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Licensure Forms and Applications
These forms are NOT TO BE USED by EMTs or Advanced EMTs. Please contact your Local EMS Agency for further information.
- Initial Licensure Application [PDF]
- Change of Address Form [PDF]
- Renewal Form [PDF]
- Out of State Application [PDF]
- Out of State Verification Form [PDF]
- Lapsed License Reinstatement Form [PDF]
- Duplicate (Lost, Destroyed, etc.) Card Request [PDF]
- Instructions for Live Scan Fingerprint Application Request with form [PDF]
- Live Scan Fingerprint Application Request Form (Paramedics ONLY)
- Instructions for Completing Fingerprint Cards [PDF]
- Form IS-01 (Statement of Citizenship, Alienage, and Immigration Status for State Paramedic License Application) [PDF]
If you have any questions please send them in an e-mail to paramedic@emsa.ca.gov