If you have just completed or are currently enrolled in a full EMR education program, and you are applying for Nationally Registry EMR certification, you must meet the following requirements:
  • Successful completion of a state-approved Emergency Medical Responder (EMR) course that meets or exceeds the National Emergency Medical Services Education Standards for the Emergency Medical Responder.
    • Candidates must have completed the course within the past two years and the course Program Director must verify successful course  on the National Registry website.
  • Successful completion of the National Registry EMR cognitive (knowledge) examination and a state approved psychomotor (skills) examination.
    • Passed portions of the computer-based examination and skills competency verification exam remain valid for 24 months provided all other other eligibility requirements are met.
    • Some states integrate the EMR skills competency examination into the EMR course. Candidates should contact their State EMS Office or course instructor for guidance on their local skills competency examination requirements.

      State EMS Office Finder

Application Process

Follow these easy steps to apply for a National Registry examination:

  1. Create your account/log in to your profile.
  2. Create an application - Select the EMR level. Verify your personal information and make any necessary changes. Then, follow the prompts through the application process.
  3. Pay the application fee. Go to our complete payment policy page to learn more.

    Policy Page

  4. Monitor the progress of your application from your “Certification Application Status” in case additional actions are needed. Once the National Registry approves your application and your status is “Ready to Test,” you can view your ATT letter and contact Pearson Vue to schedule your examination.

Related Policies

Nationally Registered Emergency Medical Responders (EMRs) must notify the National Registry within 30 days
regarding the following matters:
  • Change in mailing address (the best way to update a mailing address is by editing the user profile page)
  • Disciplinary action taken by any state has resulted in suspension, revocation, or expiration of state
    registration/licensure; termination of right to practice; voluntary surrender of state registration/licensure while under investigation.
  • The National Registry considers the individual to be solely responsible for their certification.
The National Registry has disciplinary procedures, rights of appeal and due process within its policies. For complete details regarding the National Registry Disciplinary Policy and your Rights of Appeal, please refer to the link below.

Disciplinary Actions Policy

The National Registry complies with the Americans with Disabilities Act (ADA) of 1990 and offers reasonable accommodations for individuals with disabilities. Pearson VUE test centers are also ADA compliant. Complete information about the National Registry Accommodations Disability Policy can be found using the link below.

ADA Accommodations

Expiration Dates

Initial expiration dates are determined by the date the candidate successfully completes the entire national certification process (cognitive and psychomotor exams). EMR candidates completing the national certification process between the January 1 and June 30 will receive an expiration date of September 30 two years in the future. Individuals successfully completing the national certification process between July 1 and December 31 will receive an expiration date of September 30 three years in the future.

Initial Certification
If you successfully complete the national certification process between:
  • January 1-June 30
  • July 1-December 31
Initial Cycle
Your initial certification date will be September 30: