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Get LA Student Disclosure Form

EMT certification, reinstatement, or the right to practice as an EMS student, you must complete and submit the attached Disclosure Form. You must answer each question truthfully and completely. Failure to disclose or correctly answer these questions constitutes falsification of documents and may result in denial or delay of certification. For purposes of this disclosure, a pardon, suspension of sentence, expungement, or pretrial diversion or similar program shall not negate or diminish the requi.

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