Recertification Policies and Procedures
As in other professions in which the safety of the public is paramount, EMS professionals need to meet continuing education and refresher requirements every two years to maintain National EMS Certification. Keeping National Certification current attests to the public and employers that nationally certified EMS professionals are prepared to provide competent and safe emergency medical care.
Recertification information is provided with initial certification materials. Recertification instructions and documentation are mailed to certified EMS professionals (and available online) as indicated below:
Recertification Applications are Accepted Beginning on
(of the year of your expiration date)
(of the year prior to your expiration date)
There are two ways to recertify:
1. Documentation of continuing education-
Use the NREMT online certification process - log in to your NREMT account, click on 'My Certification,' affiliate with your Agency (employer), document your continuing education, pay the recertification application fee and submit your records to your Training Officer/Medical Director to verify prior to your expiration date.
Complete the forms mailed to you (or available for download from this website) - documenting your continuing education. Return the completed forms (with required signatures and the recertification application fee) to the NREMT prior to your expiration date.
2. Recertification by Examination-
During the last six (6) months of your recertification cycle - complete a 'Recertification by Examination' application, obtain your Authorization to Test (ATT) letter the next business day, schedule and take the current National EMS Certification exam at your provider level. Upon successful completion of the examination, you will be able to print an abbreviated Recertification Form from the NREMT website. Return the completed form (with required signatures) by mail to the NREMT prior to your expiration date.*To be eligible for recertification you must be actively working within an emergency medical service or patient health care facility using your EMS skills, or provide proof that you have performed the duties of an EMS provider at your certification level for at least six (6) months.
*Individuals requiring a National EMS Certification card to work should submit their application for processing at least two (2) months prior to their expiration date.
*Some employers and states may have special requirements in addition to those of the NREMT. Please contact your employer or State EMS Office for more information.
The National Registry reserves the right to investigate recertification materials at any time from the certified EMS professional. Certified EMS professionals must retain verification of attendance of all education they acquire. Failure to submit verification or documentation when audited will result in denial of eligibility to recertify.
Disciplinary Policy/Revocation of Certification
The National Registry has disciplinary procedures, rights of appeals and due process within its policies. Certified EMS professionals applying for certification or recertification who wish to exercise these rights may obtain policy information directly from the NREMT or via this website.
An inactive status is designated for Nationally Certified EMS Professionals who are currently not providing patient care at their certification level. For example, inactive status may be helpful for EMS professionals who:
are not actively engaged in ambulance/rescue service or health/patient care activity
must be inactive for a period of time – such as, moving, illness, pursuit of education, family responsibilities, etc.
are not actively treating patients such as, educators, administrators or regulators.
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 registration 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 eligible to recertify by examinaton 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 eligible to recertify by examination if they so choose. CPR and ACLS remain a requirement even for those who pass the examination.
Return to Active Status
Nationally Certified EMTs may request return to active status at any time once they gain active affiliation within the rescue, ambulance or patient healthcare setting.
Nationally Certified AEMTs or Paramedics may request return to active status at any time once they gain active affiliation with an ALS service.
A request to return to active status must be accompanied by a completed Inactive to Active Registration form which may be downloaded here.
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, you must complete an entire state-approved course and complete the cognitive and psychomotor examinations.