Forms and Publications

Forms & Publications

All forms and publications are in PDF format unless otherwise noted. To preview and download the PDF forms, you will need Adobe Acrobat Reader. If you do not have this program, it can be downloaded from the Adobe website.

Initial Education

List of Initial and CE Education Program Sponsors (Revised: 10/2018)
 

Licensing 

All applications for EMS licensure, renewal, and relicensure must be completed on the Michigan EMS eLicensing Portal at: https://www.mi-emsis.org/licensure/.
 
  • The following licensing forms are included within the online applications, however, they are being made available here for quick reference should you need to access them outside of the eLicensing portal.
 

Criminal Conviction History Form (Complete and submit with initial licensure application, renewal application, or self-reporting at any time; if applicable)

EMS-252 (Revision: 03/06/19)

Fee Exemption Request Form for Volunteers
 
EMS-144 (Revision: 6/2017)
Instructor Coordinator Field Experience Verification Form
 
EMS-253 (Revision: 6/2017)
Out of State Verification Form (Complete and submit with Reciprocity Application)

EMS-250 (Revision: 03/06/19)

Verification of Education Form (For MFR and EMT National Registry and Reciprocity Applicants whose Education does not Meet Michigan Requirements) EMS-254  (Revision: 03/06/19)

Continuing Education (CE)

List of Initial and CE Education Program Sponsors Revised: 10/2018
Personnel (MFR, EMT, EMT-Specialist (AEMT), & Paramedic) CE Record Form

 BETP-EMS-127 (Revision: 7/11/19)

Instructor-Coordinator CE Record Form EMS IC CE Record Form (7/26/17)
Pre-Approved Standardized CE Credits

 

Click Here

 

 

Approved Online CE Vendors for Michigan Providers                                 Click Here