Forms and Publications

Forms & Publications

NOTE: To preview and download PDF forms, you will need Adobe Acrobat Reader

Instructions for Adobe Fillable Forms (09/2019)

Initial Education

List of Initial and CE Education Program Sponsors  (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/lms/public/ 
 
  • 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 (03/2019)

Fee Exemption Request Form for Volunteers
 
EMS-144 (06/2017)
Instructor Coordinator Field Experience Verification Form
 
EMS-253 (06/2017)
Out of State Verification Form (Complete and submit with Reciprocity Application)

EMS-250 (11/2021)

Continuing Education (CE)

List of Initial and CE Education Program Sponsors *CLICK here*
Provider (MFR, EMT, EMT-Specialist (AEMT), & Paramedic) CE Record Form

 BETP-EMS-127 (05/2020)

Instructor-Coordinator CE Record Form  IC CE Record Form    (01/2020)
Pre-Approved Standardized CE Credits

 

*CLICK Here*