Custom Truck and Body Works, Inc.

Custom Truck and Body Works, Inc. is a leading U.S.-based custom ambulance manufacturer and emergency vehicle builder specializing in Type I, Type II, and Type III ambulances, fire apparatus, and law enforcement vehicles. With over 20 years of experience, we design and manufacture mission-specific emergency vehicles that meet and exceed national safety and performance standards such as NFPA compliance,Ambulance standards (KKK / CAAS style language), and Safety engineering. Our mission is simple: to deliver custom-built emergency vehicles that meet and exceed the highest standards of safety, durability, and performance—every time. 

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With more than 20 years of experience in emergency vehicle manufacturing, we have established ourselves as one of the most trusted privately owned emergency vehicle manufacturers in the U.S.—an authority position that reflects our commitment to quality and long-term client relationships. Our team combines engineering expertise, skilled craftsmanship, and real-world knowledge of emergency response operations. This allows us to produce ambulance trucks, fire apparatus, and law enforcement vehicles that are fully compliant with national standards such as NFPA and current ambulance design guidelines, while often exceeding industry expectations.

 

Learn more about our Type I ambulances and Type III ambulance builds to understand how we tailor each unit for performance and safety.

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As a full-service ambulance manufacturer, we specialize in building Type I, Type II, and Type III ambulances designed for durability, efficiency, and advanced patient care. Each custom ambulance is engineered with precision, incorporating high-quality materials, advanced electrical systems, and ergonomic layouts that support EMS professionals in the field. From initial concept to final delivery, our focus remains on building ambulance trucks that perform reliably under the most demanding conditions.

 

You can explore our ambulance manufacturing process on the Prodution Photo Page to see how each unit is built from the ground up with attention to every detail.

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Our capabilities extend across a complete range of custom fire trucks and rescue vehicles, including pumpers, tankers, and mini pumpers designed for both urban and rural operations. As an experienced fire apparatus builder, we understand the unique challenges faced by fire departments and engineer our vehicles to meet those demands. We also manufacture mobile command units, rescue trucks, and specialty vehicles that can be fully customized with advanced communication systems, storage solutions, and mission-specific equipment. 

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What truly sets Custom Truck and Body Works apart is our commitment to complete in-house manufacturing. Operating out of a 60,000+ square foot facility in Georgia, we control every phase of production—from chassis integration and aluminum body fabrication to electrical wiring, paint, and final assembly. This vertically integrated approach ensures consistent quality across every custom ambulance, fire truck, and specialty vehicle we produce. It also allows us to maintain strict quality control, reduce production timelines, and deliver vehicles that meet both your specifications and rigorous industry standards. 

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In addition to being a leader in Custom Built Ambulance Manufacturing, we provide a full suite of lifecycle services to keep your fleet mission-ready. Our ambulance remount services offer a cost-effective way to extend the life of your existing units, while our emergency vehicle repair and wreck repair services help departments return to service quickly after damage or wear. We also maintain a comprehensive inventory of ambulance parts and fire apparatus components, ensuring fast access to the equipment you need. 

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We take a collaborative approach with every client, working closely with departments, municipalities, and agencies to design vehicles that meet exact operational requirements. From custom storage configurations and advanced LED lighting packages to integrated safety systems and technology upgrades, every detail is engineered to improve efficiency and responder safety. This level of customization is what defines us as a premier custom truck builder and reinforces our position as a top emergency vehicle manufacturer in the USA.

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Custom Truck and Body Works proudly serves a diverse client base, from small rural departments to large metropolitan agencies, as well as international customers seeking dependable, American-built vehicles. Our reputation as a reliable ambulance manufacturer and fire apparatus builder is built on consistency, transparency, and a commitment to excellence in every build. When you choose us, you are partnering with a company that understands the critical role your vehicle plays in saving lives and protecting communities.

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As the emergency vehicle manufacturing industry continues to evolve, we remain focused on innovation, compliance, and performance. Whether you are looking for a custom ambulance, a fully equipped fire apparatus, or a specialized law enforcement vehicle, Custom Truck and Body Works has the expertise, facility, and dedication to deliver a solution that exceeds expectations.

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If you are ready to partner with a proven custom emergency vehicle manufacturer and industry leader, we invite you to take the next step.

Visit the Custom Truck and Body Works Contact Page today to discuss your project and discover how we can help support your mission with a vehicle built for performance, reliability, and real-world demands.