Documents for Needed for Certification

Have the listed items completed and ready to be attached/uploaded for submission of the application(front and back of cards). All fees have $2 credit card surcharge included:


Live Scan Forms Required for Initial Certification and 1 Year Expired


Forms for certification

LevelInitial CertificationRenewal
EMR-Copy of current government issued ID
-Copy of current CPR card(AHA or equivalent)
-Copy of EMR course Completion Certificate
-Copy of processed “Request for Live Scan(DOJ)”

(Fee of $37 at time of submission)
-Copy of current government issued ID
-Copy of current EMR card -Copy of EMR Skills Competency Verification Form
-Copy Continuing Education Log or EMR refresher course (12 hours)

(Fee of $30 at time of submission)
EMT-Copy of current government issued ID
-Copy of current CPR card(AHA or equivalent)
-Copy of EMT course Completion Certificate -Copy of NREMT card
-Copy of processed “Request for Live Scan(DOJ)”

(Fee of $122 at time of submission)
-Copy of current Government issued photo ID
-Copy of current CPR Card (AHA or equivalent)
-Copy of current State EMT Card
-Copy of CA EMT Skills Competency Verification Form -Copy of Continuing Education Log or EMT refresher course (24 hours)

(Fee of $67 at time of submission)
AEMT-Copy of valid EMT certification card issued in California (if applicable)
-Copy of current AEMT certification card if issued out of state (if applicable)
-Copy of current Government issued photo ID Copy of current CPR Card (AHA or equivalent)
-Copy of National Registry AEMT certification card
-Copy of processed Nor
-Cal EMS DOJ Live Scan Service Form
-Copy of AEMT Course Completion Certificate
(Fee of $122 at time of submission)
-Copy of current Government issued photo ID
-Copy of current State EMT Card
-Copy of current AEMT card
-Copy of CA AEMT Skills Competency Verification Form -Copy of Continuing Education Log (36 hours of CEs)      
   
(Fee of $67 at time of submission)
Paramedic-Copy of current California State Paramedic license
-Copy of current Government issued photo ID
-Copy of current CPR Card (AHA or equivalent)
-Completed Initial Paramedic Accreditation Form 2402 be submitted within 45 days of receiving Paramedic test packet and test date

(Fee of $102 at time of submission)
-Copy of current California State Paramedic license
-Copy of current Government issued photo ID
-Copy of 2404 Paramedic Skills Competency Verification Form
-Copy of 2403 Paramedic Continuing Education Form (48 hours of CEs)      

(Fee of $47 at time of submission)
CFRN-Copy of current California State RN license
-Copy of current CFRN Certification If CFRN in process, statement of employer attestation (request form from Nor-Cal EMS) * -Copy of current Government issued photo ID

(Fee of $42 at time of submission)
-Copy of current California State RN license
-Copy of current CFRN Certification
-Copy of current Government issued photo ID        

(Fee of $30 at time of submission)
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