EMS Provider Certification

Applications and Forms

The following PDF forms are required for completing the application process. Please download and print forms.

All EMS certifications require proof of EMS agency affiliation – active membership, paid or volunteer with a licensed aid or ambulance service.

If you are applying for paramedic certification and have completed training after June 30, 1996, you must have completed a program accredited by the Commission on Accreditation of Allied Health Education Program (CAAHEP) at the time of graduation. Submit a copy of your course completion certificate, letter, or official or certified transcripts from the paramedic training program. Accredited programs may be found on their website.

Initial certification – Applying for certification for the first time including upgrade, reciprocity, challenge and reversion
Expired reactivation – reissuance of an expired certification
Recertification – renewal of certification
EMS authorized skills and procedures
Additional forms

Out-of-state credential verification (PDF)

EMS supervisor/medical program director signature (PDF)

Personal status change (PDF) – agency and address changes. You may also use EMS certification online to make your changes.

EMS supervisor change (PDF) – change, add or update an agency supervisor

Please return all applications to:

Department of Health
Customer Service Office
P.O. Box 47877
Olympia, WA 98504-7877

Call our Customer Service Office at 360-236-4700 if you have questions about Emergency Medical Services (EMS) certification.