Get Ca Emsa Ar-01 2024-2026

The CA EMSA AR-01 form is vital for the renewal of your paramedic license in California. This guide will provide you with clear, step-by-step instructions on completing this form online, ensuring that you meet all necessary requirements and submit your application successfully.

Follow the steps to complete the CA EMSA AR-01 form online.

1. Select the ‘Get Form’ button to access the CA EMSA AR-01 form and open it for editing.
2. Enter your personal information clearly. Begin with your last name, first name, and middle initial. Provide your date of birth in the format MM/DD/YYYY.
3. Fill in your paramedic license number and the effective date of your license.
4. Provide the last four digits of your Social Security number or Tax Identification number.
5. Complete your residential address, including street, city, state, and zip code. Include your home and cell phone numbers.
6. If your mailing address is different from your residential address, provide the necessary details for the mailing address.
7. Enter your employer information, if known. This includes the employer's name, address, state, zip code, and phone number.
8. Answer the questionnaire truthfully by selecting 'Yes' or 'No' for each question regarding criminal convictions or investigations of your healthcare certification.
9. If applicable, attach a detailed statement for any 'Yes' responses in the questionnaire, explaining the circumstances.
10. Sign and date the application, certifying the truthfulness of your information.
11. Compile all required continuing education certificates and application documents. Ensure the CE certificates are from approved providers.
12. Include the non-refundable fee of $250, which can be paid via check or credit card. Complete the credit card authorization form if applicable.
13. Once all fields are completed and documents are prepared, save your changes, and print or share the completed form as needed.

Complete and submit your CA EMSA AR-01 form online today to ensure timely renewal of your paramedic license.