In 1999 The Government of Ontario downloaded responsibility for the provision of Land Ambulance Services. In the southern half of the province, the responsibility fell onto Upper Tier Municipalities, such as county or regional governments. Woodstock Ambulance Ltd. and Tillsonburg District Memorial Hospital Ambulance were transferred to the County of Oxford on January 1, 2002 to form Oxford County Paramedic Services. In 2017, Oxford County became the first municipality in Canada to introduce electric hybrid ambulances as part of its Paramedic Services fleet with the purchase of two Crestline Coach Fleetmax XL3 Hybrid ambulances.