EMT Re-Cert Application
The CAL FIRE EMS Program has begun to issue
Emergency Medical Technician Re-Certification cards. Through the EMS
Program, CAL FIRE employees shall recertify every
two years. Seasonal Firefighters are eligible only when employed,
but can recertify up to six months early while still working and
maintain the same expiration date.
Below is a list for the 1)
EMT Application and instructions, 2) Skills Competency Verification
form and instructions, 3) Continuing Education Log, 4) Live Scan
instructions, form, and fingerprint locations.
The Live Scan form
is partially filled out so that all one needs to complete is the
applicant section. The sections that are complete pertain to the
billing for the EMS Program. Include this form with your EMT re-cert
package. You will only need to have Live Scan performed one time
with the initial package. Please see the list of those agencies that
perform the fingerprinting. Be aware of the costs associated with
the fingerprinting. The only fee one needs to pay at the
time of fingerprinting is the listed price not the Department of
Justice fee. That will be paid by the EMS Program.
Continuing Education (CE) form must be filled out completely
including all CE through Target Solutions. You may include the list
from Target Solutions.
The Skills Competency Verification form
shall be signed by a Firefighter II or above. The person signing
needs to be an EMT.
Lastly, the EMT application needs to be
complete. The CAL FIRE EMS Program will not accept applications for
EMTs who have never applied through a Local Emergency Medical
Services Agency (LEMSA). If a CAL FIRE employee is receiving an EMT
certification for the first time, go to the LEMSA.
The CAL FIRE
EMS Program requires six weeks to process the application. Please
send your completed package to the EMS Coordinator for submission to
the EMS Program. Example: If your card expires at the end of March,
you will need to have the complete package to the EMS Coordinator by
1) – APPLICATION TYPE: Because this is a new program at CAL FIRE,
the application will need to have “Initial“checked and most likely
one will check the “Continuing Education” box.
• (Section 2) –
ATTACHMENTS: The applicant shall attach all pertinent information,
with the exception of “Course Completion Record” and “National
Registry.” Include copies of those cards that are required.
(Section 3) – CENTRAL REGISTRY INFORMATION: Follow instructions.
• (Section 4) – DECLARATION: Follow instructions and include an
explanation for any actions taken against your EMT certification.
This explanation needs to be on a separate document but included
with your application. Be sure to sign and date the document.
If you have questions, please contact the EMS
Rob Jenkins (EMS1).
When you have
completed your packet turn all documents in to Training at:
Below are the required forms and
instructions required for recertification.
Live Scan Provider List (1-21-2014)
Other Live Scan Locations
2017 Complete EMT Application Packet