The Monticello Fire Department operates 2 stations with 12 full-time and 13 volunteers. The city of Monticello has an insurance classification of ISO4.
Monticello Ambulance Service, Inc. operates 2 ambulances manned by paramedics and equipped to provide advanced cardiac life support. Yearly memberships are available.
Locally owned company governed by the Emergency Medical Services Commission and serving Monticello and Drew County. SEEMS operates 5 ambulances and is staffed with certified EMTs and paramedics. Yearly memberships are available.