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Licensure Information

Individual Licensure Information

  • EMSP License Requirements - Please read this document before filling out the application.
  • EMS Individual Licensure Application - Complete the application and if you are a first issue, you must complete the Criminal History Information Release Form. It is not necessary to fill out the criminal history if you have already been licensed.
  • EMS Individual Online Renewal - The online renewal capability is not currently active. 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. 
EMS Provider Licensure Application - This form is fillable and should be typewritten, not handwritten. 

  • The following plans are required to be included with your EMS Provider licensure application.

Bio-Hazardous Waste Plan Checklist
Controlled Substance Plan Checklist
I.V. Fluid/Drug Plan Checklist

Last Updated: September 4, 2014


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