Emergency Medical Services Emergency Management State Fire Marshal - dps sd 2026

1. Click ‘Get Form’ to open the Emergency Medical Technician-Basic Reciprocity Application in the editor.
2. Begin with Section 1 – General Information. Fill in your Last Name, First Name, Middle Initial, Mailing Address, and contact numbers. Ensure your Social Security Number and Date of Birth are accurate.
3. Proceed to Section 2 – Education and Training Information. Indicate your highest level of education completed and provide your National Registry Number along with any out-of-state certification details.
4. In Section 3 – Certification, Disciplinary Information, answer the questions regarding any past disciplinary actions or certifications in other states. If applicable, provide additional details about any offenses.
5. Move to Section 4 – Request for Reciprocity. Select the reason for your request and indicate if you will be employed as an EMT upon approval.
6. Finally, complete Section 5 by signing and dating the application to affirm that all information is true and correct.

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