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Frequently Asked Questions about Reregistration

1.  Can I download a re-registration form from the NREMT website?
2.  When I complete the online form, do I still need to mail the form to the NREMT?
3.  Can I use a credit card to pay for my re-registration?
4.  What does the National Registry accept as valid continuing education?
5.  What is distributive education?
6.  What is CECBEMS?
7.  Does the Intermediate and Paramedic course completion meet the requirements for EMT-Basic?
8.  What are the refresher requirements for the Intermediate and Paramedic levels that were initiated in 2004?
9.  How can I meet the refresher requirements?
10.  Where can I find refresher courses?
11.  As an instructor can I use teaching hours if I teach EMT classes?
12.  Who can sign the skills portion on the re-registration form?
13.  What do QA and QI mean?
14.  Do I need to be practicing as an EMT to re-register?
15.  How do I request inactive status?
16.  What must I do to become active again?
17.  What is the fee for re-registration?
18.  What is the re-instatement policy?
19.  Can I drop my status to a lower level?

1.  Can I download a re-registration form from the NREMT website?
  Yes. You may fill out an application online or download a hardcopy by clicking here.
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2.  When I complete the online form, do I still need to mail the form to the NREMT?
  Yes. You are required to print the form and obtain the appropriate signatures, and then mail your completed forms to the NREMT by the March expiration date. (September expiration date for First Responders.)
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3.  Can I use a credit card to pay for my re-registration?
  You may use your credit card only when using the online form.
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4.  What does the National Registry accept as valid continuing education?
  The NREMT accepts continuing education that has received official approval through your state EMS office and/or through the Continuing Education Coordinating Board of Emergency Medical Services (CECBEMS). Continuing education topics may include subject matter contained within the National Standard EMS education curricula as well as other subject matter related specifically to the emergency medical care of patients. Continuing education may be obtained through a variety of delivery methods including critiques, didactic sessions, practical drills, workshops, seminars and distributive education.
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5.  What is distributive education?
  Distributive education is a method of delivering a formal EMS education program that does not require the educator and student to be at the same location. Distributive education may be used in conjunction with a traditional educational program or independently as a virtual classroom using telephone, Internet, and/or satellite technology.
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6.  What is CECBEMS?
  CECBEMS is the Continuing Education Coordinating Board of Emergency Medical Services. It develops and implements policies that are designed to standardize the review and approval of EMS continuing education activities throughout the nation.
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7.  Does the Intermediate and Paramedic course completion meet the requirements for EMT-Basic?
  Completion of the didactic portion of the EMT-Intermediate program can be applied, on an “hour per hour” basis, toward Section II continuing education requirements for EMT-Basic re-registration. Only the topics and hours that correspond directly to the United States Department of Transportation National Standard EMT-Basic curriculum may be applied to Section IA refresher requirements for EMT-Basic re-registration.

Completion of the didactic portion of an approved Paramedic education program will satisfy the Section IA refresher requirements and the Section II continuing education requirements for EMT-Basic re-registration.
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8.  What are the refresher requirements for the Intermediate and Paramedic levels that were initiated in 2004?
  To view the requirements, please click on the appropriate level: Download an Intermediate/85 Re-registration Requirements Brochure, Download an Intermediate/99 Re-registration Requirements Brochure, and Download a Paramedic Re-registration Requirements Brochure
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9.  How can I meet the refresher requirements?
  Section IA refresher course requirements can be completed via a structured, state-approved refresher course or via completion of a variety of approved continuing education activities that overview the topical content of a structured refresher course. Registrants living in states requiring completion of a structured refresher course are not permitted to utilize continuing education activity to complete Section 1A refresher course requirements.
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10.  Where can I find refresher courses?
  You should contact your State EMS office (see the State Offices page in this section) and/or your local EMS educational institution for the location of approved EMS education courses within your state.
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11.  As an instructor can I use teaching hours if I teach EMT classes?
  The National Registry accepts continuing education credit on an “hour per hour” basis for each hour of EMS classroom instruction provided by the educator. You may apply EMS teaching hours to section 1A refresher requirements and/or Section II continuing education requirements. A good rule of thumb is “if a student receives credit for attending your EMS course, you can receive identical credit for teaching the course”. It is important to note that as an instructor/educator you may not “self-verify” teaching hours. Credit for teaching hours will be accepted only after official documentation is received from the educational institution responsible for the education.

The NREMT accepts a maximum of 12 hours of CPR instructions per re-registration cycle. The NREMT does not accept EMS continuing education credit for attending EMT Instructor Courses or other courses related to instructional methodology.
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12.  Who can sign the skills portion on the re-registration form?
  Section III: Verification of Skills Maintenance of the EMT-Basic re-registration application may be signed by the registrant’s training program director, service director of operations or physician medical director.

Section III: Skill Maintenance of the EMT-Intermediate (85 & 99) and the EMT-Paramedic may be signed by the registrant’s physician medical director of training or the physician medical director of operations.
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13.  What do QA and QI mean?
  Skill competence may be verified by using the following methods: skills examination, direct observation, or quality assurance/quality improvement (QA/QI). Using the QA/QI method involves reviewing operational data gathered by the EMS service, such as run reviews, to determine skills and skill sets in which the registrant has demonstrated competence throughout the registration period.
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14.  Do I need to be practicing as an EMT to re-register?
  The NREMT requires all individuals applying for EMT-Basic re-registration to be actively affiliated with an ambulance/rescue organization or a patient healthcare facility. These organizations include, but are not limited to, fire departments, EMS response units, hospitals, hazmat response teams, rescue teams, etc… Individuals who do not have a current active affiliation as described above may apply for re-registration using rules for inactive status

The NREMT requires all EMT-Intermediates (85 and 99) and Paramedics applying for re-registration to be actively affiliated with an organization that provides advanced life support services. The registrant must be performing the patient care skills of an Intermediate or Paramedic within the EMS organization. Individuals who do not have a current active affiliation or do not perform the patient care skills as described above may apply for re-registration using rules for inactive status. (Inactive status information for EMT-Intermediate/85, EMT-Intermediate/99, and EMT-Paramedic available on this web site)
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15.  How do I request inactive status?
  Inactive status is designed for EMT, Intermediates (85 & 99) and Paramedics who do not possess active affiliation with an EMS service at the time of re-registration. Inactive status may be requested when completing the re-registration application by filling in the oval in front of the following statement: “Request Inactive Status”.

The registrant is required to submit the appropriate re-registration form verifying completion of all other re-registration requirements including, but not limited to, refresher course, CPR certification, AL certification, continuing education and registrant signature. It is important to remember that inactive status only exempts the registrant from providing proof of affiliation and verification of skills competence. In addition it is important to note that only registrants who can document a minimum of 6 months active affiliation with an EMS service, may request inactive status.

Inactive status information for EMT-Basic, EMT-Intermediate/85, EMT-Intermediate/99, and EMT-Paramedic available on this web site.
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16.  What must I do to become active again?
  An EMT-Basic registrant may request return to active status at anytime he/she gains active affiliation within the rescue, ambulance or patient healthcare setting. The request to return to active status must be accompanied by a completed Inactive to Active Registration from which may be download here, or obtained by calling the NREMT Re-registration Department.

An EMT-Intermediate (85 & 99) or an EMT-Paramedic may request return to active status at anytime he/she gains active affiliation within an ALS service. The request to return to active status must be accompanied by a completed Inactive to Active Registration form which may be download here, or obtained by calling the NREMT Re-registration Department.
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17.  What is the fee for re-registration?
 
 
First Responder re-registration    $10.00
EMT-Basic re-registration    $15.00
EMT-Intermediate/85 re-registration    $15.00
EMT-Intermediate/99 re-registration    $15.00
EMT-Paramedic re-registration    $20.00

Fees may be submitted in the form of company purchase order, money order, personal check, or company/bank check. The NREMT does not accept credit cards or debit cards at this time (except for online applications.)
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18.  What is the re-instatement policy?
  Re-instatement policy was implemented to help those individuals who completed all re-registration requirements within the registration cycle but failed to mail the re-registration materials to the NREMT by the March 31 deadline. The re-instatement policy allows registrants to mail completed re-registration materials to the NREMT between April 1 and April 30 provided all re-registration requirements were met on or before the March 31 deadline. In addition to the standard re-registration fee, registrants using the re-instatement policy must submit a re-instatement fee of $50.00. The following chart reflects the total fee required for re-instatement at each level of registration.

Registration Level    Total Fee
EMT-Basic re-registration/re-instatement $65.00
EMT-Intermediate/85 re-registration/re-instatement $65.00
EMT-Intermediate/99 re-registration/re-instatement $65.00
EMT-Paramedic re-registration/re-instatement $70.00
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19.  Can I drop my status to a lower level?
  Registrants who are eligible for re-registration may choose to reregister at a lower level provided they have been registered at that lower level at some time in the past. For example, a nationally registered EMT-Paramedic may request to reregister as an EMT-Intermediate/85 provided he/she has been nationally registered as an EMT-Intermediate/85 at some time in the past.

Registrants choosing to reregister at a lower level must fulfill all re-registration requirements for that level and must submit the appropriate re-registration applications, fee and letter indicating the desire to reregister at the lower level.
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