Handbook Purpose

We are excited you are working on your National Registry certification. We want to prepare you so that you know what to do to get certified. This handbook contains information on The Registry certification. It explains your responsibilities and the steps to earn certification. It also explains how exams work and what the certification policies are. Please read the entire handbook. This handbook is for candidates who are completing or have recently completed an educational program. You may have concerns that are not addressed in this handbook. For those questions, we are pleased to serve you through our website, call center and email.

National Registry Certification

We use exams to make sure candidates have the knowledge and skills needed to be an Emergency Medical Responder (EMR). The exams are the same across the country to make sure that everyone meets the same standards. As a result, the EMR certification lets the public, healthcare providers, employers, and others know that you have the knowledge and skills to work safely and effectively.

Successfully obtaining Registry certification does not grant you the right to practice. You must obtain a state-issued license in order to legally practice as an EMR. In many states, National Registry certification is one of the requirements to earn a state license to practice.
FAQ: What is the difference between the Registry certification and state licensure?
Having a National Registry certification means you have met a set of standards and that you have the knowledge and skills required for an EMR position. A license is the legal right to practice as an EMS professional within a set scope of practice and is granted by a state or other legally recognized authority

About The National Registry

The National Registry of Emergency Medical Technicians serves as the Nation’s Emergency Medical Services Certification organization. The mission of the National Registry of Emergency Medical Technicians has always been centered on protecting the public and advancing the EMS profession. The National Registry:
  • Establishes eligibility requirements for applicants for National Registry certification
  • Develops exam (cognitive)
  • Establishes recertification requirements
  • Reviews applicants’ self-disclosed criminal convictions and actions taken against their healthcare related professional licenses
  • Monitors certification status of registrants and takes appropriate action against the certification when apprised of adverse licensure actions and criminal convictions
  • Provides to licensing or designated authorizing agencies obtained adverse licensure action and criminal conviction information regarding registered EMS professionals
The Registry does not:
  • Establish, accredit, or approve education programs for certification or recertification
  • Assess job performance
  • Assess fitness for all aspects of job performance (physical, mental, criminal background clearance)
  • Investigate complaints regarding EMS practice
  • Establish scopes of practice or standards of care
  • Establish job-related standards of professional behavior

Certification Process Overview

The first four steps in this process are the following:



Before you can apply for EMR certification, you must be enrolled in an initial education program.



Once you are enrolled in an EMR education program, create your National Registry account.



Submit your application about four weeks before you complete your program. Your Program Director needs to approve your application. The Director will approve your application when you complete the course requirements. The payment for your cognitive exam is due when you are ready to test.




You need three things for your application to be complete: submitted application, submitted payment, and your Program Director’s approval. Once your application is complete, we will update your National Refistry account with your Authorization to Test (ATT) within 1-2 business days. You have 90 days from the day we issue your ATT to complete your cognitive exam. You will lose your ATT and the money you paid if you do not use your ATT in 90 days. Go to the Pearson VUE website to schedule your cognitive exam. After your exam, your results will post to your National Registry account within 1-2 business days.

Contact Information

Contact the Registry with questions about your certification application, the cognitive or psychomotor exam, or certification policies:

General Questions

Website: www.nremt.org
Telephone: 1-614-888-4484
Fax: 1-614-396-2428

Address for applications and check or money orders:
The National Registry
PO Box 77200
Detroit, MI, 48277-2000

Address for packages and general mail:
6610 Busch Blvd
Columbus, OH 43229

National Registry Accounts, Applications, Name Changes, and General Questions


Scheduling Exams, Cognitive and Psychomotor Exam Results






Criminal Convictions


Contact Pearson VUE with questions about Pearson VUE login assistance and scheduling or rescheduling cognitive exams:

Website: www.pearsonvue.com/nremt/

Telephone: 1-866-673-6896

Email Form: https://home.pearsonvue.com/Test-takers/Customer-service/Email/Americas-professional.aspx

Address: Pearson Professional Testing, 5601 Green Valley Drive, Bloomington, MN 55437

Contact your State EMS Office. The Registry has a State EMS Office contact list for your convenience. Follow the link below and select your state to find their contact information: https://www.nremt.org/resources/state-ems-offices

Part 2: Candidate Responsibilities