Get Application For Testing And A New Maine Ems License I ... - Maine.gov - Maine

Filling out the Application for Testing and a New Maine EMS License is a crucial step for those seeking to become licensed EMS providers in Maine. This guide provides a clear and comprehensive overview of each section of the application, ensuring you complete it accurately and efficiently.

Follow the steps to complete your application successfully.

1. Begin by clicking the ‘Get Form’ button to access the application form. Ensure that you have a reliable internet connection to prevent any interruptions while filling it out.
2. In the first section, enter your full name, including any maiden names or other known names, if applicable. This is essential for identification purposes.
3. Provide your personal mailing address, including city, state, and zip code. Indicate your preferred contact number by checking the corresponding box next to your home, work, or cell phone number.
4. Fill in your personal email address for further communication regarding your application.
5. If you wish for your personal address and contact information to be considered public records, check the designated box. Otherwise, you will need to provide public record contact information.
6. Complete your date of birth and indicate your sex, ensuring all fields are filled accurately.
7. Enter your social security number. Note that this is mandatory for processing your application and will be treated as confidential.
8. Indicate whether you currently hold or have previously held a Maine EMS license. If yes, provide the license number, type, and expiration date.
9. Specify the type of license for which you are applying and any relevant training courses completed. If applicable, note that you may need to attach additional documentation for refresher courses or continuing education.
10. Fill out your National Registry of EMT (NREMT) certification number. This is a crucial requirement for processing your application.
11. Complete the history of convictions, civil drug violations, and any pending charges. Be thorough in providing all requested information to avoid delays.
12. If you are between 16 and 17 years old, ensure that a parent or legal guardian completes and signs the parental consent section.
13. Verify that you have signed the certification statement, confirming that all information is accurate and complete to the best of your knowledge.
14. Prepare your application fee of $21.00 for the criminal background check, checking off your preferred method of payment.
15. Review your completed application against the Maine EMS application checklist to ensure every required section is filled out correctly.
16. Once all steps are complete, save your changes, download, print, or share the application as needed. Finally, mail the signed application to the Maine EMS address provided.

Start your application process online today to secure your new Maine EMS license.