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EMT and Paramedic Credentialling Process

Effective January 1, 2008





EMT-I Initial Certification

The following requirements apply to all applicants who have never been certified as an EMT-I in California:

  1. Be eighteen (18) years of age or older.
  2. Provide a current photo ID (CA drivers license, CA ID card or passport).
  3. Provide an EMT-I course completion record from an approved EMT-I training program.
  4. Provide documentation of successful completion of the National Registry of Emergency Medical Technicians (NREMT) written exam within the past two (2) years.
  5. Provide a valid and current CPR card.
  6. Apply for certification within two (2) years of the date of course completion.
  7. Complete a Contra Costa County EMT-I Certification application (33k PDF, 1p.).
  8. Complete a Department of Justice Criminal Offender Record Information (CORI) background check form (76k PDF, 1p.). PRINT THREE (3) COPIES OF THE FORM and take them with you to your LiveScan appointment. LiveScan Form instructions (19k PDF, 1p.).
  9. Pay the established certification application fee (21k PDF, 1p.).

Upon completion of #1-9 above, and confirmation that the applicant is not precluded from certification for reasons defined in Section 1798.200 of the California Health and Safety Code, an individual shall be certified as an Emergency Medical Technician for a period of two (2) years from the last day of the month in which the certification process was completed. This certification is valid throughout the State of California.

Certification cards will be mailed to applicants following verification of documentation submitted with application.

Out-of-State/Expired EMT-I Certification

The following requirements apply to all applicants who have a valid and current National Registry EMT-I(B), EMT-II(Intermediate), Paramedic or out-of-state EMT-I certification:
  1. Be eighteen (18) years of age or older.
  2. Provide a current photo ID (CA drivers license, CA ID card or passport).
  3. Provide documentation of out-of-state or National Registry certification.
  4. Provide an EMT-I course completion record from an approved EMT-I training program.
  5. Provide documentation of successful completion of the National Registry of Emergency Medical Technicians (NREMT) written exam within the past two (2) years (if not currently certified by the National Registry.
  6. Provide a valid and current CPR card.
  7. Complete a Contra Costa County EMT-I Certification application (33k PDF, 1p.).
  8. Complete a Department of Justice Criminal Offender Record Information (CORI) background check form (76k PDF, 1p.), if not already completed through Contra Costa EMS. PRINT THREE (3) COPIES OF THE FORM and take them with you to your LiveScan appointment.LiveScan Form instructions (19k PDF, 1p.).
  9. Pay the established certification application fee (21k PDF, 1p.).

Upon completion of #1-9 above, and confirmation that the applicant is not precluded from certification for reasons defined in Section 1798.200 of the California Health and Safety Code, an individual shall be certified as an Emergency Medical Technician. The expiration date shall be the same date as stated on the out-of-state or National Registry certification. This certification is valid throughout the State of California.

Certification cards will be mailed to applicants following verification of documentation submitted with application.

Maintaining EMT-I Certification

To maintain certification, all candidates shall meet the following requirements and provide documentation to the EMS Agency:
  1. Possess a valid and current EMT-I certificate issued in California.
  2. Provide a valid and current CPR card.
  3. Successfully complete an approved EMT-I twenty four (24) hour refresher course within the two (2) year certification period.
    - OR -
    Provide documentation verifying completion of a minimum of twenty-four (24) hours of approved BLS continuing education within the two (2) year certification period.
  4. Submit a completed EMT Skills Verification Form/Instructions Form (EMSA-SCV 07/03) (16kb PDF, 2pp.)
  5. .
  6. Complete a Contra Costa County EMT-I Certification application (33k PDF, 1p.).
  7. Pay the established recertification application fee (21k PDF, 1p.).

Upon completion of #1-6 above, and confirmation that the applicant is not precluded from certification for reasons defined in Section 1798.200 of the California Health and Safety Code, an individual shall be recertified as an Emergency Medical Technician for a maximum of two (2) years from the last day of the month in which the certification requirements were completed. If the recertification requirements were met within six (6) months prior to the expiration date, the effective date of the certification shall be the expiration date of the current certification.

Certification cards will be mailed to applicants following verification of documentation submitted with application.

Recertification After Lapse In EMT-I Certification

All candidates for EMT-I recertification whose EMT-I or EMT-II certificate or Paramedic license has lapsed shall meet the following requirements:

For a lapse of less than six (6) months:
  1. Provide a copy of the expired certificate or license
  2. Successfully complete an approved EMT-I twenty four (24) hour refresher course within the prior two (2) year period.
    - OR -
    Provide documentation verifying completion of a minimum of twenty-four (24) hours of approved BLS continuing education within the prior two (2) year period.
  3. Provide a valid and current CPR card.
  4. Submit a completed EMT Skills Verification Form/Instructions Form (EMSA-SCV 07/03) (16kb PDF, 2pp.)
  5. .
  6. Complete a Contra Costa County EMT-I certification application (33k PDF, 1p.).
  7. Complete a Department of Justice Criminal Offender Record Information (CORI) background check form (76k PDF, 1p.), if not already completed through Contra Costa EMS. PRINT THREE (3) COPIES OF THE FORM and take them with you to your LiveScan appointment. LiveScan Form instructions (19k PDF, 1p.).
  8. Pay the established recertification application fee (21k PDF, 1p.).
For a lapse of six (6) months or more, but less than twelve (12) months:
  1. Provide a copy of the expired certificate or license
  2. Successfully complete an approved EMT-I twenty four (24) hour refresher course within the prior two (2) year period.
    - OR -
    Provide documentation verifying completion of a minimum of twenty-four (24) hours of approved BLS continuing education within the prior two (2) year period.
  3. Provide documentation of an additional twelve (12) hours of continuing education for a total of thirty six (36) hours.
  4. Provide a valid and current CPR card.
  5. Submit a completed EMT Skills Verification Form/Instructions Form (EMSA-SCV 07/03) (16kb PDF, 2pp.)
  6. .
  7. Complete a Contra Costa County EMT-I certification application (33k PDF, 1p.).
  8. Complete a Department of Justice Criminal Offender Record Information (CORI) background check form (76k PDF, 1p.), if not already completed through Contra Costa EMS. PRINT THREE (3) COPIES OF THE FORM and take them with you to your LiveScan appointment. LiveScan Form instructions (19k PDF, 1p.).
  9. Pay the established recertification application fee (21k PDF, 1p.).
For a lapse of twelve (12) months or more, but less than twenty four (24) months:
  1. Provide a copy of the expired certificate or license
  2. Successfully complete an approved EMT-I twenty four (24) hour refresher course within the prior two (2) year period.
  3. Provide documentation of an additional twenty four (24) hours of continuing education for a total forty eight (48) hours.
  4. Provide documentation of successful completion of the National Registry of Emergency Medical Technicians (NREMT) written exam within the past two (2) years.
  5. Provide a valid and current CPR card.
  6. Submit a completed EMT Skills Verification Form/Instructions Form (EMSA-SCV 07/03) (16kb PDF, 2pp.)
  7. .
  8. Complete a Contra Costa County EMT-I certification application (33k PDF, 1p.).
  9. Complete a Department of Justice Criminal Offender Record Information (CORI) background check form (76k PDF, 1p.), if not already completed through Contra Costa EMS. PRINT THREE (3) COPIES OF THE FORM and take them with you to your LiveScan appointment. LiveScan Form instructions (19k PDF, 1p.).
  10. Pay the established recertification application fee (21k PDF, 1p.).
For a lapse of twenty four (24) months or more, complete an entire EMT-I basic course.

Upon completion of the appropriate requirements listed above, and confirmation that the applicant is not precluded from certification for reasons defined in Section 1798.200 of the California Health and Safety Code, an individual shall be recertified as an Emergency Medical Technician for a maximum of two (2) years from the last day of the month in which the certification requirements were completed.

Certification cards will be mailed to applicants following verification of documentation submitted with application.



Paramedic Accreditation

All candidates for paramedic accreditation in Contra Costa County shall meet the following accreditation requirements:

  1. Possess a current California paramedic license.
  2. Be employed as a paramedic with a designated ALS service provider or the EMS Agency.
  3. Attend a Contra Costa EMS Orientation provided by the provider agency and approved by the EMS Agency or provided by the EMS Agency.
  4. Successfully complete the Contra Costa County EMS Optional Scope Skills Session provided by the provider agency.
  5. Complete a Paramedic Accreditation Application, (33k PDF, 1p.) form, available online or at the provider agency or the EMS Agency.
  6. Pay the established accreditation application fee (21k PDF, 1p.).

Maintaining Accreditation

Accreditation to practive shall be continuous as long as:

  1. State licensure is maintained,
  2. Employment as a paramedic with a designated Contra Costa ALS service provider or the EMS Agency is maintained,
  3. A current and valid ACLS card, according to the standards of the American Heart Association, is maintained,
  4. Verification of skills competency (24k PDF, 2pp.) is completed every two years, and,
  5. Complete a Paramedic Re-Accreditation Application, (27k PDF, 1p.) form, available online or at the provider agency or the EMS Agency.
  6. Any other local requirements are met.
Documentation that the above requirements to maintain accreditation have been met must be submitted with an application prior to expiration of the paramedic's license.


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