Part 3 Certification Process
Application Review
Both the National Registry and your education program review your application. Our system checks for completeness and verifies your education details. If there’s an error or missing information, it’s flagged for manual review. We’ll notify you of any issues through your Candidate Dashboard and/or by email.
Deadlines

Here are the important deadlines you should be aware of:
Initial Course
Initial courses are valid for two years from the month and year of course completion.- A course completed anytime during January 2024 would be valid until January 31, 2026.
ATT
An Authorization to Test (ATT) is valid for 90 days.- An ATT is only issued once an application is marked complete, which includes National Registry reviews, program reviews, and payment completion.
- An ATT purchased within 90 days of the course expiration date will expire at the end of the month of the course’s expiration date.
- ATT extensions are only granted if the reason qualifies as a covered circumstance indicated in the ATT Expiration Policy.
Application Fees
The Paramedic application fee is $175.
- The fee is charged for each examination attempt
- The application fee can be refunded within the National Registry Refund Policy criteria
We offer refunds within 90 days of payment, for the following reasons:
- Completion of incorrect application
- Candidate no longer wishes to seek National Registry certification
- Certified EMS practitioner decided not to recertify by examination
You can read the policies and procedures related to payment and refund at: nremt.org/Policies/General-Policies/Payment-Policies
FAQ: What are the application statuses and what do they indicate?Below are various application statuses you will see on your online National Registry account.
Let’s Continue: New Application/attempt has been created
Waiting on Attempt/Results: Examination scheduled
Ready to Review Results: Examination results received
Certification Issued: Fully certified
Certification Pending Requirement: Examination passed, skills competency pending
Your attempt at earning National Registry certification was unsuccessful: Failed, incomplete, or no show; examination attempts remain
Application completed, unsuccessful requirement. Please start a new application: Unsuccessful attempt
Expired: Eligibility requirements have expired
Attempt Completed/ATT Expired: ATT expired, start new attempt
How to Check on Your Application and Examination Results
To get information about your application and its status, check your account. All updates to your account appear on the Candidate Dashboard. Check your account for updates related to:
- Application payments
- Application status
- Authorization to Test (ATT)
- Eligibility status (if applicable)
- Examination results
Gaining Certification

Once you have earned your certification, you can get your card and wall certificate. We will mail you a packet when your account updates with full certification. We use first class mail with the United States Postal Service, and packets can take up to 30 days for delivery. The packet will have a letter with a copy of your National Registry card attached, a wall certificate, and a Paramedic patch.
If you do not receive your packet after 30 days, email support@nremt.org. You will need to verify your current address, registry number, and first and last name.
You also have the option of printing your card and certificate from your account on the My Certification page. Here is how to print your card/certificate:
- Login to your National Registry account
- Select “My Certification” from the drop-down menu
- On the left-hand side, select “View Account Records”
- Click the blue “Print Card” button or the blue “Print Certificate” button
Recertification
You need to recertify every two years. To recertify, you can submit continuing education credits or recertify by examination. To learn about the recertification requirements, go to this website: https://www.nremt.org/paramedic/recertification