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Click ‘Get Form’ to open the EMT RECERTIFICATION APPLICATION in our platform's editor.
Begin by filling out your personal information. Enter your legal name, Social Security Number, address, birth date, and contact details in the designated fields.
Indicate your current employment status as an EMT by checking 'Yes' or 'No'. If employed, provide your employer's name and contact information.
Review the recertification requirements section carefully. Ensure you have all necessary documents ready for submission, including copies of your California EMT Certification Card and BLS certification.
Complete the background disclosure section honestly. If applicable, attach a detailed written statement regarding any past criminal charges or certification issues.
Finally, certify that all information is accurate by signing and dating the application before submitting it along with the required fee.
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