The table below shows the NREMT reciprocity for each state by level of certification.
National Registry certification is required for state licensure.
| EMR | EMT | I99 | AEMT | Paramedic | |
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| Alabama | |
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| Alaska | |
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| Arizona | |
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| Arkansas | |
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| California | |
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| Colorado | |
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| Connecticut | |
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| Delaware | |
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| Florida | |
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| Georgia | |
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| Hawaii | |
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| Idaho | |
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| Illinois | |||||
| Indiana | |
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| Iowa | |
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| Kansas | |
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| Kentucky | |
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| Louisiana | |
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| Maine | |
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| Maryland | |
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| Massachusetts | |
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| Michigan | |
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| Minnesota | |
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| Mississippi | |
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| Missouri | |
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| EMR | EMT | I99 | AEMT | Paramedic | |
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| Montana | |
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| Nebraska | |
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| Nevada | |
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| New Hampshire | |
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| New Jersey | |
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| New Mexico | |
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| New York | |||||
| North Carolina | |||||
| North Dakota | |
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| Ohio | |
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| Oklahoma | |
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| Oregon | |
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| Pennsylvania | |
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| Rhode Island | |
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| South Carolina | |
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| South Dakota | |
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| Tennessee | |
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| Texas | |
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| Utah | |
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| Vermont | |
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| Virginia | |
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| Washington | |
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| West Virginia | |
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| Wisconsin | |
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| Wyoming |
i have my ohio emyt-b certification…. and i want to move to california and practice there…. does this mean i have to take the whole class over again there? or just a refresher?
Hi Nicholas,
Unfortunately, you cannot transfer your Ohio EMT-B certification directly over to California. In order to become an EMT-B in California, you need have an active NREMT certification. Once you have your NREMT certification, you can apply to become an EMT-B in California. I hope this helps and let us know if you have any other questions.
I’ve heard that depending on where you go in Cali you may need additional certifications beyond state certification as specified by whatever county or city you’re in. Is this true? Can it be difficult to practice as an EMT-B even with a California license?
Same exact boat here. I am an EMT in utah and will be moving back to California soon. I have already filled out the NREMT app and im waiting for a testing time. After I complete this do I have to apply all over again for a certification or do I just let the hiring ems agency know I am a NREMT?
Hi Kimber,
You’ll need to take your NREMT certification to the local EMS agency of where you’re planning on working and re-apply. Here’s a list of EMS agencies in California:
http://www.emsa.ca.gov/local_ems_agency_administrators
I am currently going through the EMT program in California and will be moving to Illinois. Will any of it transfer or would I need to do everything again in Illinois?
Hi Jason,
We looked at the Illinois Department of Public Health website and it appears your EMT class will transfer over; however, you’ll need to fill out the EMT Reciprocity Application below since your training was outside of Illinois:
http://www.idph.state.il.us/ems/forms/EMS_EMT_Reciprocity_Application.pdf
Hope this helps and let us know if you have any further questions!
I work for an air medical transport and this question came up in discussion.
All medics are nationally registered as well as state licensed and the nurses are licensed in the state as well. Can we legally take a flight that originates outside of our licensed state (ex. licensed in OH flight originates in PA)?
Hi. I am an EMT-B in the state of Pennsylvania, and am interested in working in West Virginia. Is this transfer possible? Thanks.
I have reviewed the New York State reciprocity information. I am an EMT registered with NREMT (already transitioned from EMT-B to EMT). I am currently certified in Connecticut. New York’s information seems to indicate I can obtain reciprocity, but only if I have taken written and practical exams within the last 18 months. It is not clear to me, based on the NYS info, if a Connecticut refresher qualifies. If it does, I would still have to wait, to apply to NYS, as CT is a 3 year renewal, and I last took a refresher 24 months ago. Can anyone clarify this?
I am an emt in kansas and going to be moving to minnesota do i need to take another class or can i transfer my kansas certification to minnesota ?
I have a current NREMT-Paramedic certification and I am moving to Pennsylvania. What are the requirements to be granted reciprocity / PA state licensure?
I currently have my emt license in the state of kansas. I let my nremt lapse in june of 2014 since it is not required to keep my state license. My question is what will it take to get a license for nebraska to work as an emt?
Hi, If i have an EMT License in California will that transfer over to hawaii?
I’m a ny paramedic and I want to work out in ct. Can I my cert Transfer over?
Will a Utah EMT license transfer to California? I’m currently in a EMT program in Utah, but plan on moving to California in a year or two.
i am an EMT in Indiana and will be moving to Kansas, will my certification transfer?
I am about to certify this semester with my EMT-B and i live in Colorado. However, i plan to move to Georgia this summer. Can my certificate transfer to Georgia or what will i have to do?
I am a Florida paramedic that wants to move to Utah to work as a paramedic…does Utah allow reciprocity for Florida paramedic?
I am a medic in NY and may be moving to Arizona. Can I transfer my license?
I think you need to check if Arizona requires NREMT. Once you have that, you can do reciprocity. I’m moving to Nevada in Clark county and it’s the same there. I can’t just work there from NYC. Good Luck.
I am an emt in Indiana and I’m moving to Minnesota. How can I find out if this transfers or not.
I am EMT-B in Philippines, Qatar, and Saudi Arabia and i have 8 yrs experience as EMT. Currently im living here in Maryland. Am i qualified to take NREMT?
I am an AEMT from Tennessee. Does this mean I do NOT have to be on the National registry to transfer my license to Florida or Mississippi?
My son has an EMT B from Illinois and wants to move to Georgia. Will his cert transfer? Is National Cert mandatory?
I have been NREMT for 15 years but have never state certified anywhere. I’d like to in Missouri. How do I go about that?
I have a maine emt-b certification and I’ll be moving to Ohio soon. II was planning to get licensed in Ohio. Would I have to take the class all over again?
I have NC EMT Basic looking to move to Washington state, NREMT required?
i move to GA from PA where im a cert emt what steps do i need to take to get cert in GA
I am an EMT in Ky. I will be moving to Tn. Will my certification transfer?
https://www.nremt.org/nremt/about/statereciprocitymap.asp
I am taking my EMT-B course in California. What do I have to do to work in Arizona, where I will be attending college??
I have my state license for ohio in EMT basic I am also currently nationally registered. I want to apply for a position in Erlanger, Kentucky. Am I able to do so with only having my ohio license?
Hello I am currently taking an EMT-B course in Texas and I am looking to move to Nevada once I take the NREMT test will I be able to take the state test in Nevada without having to take an additional course?
I’m moving to Nevada this summer. From what I’ve found, you need NREMT and then apply for reciprocity after you have Nevada Residency. Clark County is different though. if you plan on living in Las Vegas, like I do, then you need to apply with a different application. If you have the NREMT, you can apply for reciprocity no problem. I didn’t find anything about taking an additional state exam after the NREMT.
yes
I’m an emt-b in Florida. Im thinking of moving to Nevada. Will I have to start from scratch
Get your NREMT and then apply for reciprocity. Keep in mind that Clark County ( vegas ) is not the same as Nevada. They have their own application. I’m moving this summer and have to complete my NREMT, before I apply. Good Luck.
I will be moving to North Carolina in the next 6 months and I do not have my NREMT, Will NC accept my Virginia EMT-Basic certification?
I am about to become a paramedic in Ohio and I am going to take the NREMT. I am moving to Indiana after I get my degree. Do I have to take any refresher courses or can I just go to the department where I want to work and tell them I am a paramedic and have taken the NREMT? Would it be better if I just take classes and get my degree in Indiana?
Hey everyone, i am a new EMT-B in ohio and am looking to transfer to Colorado.
what sorta thing would i have to do to transfer my state cards, or is it even possible for me?
i am Nationally registered
Hi. I am currently a nationally registered EMT-B in the state of Massachusetts but I am moving to Illinois in April. Am I able to transfer my certification to Illinois being that I am nationally registered or will I be required to take an Illinois based training course and pass an additional illinois examination process in order to obtain an Illinois certification? Any help or advice to guide me in the process would be greatly appreciated. Thank you for your time and attention to the matter.
Jessica
I am currently and EMT-B in North Carolina can my license move to Virginia?
Hi. My name is Alan and I’m currently doing my an ems course that will prepare me for National Registry. I have plans to move to WAshington state. Will I be able to practice Emt there?
Hi Alan,
Washington requires a valid NREMT certification at a minimum. It’s possible they may require additional training and/or testing as well, so please visit their State EMS website at: http://www.doh.wa.gov/hsqa/emstrauma
I’m an EMT in PA and looking to relocate to Hawaii for school. What steps will I need to take to be employed as an EMT in HI?
Hi Amy,
You will require your NREMT certification in order to transfer to Hawaii.
For additional information, please contact the State of Hawaii Department of Health at: http://health.hawaii.gov/ems/
I am a state certified Paramedic in Ohio.We are looking into moving to Florida, Will I have to challenge the NREMT as well as floridas state test or will NREMT be sufficient?
I am looking to get my EMT in TN but i work seasonally in Colorado and would like to use it there as well? will it transfer?
Long time EMT in California, have my State card but let my NREMT expire years ago. Iam moving to Arizona soon, what do I need? Just take NREMT test or need a refresher course for it. Then take that to local AZ EMS agency?
I am currently certified as an emt-b @ NREMT certified. Can I move to nj and still work in Philadelphia?
What about a paramedic that lives in IL and might be moving to AZ? What would they need to do?
I am moving to Texas from Illinois will my emt transfer?
I am taking EMT classes and will be certified as an EMT in Alabama during my senior year of high school. I plan to attend TCU. Will my EMT transfer from Alabama to Texas or would I have to do it all over?
Hello there! I’m currently and EMT in Pennsylvania, I have took my National Registry here and became certified here. In a year I might be moving to Tuscon, AZ. I’m not sure how to come about how I can transfer my cert to AZ. Do I have to re take my NREMT again?? Or take a refresher course?