The fire district is responsible for the cities and communities of Antelope, Arden-Arcade, Carmichael, Citrus Heights, Elverta, Fair Oaks, Florin, Gold River, La Riviera, North Highlands, Mather, Orangevale, Rancho Cordova, Rio Linda, Rosemont, Sloughhouse, Vineyard and McClellan Airfield.

[4] These USAR Task Forces, which were originally designed to respond to structural collapse caused by earthquakes, have evolved to be used at disasters and catastrophes, both man-made and natural.

Metro Fire, in addition to its core firefighting force, employs Emergency Medical Technicians (EMTs) and Paramedics assigned to non-suppression ambulances to address the increasing demands of the communities it serves.

The Metro Fire EMS Academy delivers comprehensive instruction covering a spectrum of emergency response skills, encompassing essential and advanced EMS tasks, basic and advanced life support operations, multi-casualty incident operations, vehicle extrication, and other mandated proficiencies within the California and Sacramento County EMT and Paramedic Scope of Practices.

The academy curriculum integrates rigorous scenario-based training, drill ground exercises, and classroom sessions to hone the knowledge and skills requisite for executing EMS operations in diverse emergency scenarios such as medical incidents and motor vehicle accidents.