Frequently Asked Questions
about Recertification

1.  When I complete the online form, do I still need to mail the form to the NREMT?
2.  How can I tell if I am affiliated with an agency?
3.  How can I affiliate with my agency?
4.  What if it shows the wrong agency?
5.  What if my agency shows "Pending Approval?"
6.  What if my agency is not listed?
7.  Why is my 'Submit' button missing from my online recertification?
8.  Can I use a credit card to pay for my recertification?
9.  What does the NREMT accept as valid continuing education?
10.  What is distributive education?
11.  Is continuing education automatically marked as distributive education just because it's on the internet?
12.  What are the current recertification requirements?
13.  Where can I find a refresher course?
14.  I am an instructor. Can I use teaching hours if I teach EMS courses?
15.  Who can sign the skills portion of the recertification form?
16.  Do I need to be practicing in EMS to recertify?
17.  How do I request Inactive status?
18.  How do I become Active again?
19.  What happens if my certification has lapsed?
20.  Can I drop my certification to a lower level?
21.  Why do I have to take a transition course to recertify?
22.  How many hours are in the transition course?
23.  Can I count transition hours toward my recertification requirements?
24.  How long will I have to complete a transition course?
25.  Does that mean I need to complete two transition courses?
26.  What happens if I do not successfully complete a transition course within my time period?

1.  When I complete the online form, do I still need to mail the form to the NREMT?
  If you are affiliated with an agency, and completed your online submission please DO NOT mail your form to the NREMT. Your Training Officer and Medical Director (if applicable) will sign your form electronically and it will be automatically forwarded to the NREMT. We recommend you print and save a copy for your personal records.
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2.  How can I tell if I am affiliated with an agency?
  Log into your NREMT account and click 'My Certification'. In the upper left corner, the agency you are affiliated with will appear under your National Registry number.
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3.  How can I affiliate with my agency?
  Click on the 'Unaffiliated' link under your National Registry number in the upper left corner. Then follow the steps to select your agency.
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4.  What if it shows the wrong agency?
  Click on the agency that is listed in the top left hand corner of the screen, then select the correct agency.
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5.  What if my agency shows "Pending Approval?"
  Your affiliation request has not been approved by your agency. Please contact your training officer to request approval.
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6.  What if my agency is not listed?
  Please contact your agency's training officer to set up your agency with the NREMT.
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7.  Why is my 'Submit' button missing from my online recertification?
  One or more of the required steps have not yet been completed. Please be sure that you are affiliated with an agency, have entered all of your continuing education hours and verified your certifications (such as CPR and ACLS).
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8.  Can I use a credit card to pay for my recertification?
  You may use your credit card only when using the online recertification. The NREMT does not take credit card payments over the phone.
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9.  What does the NREMT accept as valid continuing education?
  The NREMT accepts continuing education that has received official approval through your State EMS office and/or the Continuing Education Coordinating Board of Emergency Medical Services (www.cecbems.org). Continuing education topics may include subject matter contained within the National Scope of Practice as well as other subject matter specifically related to the emergency medical care of patients. Continuing education may be obtained through a variety of delivery methods including didactic sessions, practical drills, workshops, EMS conferences, and distributive education.
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10.  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 interact in real time. Distributive education may be used in conjunction with a traditional educational program or independently as a virtual classroom using pre-recorded or pre-planned lessons.
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11.  Is continuing education automatically marked as distributive education just because it's on the internet?
  No. If an instructor and student are able to interact in real time, the hours are not considered distributive education and are not subject to distributive education limitations.
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12.  What are the current recertification requirements?
  Please click on the level you wish to view.
Emergency Medical Responder
Emergency Medical Technician
EMT-Intermediate/85
Advanced EMT
EMT-Intermediate/99
Paramedic
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13.  Where can I find a refresher course?
  You should contact your State EMS Office and/or your local EMS educational institution for the location of approved EMS education courses in your state.
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14.  I am an instructor. Can I use teaching hours if I teach EMS courses?
  You can get credit on an "hour for hour" basis for each hour you teach. You may apply EMS teaching hours to the "Refresher Requirements" section and/or "Continuing Education Requirements" section. A good rule of thumb is "if a student receives credit for attending your EMS course, you can receive identical credit for teaching it.

The NREMT accepts a maximum of 12 hours for instructing CPR courses per recertification cycle. The NREMT does not accept continuing education hours for attending CPR courses, EMS Instructor courses, or instructor methodology courses.

If you are selected for audit, you will need to provide documentation of hours taught (for example: letter from your training officer or program director).
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15.  Who can sign the skills portion of the recertification form?
  Emergency Medical Responder (EMR): Your Training Officer/Supervisor can sign the skills portion of the form.

Emergency Medical Technician (EMT) and Intermediate/85: Your Training Officer/Supervisor can sign the skills portion of the form.

Intermediate/99, Advanced EMT and Paramedic: Your Physician Medical Director must sign the skills portion of the form.
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16.  Do I need to be practicing in EMS to recertify?
  The NREMT requires all individuals applying for recertification to be actively affiliated with an agency and using their EMS skills at their provider level. An agency may include fire departments, EMS response units, hospitals, hazmat response teams, rescue teams, private companies who provide EMS care to employees, etc.

Individuals who are not currently using their EMS skills, but who meet the education requirements may recertify as Inactive.
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17.  How do I request Inactive status?
  Inactive status can only be requested by Nationally Certified EMS Professionals who have completed at least six (6) months of EMS patient care at their certification level during their first certification cycle.

Registrants who wish to declare inactive status must continue to meet the NREMT continuing education recertification requirements.

Inactive status is not for those who are unable to obtain and meet the educational requirements or those who have had limitations or revocation of a health care license.

Registrants who request inactive status at the EMR, EMT and AEMT levels do not need to obtain verification of skills from their training officers. These registrants must complete all refresher, continuing education and CPR requirements. These registrants are also eligible to recertify by examination if they so choose. CPR certification remains a requirement even for those who pass the examination.

Registrants who request inactive status at the Paramedic level do not need to obtain verification of skills from their medical directors. These registrants must complete all refresher, continuing education and both CPR and ACLS requirements. These registrants are also eligible to recertify by examination if they so choose. CPR and ACLS remain a requirement even for those who pass the examination.
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18.  How do I become Active again?
  Movement from Inactive to Active status requires the registrant to complete Section III (verification of skill competence) of the recertification requirements. You must ensure that your future or current employer is willing to verify competency of the skills found on the recertification form. In order to do so you must print and complete the form from the NREMT website (Click here), obtain the required signatures and mail your form to the NREMT. No fee is required to move from inactive to active status.
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19.  What happens if my certification has lapsed?
  If your certification has lapsed for less than 30 days, you have the option to reinstate your certification provided all other requirements (such as continuing education and CPR/ACLS credentials) for recertification were met before your expiration date.

If you mail or electronically submit your recertification materials within 30 days after your certification expiration date, (FR/EMR Expiration: September 30; EMT/I85/AEMT/I99/P Expiration: March 31) you must submit all recertification documents as well as a $50 re-instatement fee. Please see the chart below for the total cost of reinstating your certification:

Certification Level    Total Fee
EMR $60.00
EMT $65.00
Intermediate/85 $65.00
AEMT $65.00
Intermediate/99 $65.00
Paramedic $70.00
If your National EMS Certification lapsed within a two year period or you are currently state licensed as an EMS provider, you can obtain National Certification by completing a state approved Refresher course and successfully completing the cognitive and psychomotor examinations. If your EMS certification expired more than two years ago and you are NOT currently state licensed, you must complete an entire state-approved course and complete the cognitive and psychomotor examinations.
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20.  Can I drop my certification to a lower level?
  You are eligible to recertify at a lower level ONLY if you were Nationally Certified at that lower level in the past. For example, a Nationally Certified Paramedic is able to request recertification at the EMT level provided he or she had once been Nationally Certified at the EMT level.
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21.  Why do I have to take a transition course to recertify?
  The Department of Transportation National Standard Curriculum is no longer being used, and has been replaced by the National EMS Education Standards. Every level of EMS practice had new content added to its respective curriculum. In order to ensure that every provider has the appropriate knowledge of this new content, the NREMT is requiring proof of successful completion of a state-approved transition course. To review the NREMT Transition Policy click here.
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22.  How many hours are in the transition course?
  This will vary on a state-to-state basis. For additional information, please contact your State EMS Office.
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23.  Can I count transition hours toward my recertification requirements?
  Yes. Any hours contained in the transition course may be applied to the "Refresher" section or "Continuing Education" section of the recertification application.
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24.  How long will I have to complete a transition course?
 
First Responder to EMR 2 recertification cycles (4 years - complete by Sept. 30, 2015/2016)
EMT-Basic to EMT 2 recertification cycles (4 years - complete by Mar. 31, 2015/2016)
Intermediate/85 to AEMT 2 recertification cycles (4 years - complete by Mar. 31, 2016/2017)
Intermediate/99 to Paramedic 3 recertification cycles (6 years - complete by Mar. 31, 2018/2019**)
EMT-Paramedic to Paramedic 2 recertification cycles (4 years - complete by Mar. 31, 2015/2017)

*Certified EMS providers with current I/85 certifications must complete transitions by 2016/2017, including successful completion of the AEMT cognitive examination.

^Candidates who obtain their FIRST I/85 certification between July 2012 and March 31, 2013 have until March 31, 2017 to complete a state approved transition and successful completion of the AEMT cognitive examination.

**Certified EMS providers with current I/99 certification must complete transitions by 2018/2019, including successful completion of the Paramedic cognitive examination.
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25.  Does that mean I need to complete two transition courses?
  No. You only need to complete the transition course one time.
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26.  What happens if I do not successfully complete a transition course within my time period?
  If you submit an acceptable recertification application but fail to submit proof of a transition course within your transition period, you will automatically be recertified at the next-lowest level. For example, if you are an EMT-Basic and submit your completed recertification materials but fail to provide proof of a transition course, you will be issued a certification at the EMR level.

Please see the NREMT's Transition Policy for more information.
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