The Sacramento Fire Department (SFD) provides fire protection and emergency medical services to the city of Sacramento, California. The department was first organized on February 5, 1850, the second oldest in the state. It was not until March 30, 1872, when it finally became a paid fire department. Additionally, the city also provides contracted services for the Pacific Fruitridge Fire Protection District and the Natomas Fire Protection District to provide emergency services. This contracted area expands the department's response area to 146 square miles (380 km2) as they provide services to approximately 540,000 residents. In 2025, Sacramento Fire partnered with Medic Ambulance to increase medical transportation flexibility with the agreement to staff 4 Basic Life Support ambulances.