Forms
Paramedic Forms (Applications, Credit Card Forms, etc.)
- AUDIT Renewal Paramedic Application Packet
- Change of Address Form [PDF]
- Course Log Sheet [PDF]
- Credit Card Authorization Form [PDF]
- Credit Card Authorization Form for Multiple Medics [PDF]
- Detailed Disclosure Form [PDF]
- Replacement Card Request [PDF]
- Initial In-State (California Graduates) Paramedic License Application Packet
- Initial Out-of-State Paramedic Application Packet
- Initial Challenge Paramedic Application Packet [Physicians, RN’s, Physician Assistants, and MICN’s ONLY]
- Instructions for Completing Fingerprint Cards [PDF]
- Lapsed License Reinstatement Lapsed Less Than One Year Application Packet
- Lapsed License Reinstatement Lapsed One Year or More Application Packet
- License Verification Request Form #VL01 [PDF]
- Live Scan Fingerprint Application Request form with instructions [Paramedics ONLY] [PDF]
- Local EMS Agency (LEMSA) Paramedic Accreditation Report Form
- Personal Information Update [PDF]
- Renewal Paramedic Application Packet