Establish the requirements for the secure and standardized administration of the National Registry certification examinations.

Click here to read the full policy.

You may also be interested in the Certification Examination Information or the How To Apply For A Certification Examination page.

Authorizations to Test (ATT) for National EMS Certification will be valid for up to 90 days from the date of issuance, provided all other requirements for National EMS Certification are met. Candidates who do not complete their cognitive examination prior to the expiration date will be required to complete a new application, including payment of the application fee. No refunds will be issued for expired Authorizations to Test.

Effective: January 1, 2015
Announced: December 11, 2013

Download a PDF of this policy.

The National Registry is committed to a fair and unbiased testing process and follows industry best practices to ensure that all examinations are accurately scored. As a service to the community, the National Registry offers candidates the option to have their examinations rescored by a qualified staff member. Although it is extremely unlikely an examination was incorrectly scored, the rescoring process allows verification of a score.

If a candidate suspects that their score may have been negatively affected by a specific item, or items, delivered on their written examination, they may ask for a review of such item(s) as part of their rescoring request. Only items identified in the request will be reviewed. For example, if a candidate suspects that an item asking to interpret a 12-lead ECG was outside the scope of practice for the certification level at which they tested, they must indicate that in their rescoring request. If such items were present on their examination, they will be reviewed to ensure (1) their accuracy, (2) whether they were within the scope of practice for the relevant certification level, and (3) whether they had any impact on the test score.

The rescoring process is not:

  • A review of the content of all items administered during the examination
  • A reconsideration of the passing standard or the acceptability of the testing conditions
  • An opportunity for the candidate to review examination items

How to Request a Review of the Scoring Report

To request a review of the scoring report, please complete the Rescoring Request Form detailing the specific reason for the request. Requests must be submitted within 30 days of the official release of the cognitive examination score reports.

A $150.00 fee is due prior to the rescoring process. Once a rescore request is received, The National Registry of Emergency Medical Technicians will e-mail a payment request to the candidate that will include a link to make a payment via credit card.

Once payment is submitted and confirmed, the National Registry will rescore the examination and, if requested, conduct a review of items identified in the rescoring request. The review will take place within 30 days of receipt of payment.

Upon completion of the rescoring process, candidates will be provided with a Rescoring Report similar with the one included below as a sample. If an irregularity is discovered during the review process, the review fee will be refunded, and we will work with the candidate on further accommodations and resolutions.

Click here to complete the Rescoring Request Form.



The first and last names printed on your identification must match exactly the first and last names on your Authorization to Test (ATT).


When you arrive at the test center, you will be required to present two forms of valid, unexpired identification. One must be a government-issued ID that includes a signature and permanently affixed photo (visible signature not required for military IDs). The second ID must include your name and signature.

If the ID does not meet these requirements, you will be turned away and required to reregister and pay another examination fee.

Acceptable Government-issued ID:
  • State Issued Driver's License
    Temporary/paper IDs will not be accepted
  • State Issued Identification Card
  • Military Identification Card
  • Passport

Acceptable Second ID:
  • U.S. Social Security Card
  • Bank ATM / Debit or Credit Card
All National Registry cognitive examination materials are copyrighted.
  • Candidates are not permitted to disclose or discuss with anyone, including instructors, information about the exam questions or answers seen in your examination. (This includes posting or discussing questions on the Internet and social media websites).
  • Reconstructing exam items using your memory of your exam or the memory of others is prohibited.
  • Candidates are not permitted to seek help from anyone in answering exam questions.
  • Candidates are not permitted to remove examination materials or notes about the examination from the testing center.
Note: If you witness any of the above behavior, or any irregular behavior that may be in violation of the National Registry Candidate Policies, report it to the National Registry immediately by calling 614-888-4484.
A candidate who violates National Registry policies, or the test center's regulations or rules, or engages in irregular behavior, misconduct and/or does not follow the test administrator's warning to discontinue inappropriate behavior may be dismissed from the test center. Exam fees for candidates dismissed from a test center will not be refunded. Additionally, your exam results may be withheld or canceled. The National Registry of EMTs may take other disciplinary action such as denial of National EMS Certification and/or disqualification from future National Registry exams. Behaviors that are considered to constitute irregular behavior or misconduct include but are not limited to:
  • Giving or receiving assistance of any kind during an exam.
  • Using, accessing, or attempting to access any prohibited items. Prohibited items are any devices or materials that will be helpful in taking the National Registry exam. Examples of aids that are prohibited include electronic devices (e.g. cell/mobile/smart phones, tablets, smart watches, etc.), hand-held calculators, conversion tables, dictionaries, etc.
  • Attempting to take the examination for someone else.
  • Accessing or attempting to access such study materials at any time after the start of the examination administration
  • Failing to follow testing regulations or the instructions of the test administrator.
  • Creating a disturbance of any kind.
  • Tampering with the operation of the computer or attempting to use it for any function other than taking the examination.