51a form online 2026

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4.9 out of 5

29 votes

The document provides application instructions for EMT-Basic certification in Massachusetts for individuals licensed or certified in other states. It outlines eligibility requirements, necessary documentation, examination scheduling, and application submission details, including a $150 fee. The form is intended for those seeking certification based on out-of-state training or equivalent training, and emphasizes the importance of accurate information and compliance with state regulations.

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Click ‘Get Form’ to open the 51a form in the editor.
Begin by filling in your personal information, including your first name, middle initial, last name, mailing address, city, state, date of birth, and daytime telephone number. Ensure all details are accurate and legible.
Indicate whether you currently hold a state license or certification as an EMT-Basic by selecting 'YES' or 'NO'.
Attach any required documentation such as your current EMT card and BLS-CPR card. Use the upload feature in our editor for convenience.
Review all sections for completeness. Make sure to sign and date the application at the end to confirm that all information is correct.
Once completed, download the form and mail it along with your payment to the specified address provided in the instructions.

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Versions	Form popularity	Fillable & printable
2003	4.9 Satisfied (29 Votes)

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