · EMS | career | 40 | 1 | |
| HAMBURG VOLUNTEER FIRE DEPARTMENT INCORPORATED Hamburg · EMS | volunteer | 118 | 1 | |
| HARRIS HILL VOLUNTEER FIRE COMPANY INCORPORATED Williamsville · EMS | volunteer | 58 | 1 | |
| HIGHLAND HOSE VOLUNTEER FIRE COMPANY INCORPORATED Derby · EMS | other | — | — | |
| HILLCREST VOLUNTEER FIRE COMPANY Orchard Park · EMS | other | — | — | |
| HOLLAND VOLUNTEER FIRE DEPARTMENT Holland · EMS | volunteer | 45 | 2 | |
| HY-VIEW FIRE COMPANY Depew · EMS | volunteer | 40 | 1 | |
| JAMISON ROAD VOLUNTEER FIRE COMPANY INCORPORATED Elma · EMS | volunteer | 40 | 1 | |
| KENILWORTH FIRE DEPARTMENT Tonawanda · EMS | volunteer | 63 | 1 | |
| KENMORE VOLUNTEER FIRE DEPARTMENT Kenmore · EMS | volunteer | 122 | 1 | |
| LACKAWANNA FIRE DEPARTMENT Lackawanna · EMS | other | — | — | |
| LACKAWANNA FIRE DEPARTMENT Lackawanna · EMS | career | 48 | 3 | |
| LAKE SHORE VOLUNTEER FIRE COMPANY INCORPORATED Hamburg · EMS | other | — | — | |
| LAKE SHORE VOLUNTEER FIRE COMPANY INCORPORATED Hamburg · EMS | volunteer | 81 | 2 | |
| LAKE VIEW FIRE DEPARTMENT Lake View · EMS | volunteer | 70 | 2 | |
| LAKEVIEW FIRE DEPARTMENT Lakeview · EMS | other | — | — | |
| LANCASTER FIRE DEPARTMENT Lancaster · EMS | other | — | — | |
| LANCASTER FIRE DEPARTMENT Lancaster · EMS | volunteer | 122 | 2 | |
| LANCASTER POLICE FIRE CONTROL Lancaster · EMS | other | — | — | |
| LANGFORD-NEW OREGON VOLUNTEER FIRE COMPANY North Collins · EMS | volunteer | 118 | 1 | |
| LAWTONS VOLUNTEER FIRE COMPANY Lawtons · EMS | volunteer | 26 | 1 | |
| MAIN TRANSIT FIRE DEPARTMENT Williamsville · EMS | other | — | — | |
| MAIN TRANSIT FIRE DEPARTMENT Williamsville · EMS | volunteer | 90 | 2 | |
| MARILLA FIRE COMPANY INCORPORATED Marilla · EMS | volunteer | 58 | 1 | |
| MEMORIAL VOLUNTEER FIRE COMPANY OF CHAFFEE Chaffee · EMS | volunteer | 48 | 3 | |
| MEMORIAL VOLUNTEER FIRE COMPANY OF CHAFFEE - SARDINIA Sardinia · EMS | other | — | — | |
| MILLGROVE VOLUNTEER FIRE DEPARTMENT Alden · EMS | volunteer | 37 | 1 | |
| MORTONS CORNERS FIRE DEPARTMENT Springville · EMS | other | — | — | |
| NEWSTEAD FIRE COMPANY Akron · EMS | volunteer | 63 | 2 | |
| NEWSTEAD VOLUNTEER FIRE COMPANY Akron · EMS | other | — | — | |
| NEWTON ABBOTT FIRE COMPANY INCORPORATED Orchard Park · EMS | volunteer | 58 | 2 | |
| NEWTON ABBOTT FIRE COMPANY INCORPORATED Blasdell · EMS | other | — | — | |
| NORTH AMHERST FIRE COMPANY INCORPORATED Amherst · EMS | volunteer | 46 | 1 | |
| NORTH BAILEY FIRE COMPANY INCORPORATED Amherst · EMS | volunteer | 127 | 1 | |
| NORTH BOSTON VOLUNTEER FIRE COMPANY INCORPORATED Hamburg · EMS | volunteer | 49 | 1 | |
| NORTH COLLINS FIRE COMPANY North Collins · EMS | volunteer | 39 | 1 | |
| NORTH EVANS VOLUNTEER FIRE COMPANY Derby · EMS | volunteer | 50 | 1 | |
| ORCHARD PARK FIRE COMPANY Orchard Park · EMS | other | — | — | |
| PATCHIN FIRE COMPANY Boston · EMS | other | — | — | |
| RESERVE HOSE FIRE COMPANY - BERG ROAD STATION West Seneca · EMS | volunteer | 125 | 1 | |
| RESERVE HOSE FIRE COMPANY - EAST AND WEST STATION West Seneca · EMS | other | — | — | |
| RIVER ROAD VOLUNTEER FIRE COMPANY Tonawanda · EMS | volunteer | 15 | 1 | |
| SCRANTON VOLUNTEER FIRE COMPANY INCORPORATED Hamburg · EMS | other | — | — | |
| SCRANTON VOLUNTEER FIRE COMPANY INCORPORATED Hamburg · EMS | volunteer | 75 | 2 | |
| SENECA HOSE FIRE COMPANY ONE West Seneca · EMS | volunteer | 52 | 1 | |
| SHERIDAN PARK FIRE COMPANY Tonawanda · EMS | other | — | — | |
| SNYDER FIRE DEPARTMENT Snyder · EMS | volunteer | 70 | 1 | |
| SOUTH LINE FIRE COMPANY Cheektowaga · EMS | other | — | — | |
| SOUTH LINE FIRE COMPANY Cheektowaga · EMS | volunteer | 100 | 2 | |
| SOUTH WALES VOLUNTEER FIRE COMPANY INCORPORATED South Wales · EMS | volunteer | 29 | 1 | |
| SOUTHTOWN HAZMAT RESPONSE Hamburg | volunteer | 35 | 1 | |
| SPRINGVILLE VOLUNTEER FIRE COMPANY INCORPORATED Springville · EMS | other | — | — | |
| SPRINGVILLE VOLUNTEER FIRE COMPANY INCORPORATED Springville · EMS | volunteer | 48 | 2 | |
| SWORMVILLE FIRE COMPANY INCORPORATED East Amherst · EMS | volunteer | 55 | 1 | |
| TOWN LINE VOLUNTEER FIRE DEPARTMENT INCORPORATED Lancaster · EMS | other | — | — | |
| TOWN LINE VOLUNTEER FIRE DEPARTMENT INCORPORATED Lancaster · EMS | volunteer | 70 | 2 | |
| TWIN DISTRICT VOLUNTEER FIRE COMPANY Lancaster · EMS | volunteer | 55 | 1 | |
| U-CREST FIRE DEPARTMENT Cheektowaga · EMS | volunteer | 61 | 1 | |
| UNION FIRE COMPANY West Seneca · EMS | volunteer | 72 | 1 | |
| VIGILANT FIRE DEPARTMENT West Seneca · EMS | volunteer | 40 | 1 | |
| WALES CENTER VOLUNTEER FIRE COMPANY INCORPORATED Wales Center · EMS | volunteer | 48 | 1 | |
| WEST FALLS VOLUNTEER FIRE COMPANY West Falls · EMS | volunteer | 38 | 1 | |
| WEST SENECA DEVELOPMENTAL CENTER West Seneca | career | 34 | 1 | |
| WILLIAMSVILLE FIRE DEPARTMENT - HUTCHINSON HOSE COMPANY Williamsville · EMS | other | — | — | |
| WILLIAMSVILLE FIRE DEPARTMENT - HUTCHINSON HOSE COMPANY Williamsville · EMS | volunteer | 56 | 2 | |
| WILSON GREATBATCH INCORPORATED - FIRE SQUAD Alden | volunteer | 33 | 2 | |
| WINCHESTER FIRE COMPANY West Seneca · EMS | volunteer | 60 | 1 | |
| WINDOM VOLUNTEER FIRE COMPANY Orchard Park · EMS | other | — | — | |
| WOODLAWN VOLUNTEER FIRE COMPANY Blasdell · EMS | other | — | — | |