The Registry conducts a national EMS certification program in furtherance of the NREMT mission which is to certify and
register Emergency Medical Service Professionals throughout their careers by a valid and uniform process which assesses
the knowledge and skills for competent practice. Registry policies are established to assure the public
EMS, licensing
or authorizing agencies, employers and other healthcare providers, that Registered EMTs have demonstrated the requisite knowledge and
skills to practice safely and effectively.
The Registry does not issue a permit to work or license to practice. Nor does the Registry warrant job performance of
applicants and registrants.
B. Terms of Registration
In applying for registration or re-registration, and as a condition for the maintenance of registration, an applicant or
registrant agrees that:
The individual will comply with all initial certification and registration requirements, continuing education
and re-registration requirements, rules and standards of the
NREMT. The individual bears the burden of demonstrating and maintaining compliance at all times. The NREMT considers
the individual to be solely responsible for his or her registration.
The NREMT's examinations, certificates, cards, logos, emblems, the name "National Registry of Emergency Medical Technicians,"
and abbreviations relating thereto are all exclusive property of the NREMT and may not be used in any way without the NREMT's
express written consent.
The individual will immediately relinquish and refrain from using any NREMT certificate, card, logo, emblem, and the NREMT's name
and related abbreviations in case of expiration, suspension, limitation, revocation or voluntary surrender of the individual's
registration or as otherwise requested by the NREMT.
If an individual misappropriates any NREMT property or refuses to immediately relinquish, refrain from using and correct at
their expense any misuse or misleading use of any of the above items when requested, the NREMT shall be entitled to obtain
injunctive relief, damages, costs and attorney's fees incurred in obtaining any such or other relief.
The individual must notify the NREMT of any change in address, telephone number, state of employment and licensure and any
other facts bearing on eligibility or registration, including, but not limited to, the initiation of any disciplinary action
by any state which has resulted in suspension, revocation or expiration of state registration or license, or termination of
the right to practice or voluntary surrender of state registration of license while under investigation and any felony
conviction, within thirty (30) days of such occurrence.
The individual must timely notify the NREMT of any mental or physical condition which exists for more than six (6) months and that
compromises the ability to practice.
C. Electronic Exchanges with the NREMT
The National Registry requires accurate and valid submission of information to demonstrate
an applicant's fulfillment of
NREMT requirements for registration and re-registration. The NREMT has developed a secured website to facilitate
communication between a variety of individuals who are responsible to provide the necessary documentation to be
submitted by applicants.
The following individuals may use the NREMT website subject to the website user agreement as revised from time to time:
Applicants for registration or re-registration
Education Program Directors
State EMS Officials
National Registry Representatives
Training Officers of EMS Systems
Physician Medical Directors
Any individual who makes a misrepresentation or has failed to provide material information
in connection with an application for registration or re-registration or has
misrepresented that he or she is certified and registered by the NREMT, may be subject to
disciplinary action by the NREMT including, but not limited to, denial of
certification, suspension or revocation of NREMT certification and/or denial
of access to the NREMT secured website for any and all purposes.
The NREMT will also notify the State EMS licensing agency of any suspected
misrepresentation of material information on an application or of NREMT
certification and registration status..
D. Eligibility for registration or re-registration
No individual is eligible to apply for registration or re-registration unless compliance with all NREMT rules and standards
is demonstrated. The NREMT may deny, revoke, or otherwise act upon registration or re-registration of an individual who is
not in compliance with NREMT rules and standards.
The individual must submit a complete re-registration application and all required supporting materials post marked on or
before the expiration date for submission of re-registration applications as established by NREMT.
The individual must truthfully complete and sign an application in the form provided by the NREMT and shall provide all
additional information as requested.
The individual must at all times be eligible for and not barred from practice as an Emergency Medical Technician under the
laws of any state EMS licensing or authorizing agency. An individual's registration shall automatically be suspended during any period in which
he or she is so barred unless the individual is barred from practice solely by reason of being located in a jurisdiction which does not
recognize NREMT registration as a basis for licensure or certification as an emergency medical technician.
An individual convicted of a felony or any other crime directly related to public health or the provision of emergency
medical service, including DUI, will be reviewed for eligibility for registration and re-registration under policies
outlined in the NREMT's Felony Conviction Policy
The NREMT reserves the right to withhold or revoke registration or re-registration from an individual who has failed to pay for services
rendered. A candidate may not take a NREMT examination if the registration fee has been stopped, cancelled or otherwise revoked, either
by the candidate or a financial institution. A candidate will not be issued an authorization to take a NREMT examination until payment
of the registration fee in full has been made for all previous NREMT examinations for which such fee is due. NREMT also reserves the
right to hold, cancel or revoke the candidate's results on a NREMT examination for which payment in full of the registration fee has not
been made.
E. Irregular Behavior
Candidates should understand that the following may be sufficient cause to bar them from future examinations, to terminate
participation in an ongoing examination, to invalidate the results of an examination, to withhold or revoke scores or registrations,
or to take other appropriate action:
The giving or receiving of aid in the examination as evidenced either by observation or by statistical analysis of
answers of one or more participants in the examination.
The unauthorized access to, possession, reproduction, disclosure or use of any
examination materials, including, but not limited
to, examination questions for answers before, during or after the examination.
The offering of any benefit to any agent of the NREMT or the NREMT's test
service and/or a testing site administrator in return for any aid or assistance in taking an examination.
The engaging in irregular behavior in connection with the administration of the examination.
Irregular behavior which may be cause for invalidation of the examination or the taking of disciplinary action, includes,
but is not limited to:
Referring to books, notes, or other devices at any time during the examination. This prohibited material
includes written information or information transferred by electronic, acoustical, or other means.
Any transfer of information or signals between candidates during the examination. This prohibition includes
any transfer of information between the candidate and any other person at any time during the testing period,
including bathroom breaks.
Any appearance of looking at the answers of another candidate during the
examination.
Allowing another candidate to view one's answers or otherwise assisting another
candidate in the examination.
Creating a disturbance at the testing site, engaging in profane or abusive
language directed at examinees or testing site administrators, tampering
with the computer or otherwise not following the directions of a site
testing administrator.
Taking any examination materials outside the examination room. All examination materials are the property of
the NREMT and must be left in the room at the end of the examination.
The NREMT also may require a candidate to retake the examination if presented with sufficient evidence that the security
or integrity of the examination has been compromised, notwithstanding the absence of any evidence of a candidate's personal
involvement in such activities.
F. Review of Applications and Certificates
Standards
The NREMT may revoke an individual's registration, take appropriate disciplinary action or otherwise take action with
regard to the application and/or registration of a candidate or registrant in the case of:
Ineligibility for NREMT registration;
Failure to comply with any policy or rule of the NREMT;
Irregular behavior in connection with any NREMT examination;
The intentional and material misrepresentation or withholding of any material information on any application
or in any other representation or communication to the NREMT;
Misrepresentation of the individual's status as a registrant;
Gross or repeated negligence or malpractice in professional work;
The conviction of, plea of guilty or plea of nolo contendre to, a felony or any criminal offense which is
directly related to public health or the provision of emergency medical service; or
Suspension, revocation or other disciplinary action by a licensing board or authorizing agency or the voluntary
surrender of a licensee in connection with any such disciplinary action.
Copying, reproducing, disclosing or removing of examination questions
from the testing center or attempting to do same.
G. Procedure for Appealing Registry Determinations
Procedures for Disciplinary Action by Registry
When the NREMT makes an unfavorable ruling regarding an individual's application for registration or
re-registration, scoring of any examination or any disciplinary action, including, but not limited to, the revocation of registration,
the Executive Director shall send to that individual, by certified mail, return receipt requested, a statement
setting forth:
The action taken;
The reason(s) for the action and, if applicable, a statement of facts constituting the alleged
violation of any of the NREMT's rules or standards or the reasons for ineligibility;
The time period in which the individual may appeal and provide any additional information.
A candidate or registrant who is adversely affected by a decision of the NREMT, other than with respect
to the administration, scoring or reporting of the practical or written examination, may appeal such decision
by mailing a notice of appeal to the office of the NREMT within forty-five (45) days of the date of such
decision was mailed to him or her.
Upon receipt of a notice of appeal, the Credentials Committee of the NREMT shall consider any additional
information submitted by the individual in support of his or her appeal and make such further investigation
as it deems appropriate. If the Credentials Committee decides in a manner favorable to the individual, it
shall so notify the individual. If the Credentials Committee does not so decide, it shall notify the
individual and the Executive Director and the individual shall have a right to an appeal hearing in accordance
with the procedures set forth in Sections B through D.
In the event of an unfavorable Credentials Committee decision, the Executive Director shall so notify the
affected individual and inform that individual that:
he or she shall have forty-five (45) days from the date such decision was mailed to him or her to
appeal the decision;
if an appeal is made, a hearing on the appeal shall be held before an Appeals Committee; and
the individual may appear at the hearing in person, with the assistance of counsel, may examine
and cross-examine any witness, and produce evidence on his/her behalf, including submission of a
written statement, if desired.
Hearing
In the event of an appeal, the Chairman of the Board of Directors shall designate an Appeals Committee
consisting of three (3) members of the Executive Committee.
A hearing shall be scheduled not less than ninety (90) days after the date of notice.
The Hearing Panel shall convene at a site designated by the NREMT.
The Executive Director shall send the individual by certified mail, return receipt requested, a Notice of
Hearing. The Notice of Hearing shall include a statement of the time and place of the hearing.
The Appeals Committee shall determine all matters relating to the hearing by majority vote. A written
record shall be made of the proceedings, and shall be available to individual at a reasonable cost following
the hearing.
Evidence
Formal rules of evidence shall not apply. All information related to the allegations shall be admissible
at the hearing, whether or not such information would be admissible in a court of law. The purpose of the
hearing is to assemble as much information as practical regarding all material aspects of the situation, and
the Appeals Committee shall be entitled to take into account any such information of the type normally
relied upon by individuals of reasonable prudence in the conduct of important personal matters. Disputed
questions shall be determined by majority vote of the Appeals Committee.
Decision
The decision of the Appeals Committee shall be made by a majority of the Committee and shall be rendered in
writing following the hearing. The decision shall contain the basis for the determination to uphold, modify or
overrule the decision of the Credentials Committee and for any sanction(s) applied. It shall be transmitted
to the individual by certified mail, return receipt requested.
The decision of the Appeals Committee shall be final and binding.
The appeals procedure authorizes the NREMT and its agents to communicate
all information relating to NREMT application, registration and review
thereof, including outcome of disciplinary proceedings, to state and
federal authorities and others upon request.
Release of Information
The candidate or registrant authorizes the NREMT and its agents to communicate all information relating to NREMT
application, registration and review thereof, including outcome of disciplinary proceedings, to state and federal
authorities and others upon request.
Procedure for Appealing Practical Examination
A candidate who believes that the practical examination was administered in an inaccurate or unfair manner for
any reason, including, but not limited to, an equipment malfunction, discrimination or bias of an examiner, must
on the day of the examination immediately register a complaint and request for re-examination. The request
shall be made to the NREMT Representative on the complaint form provided.
The Quality Assurance Committee shall consist of the Physician Medical Director, the Examination Coordinator,
and the NREMT Representative. When the NREMT Representative is also acting as the Examination Coordinator, a
third uninvolved, unbiased person will be appointed to the Committee. The Committee may discuss the matter
with the candidate and the involved skill station examiner(s), if necessary, and make such other investigation
as they may deem appropriate. If a majority of the Committee determines that reasonable grounds exist for the
candidate's complaint, the candidate shall be re-examined by a different skill station examiner. The first
examination will be disregarded and only the candidate's performance on the re-examination shall be considered
in determining his or her score on the examination.
The determination of the Quality Assurance Committee is final and binding upon the candidate. There shall be
no further appeal from a failure on the practical examination.
H. Reconsideration of Eligibility and Reinstatement of Registration
Eligibility will be reconsidered and registration may be conferred after
revocation of an individual's registration upon new application for registration
only on the following basis:
In the event of a felony conviction directly related to public health or the provision of emergency medical service,
no earlier than one (1) year from the exhaustion of appeals, release from confinement or reinstatement of license,
whichever is later.
In any other event, no earlier than one (1) year from the final decision of ineligibility or revocation.
In addition to other facts required by the NREMT, an individual seeking reinstatement must fully set forth the
circumstances of the decision denying eligibility or revoking registration as well as all facts and circumstances
relevant to the application occurring after the decision. Where eligibility is denied because of felony
conviction, the individual bears the burden of demonstrating by clear and convincing evidence that the individual
has been rehabilitated and does not pose a danger to others.
I. Submission of information to NREMT concerning possible violation of NREMT standards
Persons concerned with possible violation of NREMT standards should submit such information in writing
addressed to the Executive Director. This information should identify the persons alleged to be involved
and the facts concerning the alleged conduct in as much detail and specificity as possible, supplying
all available supporting documentation. The statement should identify by name, address and telephone number
the person making the information known to the NREMT and others who may have knowledge of the facts and
circumstances concerning the alleged conduct. Supplemental information may be requested.
