Please browse these categories to locate your application or form. Some forms are in PDF format only, others can be completed online.  

Please see Ambulance Licensing for all ambulance forms.   

On this page:   

• EMT and EMT Candidate
• College Use Only
• EMS Award Nomination
• Prehospital Care Paper Forms
• Trauma Forms

Forms for EMTs and EMT Candidates

• Finger Print Form
• Forgot/Lost Pin Request
• Reciprocity Request
• Individual Reportable Action E-4 (pdf)
• Agency Reportable Action E-4 (pdf)
• Probationary Quarterly Report (pdf)
• Duplicate License Application (pdf)
• Re-exam Application (pdf)

College Use Only

• Application to Conduct Course (pdf)
• Course completion Roster (pdf)
• Add on Exam Roster (pdf)  - April 1st,  2010  
• Instructions for Submitting EMT Course Paperwork (pdf) - July 14th,  2010
• Fingerprint Card Information (pdf)  - July 14th,  2010  

EMS Award Nominations 

• EMS Awards Nomination Form Only (pdf)
• EMS Awards Nomination Process and Form (pdf) 

Ordering Prehospital Care Paper Forms 

• PreHospital Care Report Order Form (pdf)
• Instructions for PreHospital Care Report Order Form (pdf)

Trauma Forms

•  Update hospital contact information
• Order trauma flow sheets 
• Order trauma bands

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