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Forms and Publications

Forms & Publications

NOTE: To preview and download PDF forms, you will need Adobe Acrobat Reader. View here:  Instructions for Adobe Fillable Forms (09/2019)

 

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)
  • IC Remote-Proctored Exam Instructions CLICK HERE (12/2024)
  • Instructor Coordinator Field Experience Verification Form EMS-253 (06/2017)
  • Out of State Verification Form (Complete and submit with Reciprocity Application) EMS-250 (01/2022)

 

CONTINUING EDUCATION (CE)

  • List of Initial and CE Education Program Sponsors  CLICK HERE (1.2022)
  • CE Record Form (MFR/EMT/AEMT/Paramedic)  CLICK HERE (1.2022)
  • Instructor-Coordinator CE Record Form  CLICK HERE (11.2022)
  • Continuing Education Offered by the Department  CLICK HERE  (1.2022)
  • COVID19 Continuing Education Template (CEs for EMS Providers Working During the COVID19 Pandemic) CLICK HERE  (12.2022)