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Disclosure Statement must be completed upon application to the Board for initial or renewal registration as a Minnesota First Responder. The information enables the Board to review your status in compliance with the personnel requirements of Minnesota Statutes 144E.27, subd. 5: The Board may deny, suspend, revoke, place conditions on, or refuse to renew the registration of an individual who the Board determines: (1) violates sections 144E.001 to 144E.33 or the rules adopted under those sect.

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How to fill out the Emsrb online

Filling out the Emsrb form is an essential step for individuals seeking registration as a Minnesota First Responder or certification as an Emergency Medical Technician. This guide provides a clear and supportive roadmap to ensure you complete the form accurately and effectively.

Follow the steps to successfully complete the Emsrb form online.

  1. Click ‘Get Form’ button to access the Emsrb form and open it in your preferred editor.
  2. Identify whether you are completing an initial or renewal application. Check the corresponding box for 'INITIAL APPLICATION' or 'RENEWAL APPLICATION'.
  3. Specify your role by checking the appropriate box: either 'FIRST RESPONDER', 'EMT-B', 'EMT-I', or 'EMT-P'.
  4. Provide your personal information. Enter your last name, first name, middle initial, street address, city, and zip code accurately in the designated fields.
  5. Fill in your phone number(s) using the provided format. Make sure to include any necessary area codes.
  6. Input your social security number and birthdate in the specified fields. Double-check for accuracy, as this information is sensitive.
  7. Respond to the three conviction questions by checking 'No' or 'Yes' for felony and misdemeanor questions. Ensure you provide details if you answer 'Yes' saying you haven't reported it to the Board.
  8. Affirm whether you have been found to have maltreated a vulnerable adult or child by checking the appropriate option.
  9. Sign the form and enter the date. Your signature confirms that all information provided is true and complete.
  10. Once all fields are completed, save any changes made to the document. You may then download, print, or share the completed form as necessary.

Complete your Emsrb application online today to ensure your important registration or certification process is prompt and efficient.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232