Promoting and protecting the health and safety of all Idahoans

Provider Licensure

Initial License or Reciprocity

Initial license provider application and instructions can be found on our IGEMS website at

Instructions for obtaining an Initial EMS License or by Reciprocity

1.    Complete a Department of Health and Welfare Criminal History Unit background check.

a.    Apply for the background check at

b.    The agency number or Employer Identification Number is 1350

c. If your EMS agency is paying for the background check, add their agency number in addition to #1350.

2.    Go to and click “create an account”. Under “applications” you will find the initial application. Click “Provider BLS License – Initial” if you are an EMR or EMT and select “Provider ALS License – Initial” if you are an AEMT or Paramedic.

3.    Complete and submit the level appropriate application.

a.    You will need to submit a copy of your photo ID. Acceptable forms of ID are: driver’s license, state identification card, or military identification card.

4.    After completing the application, you will receive an email confirming receipt of your application.

5.    If you are coming from another state, you will also receive an email containing the License Verification Request Form. You will need to complete the first portion of this form. After filling out your information, the form needs to be sent to each state in which you were licensed or applied for license. The State you were licensed in will return the completed form to the Idaho Bureau of EMS.

6.    You will need to successfully pass the National Registry of EMT’s (NREMT) computer-based assessment examination for the license level you are applying for.

a.    Apply for the assessment examination at Instructions to sign up for the assessment exam can be found on the NREMT website.

b.    You only need to take the assessment exam if you have not taken the NREMT exam within the past number of months that matches your license level:

i.    EMR – 36 months

ii.    EMT – 36 months

iii.    AEMT – 24 months

iv.    Paramedic – 24 months

7.    Secure affiliation with a licensed Idaho EMS agency.

a.    If you are unable to secure affiliation, you may be  eligible for a Certificate of Eligibility.

8.     Advanced EMT and Paramedic applicants must pay a $35.00 licensure fee.

9. For step-by-step instructions click here.

If you have any further questions, please contact the Bureau at 877-554-3367

Paper applications are available upon request at 208-334-4000. Note that processing times will be increased if using paper applications.