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Forms for Instructors

Applications

Initial Course Applications

Old Curriculum I-85 and Paramedic Course Application
IEC 2011 EMR Course Application
IEC 2011 EMT Course Application
IEC 2011 AEMT Course Application
IEC 2011 Paramedic Course Application

Transition Course Applications

There is no longer a specific transition course ending date. After approval and receipt of your transition training course number you do not need to re-apply for additional transition courses. You will utilize the same course number for all additional transition course sections and students until the transition is complete. Please notify the EMS Bureau of updates as needed.  Please submit ending course rosters to the EMS Bureau so individual provider records can reflect transition completion.

EMR transition course application
Outline of Course topics

EMT transition course application
Outline of Course topics

AEMT transition course application
Outline of Course topics

Paramedic transition course application
Outline of Course topics

Refresher Course Application

Refresher courses no longer require approval from the Bureau. An instructor/agency may still choose to have a refresher, so please remember to issue a completion certificate to the students. These refresher courses will still need to be the appropriate curriculum and hours.

Emergency Medical Responder (EMR) Forms:

Emergency Medical Technician (EMT) Forms:

Advanced EMT Forms:

Beginning/Completion Roster and Attendance Record

Optional Modules

Optional module documents are located on the Optional Module Resources page.

Instructor Applications