Since 1897, Hiram Fire Department has been serving the residents of The Village of Hiram and the surrounding area including Hiram Township. Starting as a volunteer bucket brigade, Hiram Fire Department purchased a four wheel, horse drawn hose cart from Warren Fire Department. In an effort to expand their fleet, firefighters split the hose cart into two sections. Those two carts were used for nearly thirty years before Hiram Fire Department purchased its first Fire Engine.

The 1920's and 30's marked the period where the first fire engines were being manufactured. In 1931 The Village of Hiram, along with Hiram College, and Hiram Township purchased the first fire engine manufactured by Boyer Fire Apparatus. Again, Hiram Fire Department started looking to expand its fleet of emergency vehicles. Consequently, "Engine 2," a Ford Fire Engine was purchased in 1941. Engine 1 and Engine 2 served side by side for many years. Today, Engine 2 is still maintained by the Hiram Firefighter's Association. Despite its age, Engine 2 still has the capacity to operate and pump even to this day.

As fire departments across the United States progressed, so did healthcare. Ambulance transportation of sick or injured people to hospitals became very prominent. In the 1970's Hiram Fire Department created a team of first responders to aid residents until a mutual aid ambulance arrived. During that time Hiram Fire Department began developing its own Emergency Medical Transport Service.

In the eighties, Hiram Fire Department purchased its first ambulance for emergency transport. Several firefighters were also certified as EMTs or Paramedics to meet required standards for pre-hospital emergency medicine.