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Forms


Photo of the publication cover. EMS Reciprocity Licensing Application EMS Licensing - Form December 2, 2019

This form should be used for reciprocity applicants.

Reciprocity Licensing Instructions



Photo of the publication cover. EMS Initial Licensing Application EMS Licensing - Form November 25, 2019

This form should be used for initial applicants.

Initial Licensing Instructions



Photo of the publication cover. EMS Renewal Licensing Application EMS Licensing - Form November 25, 2019

This form should be used for renewal applicants.

Renewal Licensing Instructions



Photo of the publication cover. EMS Information Update and License Replacement Form EMS Licensing - Form November 12, 2019

This is the form to be used for requesting a replacement licensure card.



Photo of the publication cover. EMS Re-Entry Licensing Application EMS Licensing - Form August 15, 2017

This form should be used for re-entry applicants.

Re-Entry Licensing Instructions



Photo of the publication cover. EMS Background Screening Affidavit of No Known Criminal History EMS Licensing - Form September 11, 2015

This form is an affidavit of no known criminal history for use by applicants.