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Texas ems form 2026

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The document is an Emergency Medical Services Provider License Declaration Form for Texas, revised on 09/07/2017. It outlines the application process for initial or renewal licenses, requiring detailed information about the legal entity, its management, vehicle authorizations, service areas, and compliance with state regulations. The form includes sections for various attestations regarding operational capabilities, medical equipment, insurance requirements, and personnel qualifications. It emphasizes the importance of accuracy in the information provided and includes a signature section for authorized representatives.

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Click ‘Get Form’ to open the Texas EMS Provider License Declaration Form in the editor.
Begin by entering the Legal Entity Name at the top of the form. This is essential for identification.
Select whether this is an Initial Application, Renewal Application, or Other by checking the appropriate box.
Fill in your DSHS License Number if applicable, and provide your Federal Employer Identification Number and National Provider Identifier Number.
Complete Sections 1 through 8 with details about your organization, including names of key personnel and their contact information.
In Section 9, list vehicle authorizations requested. Be specific about the types of vehicles you are applying for.
Continue filling out Sections 10 through 15, ensuring all required attestations and signatures are completed accurately.

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2018	4.9 Satisfied (52 Votes)
2017	4.3 Satisfied (48 Votes)

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Can a foreigner become a paramedic in the US?

Citizens and nationals of the United States who meet all eligibility requirements may receive paramedic licensure and must fill out Sections A and D. Aliens who meet all eligibility requirements may also receive paramedic licensure and must complete SECTIONS A, B or C, and D of this form.

How to get Texas paramedic reciprocity?

Requirements Must be at least 18 years old and have a high school diploma or GED. Must either have a current Out of State certification or current National Registry certification. Submit an online reciprocity application and pay the non-refundable application fee.

Can a Canadian paramedic work in the USA?

Paramedic licensure in the US is state based. Generally paramedics with foreign credentials must pass the appropriate National Registry of Emergency Medical Technicians exam as a first step, followed by any applicable state requirements.

Can a Canadian paramedic work in Texas?

An out-of-state certified emergency medical services (EMS) person may apply for Texas certification by reciprocity.

What are the levels of EMS in Texas?

Texas has five levels of certification. The highest is Licensed Paramedic, followed by EMT Paramedic, Advanced EMT, EMT Basic, and Emergency Care Attendant (ECA).

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How often do EMS personnel have to take and pass a jurisprudence examination?

Recertification requirements All newly certified applicants and re-certification applicants are required to take a state approved jurisprudence exam each time a certification is up for renewal.

How to get Texas EMS certification?

Requirements You must be at least 18 years old. Have a high school diploma or GED certificate. Successfully complete a DSHS approved EMS training course. Submit a completed EMS Personnel Certification application and fee. Pass the National Registry exam. Submit fingerprints for Texas/FBI criminal history check.

Texas ems form 2026

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Can a foreigner become a paramedic in the US?

How to get Texas paramedic reciprocity?

Can a Canadian paramedic work in the USA?

Can a Canadian paramedic work in Texas?

What are the levels of EMS in Texas?

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How often do EMS personnel have to take and pass a jurisprudence examination?

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