National Registry of EMTs

How Do I Submit My Recertification Application?

National Registry of EMTs Recertification

On-Line Recertification (Preferred)

Processing time is generally within 24 hours of submission.


Step 1: Login To Your NREMT Account

From the homepage, log in to your account. If you do not already have a NREMT account with a username and password, create a New Account on the NREMT homepage. If you forgot your username or password, use the Password Recovery Page for assistance.

Login To My Account

Step 2: Update User Profile

When prompted, update your user profile information.

Verify we have your correct email and mailing address.


Step 3: Submit Electronic Recertification

Click on ‘Recertification' to

  • Enter your education, and
  • Submit your application

Keep all recertification supporting documentation for at least three years. The NREMT is required to conduct random audits of applications.


Step 4: Payment

Submit online payment with a credit card for your recertification.


Step 5: Print Your Card

After your education and skills are validated by your Training Officer and/or Medical Director, your application will be processed. Check your account and print your new National EMS Certification!

Alternate Paper Based Recertification

Important Information

We strongly encourage all Nationally Certified EMS personnel to create a NREMT account and electronically submit recertification applications. If you choose to submit a paper recertification application, the standard processing time is 6 weeks and there is an additional $5 process fee.


Step 1: Print a Paper Application


Step 2: Fill Out The Application

  • Fill out the application. Make sure the information provided is printed in black or blue ink and easily readable.
  • Sign the Form

Keep all recertification supporting documentation for at least three years. The NREMT is required to conduct random audits of applications.


Step 3: Obtain Signatures

  • Obtain the required signatures (Training Officer and/or Medical Director)

Step 4: Mail Form & Payment

  • Include your recertification fee AND the additional $5 paper processing fee
  • Mail the form and payment to:
    PO Box 29233
    Columbus, OH 43229
Allow 6 weeks for your renewal certification to be processed.

Detailed Recertification Requirements By Level

Use the links below to see the specific recertification requirements or learn more about each certification level.

Frequently Asked Recertification Questions

When I submit 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.
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.
What if I'm affiliated with the wrong agency?

Click on the agency that is listed in the top left hand corner of the screen, then select the correct agency.
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.
What if my agency is not listed?

Please contact your agency's training officer and ask them to set up an agency with the NREMT.
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).
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.
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 Commission on Accreditation for Pre-Hospital Continuing Education (CAPCE) (Formerly known as CECBEMS). 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.
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.
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.
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.
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 a random audit, you will need to provide documentation of hours taught (for example: letter from your training officer or program director).

Who can sign the skills portion of the recertification form?

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

For all other level: Your Physician Medical Director must sign the skills portion of the form.

If you are renewing in an 'In-Active' status, you are not required to provide verificatio of skills.

Do I need to be practicing in EMS to recertify?


Individuals who are not currently using their EMS skills, but who meet the education requirements may recertify as Inactive.

The NREMT requires all individuals applying for "Active Status"recertification to be 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.

How do I request Inactive status?

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 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.

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 Inactive to Active Request.
No fee is required to move from inactive to active status.
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.