- Successful completion of a state-approved Emergency Medical Responder (EMR) course that meets or exceeds the National Emergency Medical Services Education Standards for the EMR.
- Candidates must have completed the course within the past two (2) years, and the course Program Director must verify successful course on the National Registry website.
- Successful completion of the National Registry EMR certification examination and a State EMS Office approved BLS skills competency requirement.
- Passed portions of the certification examination and skills competency verification remain valid for twenty-four (24) months provided all other eligibility requirements are met.
- Some states may 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
To apply for a National Registry examination:
- Create your account/log in to your profile.
- Select the EMR Initial Application. Verify/update any personal information and follow the prompts through the application.
- Pay the application fee.
- Monitor the progress of your application from your Candidate Dashboard in case additional action is needed. Once the National Registry approves your application and your “Examination” tile contains the message “Authorization to Test (ATT) received,” you can view your ATT letter and schedule your examination.
Related Policies
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.
![]() | If you successfully complete the national certification process between:
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![]() | Your initial certification date will be September 30: |