So with this title can I not remove someone from the alliance or can only the Director remove someone? Currently the game does not allow me to perform this task, I can only ignore someone.
I thought with the title comes the responsibilities. 
No. Co-admin itself is just to distinguish in chat and be able to view separate alliance forum threads that aren't visible to "regular" members (you should be able to ban someone from alliance chat for a set time, I believe but don't quote me on that one) Only admins can kick/ban members. There are other roles like alliance finances, educator, and a few more that can give you more abilities as a co-admin but an admin has to assign you those rolls.
Ps. Co-admin and transport request admin are two different roles. Couldn't tell by how you wrote that if you knew or not. But anyway TR admin can leave a patient without transport if the owner of the ambulance is offline. TR admin can be given even without the co-admin role
what is a transport request admin anyway?
[Transport Request] admin can leave a patient without transport if the owner of the ambulance is offline. TR admin can be given even without the co-admin role
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