Doh 3312-2025

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The document is a verification form from the New York State Department of Health for membership in a New York State Emergency Medical Services (EMS) agency. It requires applicants to provide personal information, agency details, and affirm their membership status. The form must be completed and returned to the course sponsor before course completion, with signatures from both the applicant and an official representative of the EMS agency.

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Who issues NYS EMT certification?

To file a change of name: Please complete our online Name Change Form and attach supporting documentation. Once you are licensed, Education Law requires that you notify the Department of any change in your name within 30 days of the change. Failure to do so may be considered professional misconduct.

How long does NYS certification last?

Validity Period. The Permanent certificate is valid for life, unless revoked for cause by the New York State Education Department. NOTE: The Provisional certificate is valid for five years from its effective date.

How do I renew my EMT license in NY?

NY EMT Recertification The EMT National Continued Competency Program (NCCP) requires a total of 40 hours of continuing education to recertify. The model requires continuing education in three components: (1) a national component, (2) a local/state component, and (3) an individual component.

How long is the NREMT valid for?

Successful completion of the National Registry EMT cognitive (knowledge) examination and a state approved psychomotor (skills) examination. Passed portions of the cognitive and psychomotor examination remain valid for 24 months provided all other eligibility requirements are met.

How long does EMT certification last in NY?

A: Upon successfully passing the NYS exam, your certificate is valid for 36 months from the last day of the month that you passed your certification examination. There are circumstances, such as obtaining your certification through CME or reciprocity, that may be different on a case-by-case basis.

How long does NYS EMT certification last?

Providers are approved by the New York State Department of Health (NYSDOH). Once training is complete, a certificate is issued. The NYSDOH offers the following certifications; click on the link for more information: Learn about the certificate for a Certified First Responder (CFR)

Doh 3312-2025

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