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Get RI Application for License as an Emergency Medical Technician 2015

level of EMT Licensure you are applying for (check one): EMT EMT-Cardiac (EMT-C) Paramedic Applicant - Print Name (First/MI/Last) *Do Not Hand Deliver - Application Must Be Mailed* FOR DEPARTMENT OF HEALTH USE ONLY Approved Denied EMT#____________________________ Phone: (401) 222-2401 Date_______________________ By____________________________ Expiration Date:__________________________________ TTY/TDD: (800) 745-5555 Fax: (401) 222-3352 Revised 01/30/2015 jcp GENERAL INFORMATION 1.

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