It was not until March 30, 1872, when it finally became the first paid fire department west of the Mississippi River.

Additionally, the city also provides contracted services for the Pacific Fruitridge Fire Protection District and the Natomas Fire Protection District to provide emergency services.

In 2025 Sacramento Fire partnered with Medic Ambulance to increase medical transportation flexibility with the agreement to staff 4 Basic Life Support ambulances.

It also operates out of 4 additional stations which are contracted out to the City of Sacramento.

[1] Each station has a fire engine along with a number of support units.