Get Ems-app-500 - State Of Michigan - Michigan

Filling out the EMS-APP-500 form is a crucial step for individuals seeking licensure for emergency medical services in Michigan. This guide aims to assist you in correctly completing the form to ensure a smooth application process.

Follow the steps to successfully complete your application.

1. Click 'Get Form' button to obtain the form and open it in the appropriate application.
2. Select the desired level of licensure you are applying for. Options include Medical First Responder, Emergency Medical Technician, Specialist-AEMT, or Paramedic. Mark the corresponding checkbox and ensure you submit the correct fee for your selected level.
3. Provide your personal identifying information. This includes your first name, middle name, last name, date of birth, social security number, address, and email address.
4. Enter the name of the Michigan education program sponsor where you completed your training, along with the date of course completion.
5. If applicable, answer the questions regarding any felony or misdemeanor convictions and complete the Criminal Conviction History Form (EMS-252) if the answer is 'yes'.
6. For those applying for Specialist-AEMT or Paramedic licensure, ensure that you have passed the required EMT written and practical examinations before proceeding.
7. Review your application thoroughly, ensuring all fields are completed accurately. Sign and date the application before submitting.
8. Once your application is complete, save any changes, download, print, or share the final document as needed.

Complete your EMS-APP-500 application online today to expedite your licensing process.