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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. Please be aware that walk-ins will not be processed during the license renewal period (January 1-March 31, 2015).
  • EMS Individual Online Renewal - The online renewal capability is currently active through March 31, 2015. 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: January 7, 2015


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