The Recertification by Examination (RBE) option allows you to demonstrate cognitive competency without having to obtain and document continuing education. 

RBE option is available beginning April 1 (EMR is October 1), up to one year before your current expiration date. You may attempt RBE only one time per recertification cycle. For RBE application dates, refer to the IMPORTANT DATES FOR EMT, AEMT, AND PARAMEDICS section, the EMR important dates follow that section. 

NEW: You can now test RBE one time before your current expiration date to satisfy an audit. You will need to successfully complete the exam before your expiration date. Refer to the “Audits” Section for more information on the Recertification by Examination in lieu of submitting proof of education. 

If you are not testing to satisfy an audit and are unsuccessful at the RBE attempt, you can recertify by continuing education. You will need to complete all continuing education by your expiration date for your expiration year and submit a completed recertification application. 

NOTE: All recertification fees are nonrefundable (This includes Recertification by Examination fees). 

+ Log in to your account on the National Registry website: • Select the “My Certification” role. 

• Click the “Recert by Exam” tab and then “Create Application.” 
• Complete the application and submit your application. 
• Apply payment. 

+ To locate your Authorization to Test (ATT): 

• Select the “Recert by Exam” tab and “App Status/Results.” 
• Follow the directions on the letter to schedule your examination with Pearson VUE. 

+ Take and pass the examination by the expiration date of your expiration year: 

• After passing, print your Cognitive Competency by Exam form. 
• This form can be found under the “Recert by Exam” tab, App Status/Results. 
• Email the completed form to the National Registry for processing at support@nremt.org. 

NOTE: The ATT should post within 24 to 48 hours (about two business days), the applicant will need to log into their account and check to see if the ATT letter has been posted to your account. If not, contact Registry’s Customer Experience team for help via email at support@nremt.org or call 614-888-4484 during business hours.