Header Image

Licensure Information

Individual Licensure Information

  • First Issue EMSP License Requirements - Please read this document before filling out the application if you have never been licensed in Alabama.
  • EMSP License Renewal Requirements - Please read this document before filling out the renewal 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 now active for the 2014 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

Additional Licensure Information

Last Updated: March 28, 2014


Footer Image