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Certification & Accreditation

There are three levels of EMS Providers currently recognized by the Alameda County EMS Agency:

1. Public Safety First Aid Providers (PSFA)

Public Safety First Aid Providers are recognized through completion of initial training through an approved entity, and that recognition is maintained through completion of refresher training in accordance with regulation.

View the California Regulations pertaining to Public Safety First Aid Providers

2. Emergency Medical Technician (EMT)

The Alameda County EMS Agency is the designated local authoriry that manages EMT Certifications.  For more information on initial EMT certification or renewal of an EMT certification view the tabs below.

3. Paramedic

The California EMS Authority is the Agency that manages all licensure activities for Paramedics in California.  For licensure information, view the California EMS Authority-Paramedic Licensure Information.

In order to practice as a Paramedic in Alameda County, local accreditation is required in addition to licensure by the State of California. 

An individual shall be eligible for a California EMT certification upon successful completion of the following requirements:

  1. Be 18 years of age.
  2. Apply for certification within two years of EMT course completion. 
  3. Complete an Alameda County EMT Certification Application.
  4. Submit a copy of your course completion certificate from an EMT training program.
  5. Submit a copy of your current NREMT card and your NREMT certificate.
  6. Submit a copy of your California Department of Justice and FBI Live Scan background report.
  7. Pay the non-refundable application fee of $140.00 by money order, cashier's check, or through online payment. The EMS Agency does not accept cash payment or personal checks. The application fee includes $65.00 for Alameda County EMS and $75.00 for the State’s Emergency Medical Services Authority.
  8. An EMT certificate will be issued upon successful completion of these steps. The expiration date shall be two years from the date of your passing the NREMT exam. An EMT certificate issued by Alameda County EMS Agency is valid statewide.
  9. A Duplicate Card Fee of $30 is required before a duplicate card request is processed. You can pay by money order, cashier's check, or online payment. The EMS Agency does not accept cash payment or personal checks.

EMT certification is valid for two years. In order to maintain certification an individual must recertify every two years.  An individual is eligible for EMT recertification upon successful completion of the following requirements:

    1. Possess a current California EMT certificate or National Registry EMT certificate.
    2. Complete an Alameda County EMT Recertification Application
    3. Submit documentation of successful completion, every two years, of the following:
      • Completion of a 24-hour EMT refresher class or completion of 24 hours of Continuing Education (CE) Hours
        • AND
      • Skills testing and a completed Skills Competency Verification Form from an approved EMT Training Program or by an approved EMS service provider 
    4. If this is the first time you have applied for certification in Alameda County, you must submit a copy of your California Department of Justice and FBI Live Scan background report.
    5. Pay the non-refundable application fee of $102.00 by money order, cashier's check or online payment. The EMS Agency does not accept cash payment or personal checks. The application fee includes $45.00 for Alameda County EMS and $37.00 for the state’s Emergency Medical Services Authority.
    6. A new EMT certificate will be issued upon successful completion of these steps. An individual may apply for recertification:
          • Within six months before the current certificate expires. The new expiration date will be two years from the current expiration date.
          • More than six months before the current certificate expires. The new expiration date will be two years from the last day of the month the requirements are met.

An individual may not work as an EMT or represent him/herself as an EMT with a lapsed certificate. There are no exceptions. 

To restore an EMT Certificate lapsed for less than 6 months, complete the steps listed for EMT recertification under the “EMT Recertification” Tab.

For an EMT Certificate lapsed greater than 6 months, but less than 12 months, complete the following items:

  1. Complete 36 hours of continuing education from an approved CE provider OR complete a 24 hour EMT refresher course from an approved training program plus 12 hours of continuing education from an approved CE provider.
  2. Skills testing and a completed Skills Competency Verification Form from an approved EMT Training Program or by an approved EMS service provider.
  3. Complete steps 2, 4, and 5, as applicable, on the “EMT Recertification” Tab.

For an EMT Certificate lapsed 12 months or more, complete the following items:

  1. Complete 48 hours of continuing education from an approved CE provider OR complete a 24 hour EMT refresher course from an approved training program, plus 24 hours of continuing education from an approved CE provider.
  2. Skills testing and a completed Skills Competency Verification Form from an approved EMT Training Program or by an approved EMS service provider.
  3. If your NREMT has lapsed, you will be required to renew that, and submit proof of that renewal, along with your other application materials.
  4. Complete steps 2 and 5 on the “EMT Recertification” Tab
  5. Submit a copy of your California Department of Justice and FBI Live Scan background report. 

In addition to California State Licensure as a Paramedic, Paramedic’s are required to acquire and maintain accreditation through the Alameda County EMS Agency in order practice as a Paramedic in Alameda County.

INITIAL PARAMEDIC ACCREDITATION

Initial local accreditation for paramedics to practice in Alameda County shall be granted upon successful completion of the following:

  • Provide a copy of a valid California Paramedic License.
  • Attend the Alameda County EMS system orientation (offered monthly), arranged through your provider agency.
  • Provide documentation of training and competency in the local optional and expanded scope of practice.
  • Complete an accreditation application.
  • Pay the accreditation fee - $100.00 by money order, cashier's check, online payment, or department PO only. Cash and personal checks are not accepted by Alameda County EMS.
  • Provide proof of employment with an approved Paramedic provider agency.
  • Accreditation will be granted upon successful completion of conditions above within 30 days from the date the accreditation application is received. A candidate failing to do so must reapply.

CONTINUOUS PARAMEDIC ACCREDITATION

Once issued, accreditation shall be continuous as long as the following conditions are met:

  • Maintain a valid California Paramedic License.
  • Meet local requirements for updates in local policy, procedure, protocol and local optional scope of practice, and comply with the requirements in the system-wide Quality Improvement program Policy #2000.
  • If any of the above requirements are not met or maintained, accreditation to practice will be withdrawn until the requirement(s) are successfully completed.
  • A Paramedic whose accreditation has been withdrawn for more than one year is required to re-apply for initial accreditation.

Make A Payment Online:

You can make online payments using Convenient Payments* service to purchase the following: 

  • EMT certificaton and recertification fee, late certification fee, and duplicate card fee
  • Paramedic accrediation and duplicate card fee
  • EMT Field Manual (for pickup only at the EMS office - manuals are not mailed)
  • Individuals registered to attend a 4-hour class after being cited for violating California’s car seat or seat belt laws. 

Convenient Payments Transaction Fee Schedule*: 

$0 - $5.00 = $0.50 $5.01 - $25.00 = $1.00 $25.01 - $50.00 = $2.00
0.01 - $100 = $3.00 $100.01 - $150 = $4.00 Over $150 = @2.49%
For questions or more information about EMT Certifications, contact the Professional Standards Coordinator