Get Emt Application - Rhode Island Department Of Health - Ri.gov - Health State Ri

This guide provides comprehensive instructions on completing the EMT Application form necessary for licensure with the Rhode Island Department of Health. Whether you are a first-time applicant or an experienced individual seeking licensure, this step-by-step guide will assist you in navigating the process with ease.

Follow the steps to successfully complete your EMT application.

1. Press the ‘Get Form’ button to retrieve the application and open it in an editor for completion.
2. Begin by selecting the specific level of EMT licensure for which you are applying. Mark the appropriate box indicating either EMT, EMT-Cardiac (EMT-C), or Paramedic.
3. Provide your full name as the applicant, including first name, middle initial, last name, and any applicable suffixes. Make sure this matches official identification.
4. Enter your Social Security number, which is mandatory information required for processing your application.
5. Select your gender from the provided options, ensuring that you understand the relevance of this information for the licensing process.
6. Fill in your date of birth, confirming that it is accurately represented in the format requested (month, day, year).
7. Complete the home address section with your correct residential information, ensuring to include all necessary details such as apartment number and city.
8. If you have previously been licensed as an EMT in Rhode Island, answer the applicable questions regarding prior licensure.
9. Document your EMT training program details, including the course approval number, instructor-coordinator's name, and the sponsoring agency.
10. Follow up by completing the criminal convictions section, honestly disclosing any relevant information and providing necessary documentation.
11. After completing all sections, review your application for accuracy and completeness. Remember to sign the application and include the required fees.
12. Finally, attach any necessary documents as required, such as a Bureau of Criminal Identification report, CPR card, and any other documentation specific to your application type.
13. Mail the completed application to the provided address, ensuring that it is not hand-delivered and that all pages are included.

Start completing your EMT application online today to ensure you meet all requirements for licensure.