Fire protection and emergency medical services for the town and surrounding areas are provided by the Cape Charles Fire Department and Rescue Squad. The Fire Department is located next to the town’s Municipal Building and the Rescue Squad is located in Bayview. The Cape Charles Fire Department and Rescue Squad are dispatched by the Eastern Shore of Virginia 9-1-1 Communications Center and work cooperatively with other local fire departments and rescue squads. The Cape Charles Police Department also provides support to the Fire Department and Rescue Squad.
Approximately thirty volunteers staff the Fire Department, and thirty additional volunteers support the Rescue Squad. The Fire Department has two fire trucks, a tanker, a brush truck, a ladder truck, and a command vehicle at its disposal.