How to use or fill out nys doh ems with our platform
- Click ‘Get Form’ to open it in the editor.
- Begin by filling out the COURSE NUMBER, which is provided on your course approval slip. This number is essential for tracking your application.
- Indicate whether this application is for ORIGINAL CERTIFICATION or RECERTIFICATION by checking the appropriate box.
- If you have an EMS IDENTIFICATION NUMBER, enter it here. Ensure it has six digits; if not, add leading zeros.
- Enter your LAST NAME, FIRST NAME, and M.I. in capital letters. If your name has changed, check the box and provide your current name as it appears on your EMS card.
- Fill in your ADDRESS details accurately, ensuring to leave spaces between words and numbers.
- Provide your DATE OF BIRTH in MM/DD/YYYY format and the last four digits of your SOCIAL SECURITY number.
- Complete the SEX field with 'M' for male or 'F' for female and indicate if you are part of the teaching faculty.
- Lastly, read the affirmation statement carefully before signing and dating the application to confirm its accuracy.
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