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EMS License Renewal Application

EMS License Renewal Application

  • If you have already submitted your on-line license application and now need to submit additional documentation – Please do not submit another on-line application. Please email the required document(s) directly to EMSlicensing@dos.nh.gov and reference “Missing Parts” in the subject line of the email – Thank You!. Instructions To be able to re-license online you must supply the LIN number that you received in a mailing from the Division and supply a scanned copy of your National Registry Card. Note: You must complete the Protocol Exam prior to submitting your application for licensure. * = Required Field
  • To be a licensed EMS provider in the State of New Hampshire you must be affliated with one licensed EMS unit. If you wish to add an affliation please have the service you wish to add contact the Division. If you wish to remove a service from your license please fill out the change of affliation form and submit it to the Division.
  • To be relicensed you must provide documentation that you have reregistered with the National Registry. In the field below please upload a scanned copy of your current registry card or a scanned copy of the national registry website stating you have reregistered.
  • AFFIRMATION STATEMENT

  • I swear or affirm that the information provided is accurate to the best of my knowledge and belief. I have never been convicted of or found guilty of an offense pursuant to RSA 153-A:13, I (h). I believe that I am in full compliance with RSA 153-A and the rules adopted thereunder. I understand that providing false information is grounds for denial, suspension or revocation of license.