Individual Licensure Information
- EMSP License Renewal Requirements - Please read this document before filling out the application.
- EMS Individual Licensure Application - Complete all three pages if you are a first issue. It is not necessary to fill out the criminal history if you have already been licensed.
- EMS Individual Licensure Reprint Application - If you need a license reprinted, photo identification licenses will be reprinted for $10.
- EMS Individual Online Renewal - The online renewal capability is no longer active for the 2013 license renewal cycle. Please remember that all online renewal transactions are subject to a $2 annual fee for using this method of renewal. Individuals chosen for audit are required to fax requested documentation to (334) 206-0364 within 72 hours of the request.
Provider Licensure Information
- Provider Application - All plans and proof of liability insurance must accompany the application.
Online EMS Provider Licensure Application - The electronic renewal process is now active.
Provider Electronic Patient Care Report Agreement - Please make sure you submit this agreement with your application.
EMS Web Management Form - Please make sure you submit this form with your application.
EMS Provider Licensure Application - This form is fillable and should be typewritten, not handwritten.
Bio-Hazardous Waste Plan Checklist
Controlled Substance Plan Checklist
EMD Plan Checklist
I.V. Fluid/Drug Plan Checklist
Last Updated: October 17, 2013