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
Level | Initial Certification | Renewal |
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) |