Individual Licensure Information
- EMSP License Requirements - Please read this document before filling out the application.
- EMS Individual Licensure Application - Complete the application and if you are a first issue, you must complete the Criminal History Information Release Form. It is not necessary to fill out the criminal history if you have already been licensed.
- EMS Individual Online Renewal - The online renewal capability is not currently active. 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.
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: August 28, 2014