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Emergency Medical Technician (EMT) Certification & Renewal

General information

The San Mateo County EMS Agency certifies and renewals EMT-Is in accordance with Division 2.5 of the Health and Safety Code and the California Code of Regulations Title 22.  EMT certification is recognized statewide.

See here for information on how to become a California certified EMT through San Mateo County.

New/Initial EMT Certification Requirements

An individual shall be eligible for EMT certification upon successful completion of the following requirements:
  1. Pass the National Registry for Emergency Medical Technicians (NREMT) written and skills examinations within the past two (2) years, AND have either:
    • A valid EMT course completion record from a California approved initial EMT course within the past two (2) years; or
    • Documentation of successful completion of an approved out-of-state initial EMT training course, within the last two (2) years, that meets the requirements for a California EMT training program; or
    • A current and valid out-of-state EMT certificate
  2. Possess a current and valid National Registry EMT registration certificate
  3. Possess a current and valid out-of-state or National Registry Advanced EMT (EMT-Intermediate) or Paramedic certificate.
  4. Possess a current and valid California Advanced EMT or EMT-II certification or a current and valid California Paramedic license.
  • Provide a copy a current CPR/AED card for the Professional Rescuer from the American Heart Association, the American Red Cross or Cal Fire
  • Pay fee $125 (credit card, or check or money order payable to San Mateo County EMS Agency accepted)

EMT Renewal Requirements

For EMT with current EMT license, or lapsed license of less than six (6) months:
  • Possess a valid and current California EMT certificate.
  • Complete the EMT application for San Mateo County EMT Application
  • Complete a minimum of twenty-four (24) hours of approved prehospital continuing education within the two (2) year certification period.
  • Submit a completed EMT Skills Competency Verfication Form. NOTE: Skills competency must be verified by direct observation of an actual or simulated patient contact, by an individual who is currently certified or licensed as an EMT, AEMT, Paramedic, Registered Nurse, Physician’s Assistant, or Physician AND who shall be designated by an EMS approved training program (EMT training program, AEMT training program, Paramedic training program or CE provider), or an EMS service provider.
  • Provide a copy a current CPR/AED card for the Professional Rescuer from the American Heart Association, the American Red Cross or Cal Fire
  • Pay appropriate fee:
    • Renewal without prior background check for SMC – $125
    • Renewal EMT with prior background check for SMC – $87

**Credit card, or check or money order payable to San Mateo County EMS Agency accepted

For a lapse of six (6) months or more, but less than twelve (12) months:
  • Possess a California EMT certificate expired less than twelve (12) months
  • Complete the EMT application for San Mateo County EMT Application
  • Complete a minimum of thirty six (36) hours of approved prehospital continuing education within the two (2) year certification period.
  • Submit a completed EMT Skills Competency Verfication Form. NOTE: Skills competency must be verified by direct observation of an actual or simulated patient contact, by an individual who is currently certified or licensed as an EMT, AEMT, Paramedic, Registered Nurse, Physician’s Assistant, or Physician AND who shall be designated by an EMS approved training program (EMT training program, AEMT training program, Paramedic training program or CE provider), or an EMS service provider.
  • Provide a copy a current CPR/AED card for the Professional Rescuer from the American Heart Association, the American Red Cross or Cal Fire
  • Pay fee:
    • Renewal without prior background check for SMC – $125
    • Renewal EMT with prior background check for SMC – $87

**Credit card, or check or money order payable to San Mateo County EMS Agency accepted

For a lapse of twelve (12) months or more:
  • Complete the EMT application for San Mateo County EMT Application
  • Complete a minimum of forty eight (48) hours of approved prehospital continuing education within the two (2) year certification period.
  • Complete a DOJ/FBI background check (Live Scan). NOTE: applicants must complete the background check using the San Mateo County Live Scan form Live Scan Request Form (Background Check) - NOTE: Form does not render correctly on a mobile device. Please access by Mac or PC
  • Successfully complete of the National Registry of Emergency Medical Technicians (NREMT) written and skills exam within the past two (2) years, OR hold a current and valid EMT, AEMT or paramedic National Registry Certificate or a current and valid AEMT certificate or paramedic license.
  • Submit a completed EMT Skills Competency Verfication Form. NOTE: Skills competency must be verified by direct observation of an actual or simulated patient contact, by an individual who is currently certified or licensed as an EMT, AEMT, Paramedic, Registered Nurse, Physician’s Assistant, or Physician AND who shall be designated by an EMS approved training program (EMT training program, AEMT training program, Paramedic training program or CE provider), or an EMS service provider.
  • Provide a copy a current CPR/AED card for the Professional Rescuer from the American Heart Association, the American Red Cross or Cal Fire
  • Pay fee:
    • Renewal without prior background check for SMC – $125
    • Renewal EMT with prior background check for SMC – $87

**Credit/debit card, or check or money order payable to San Mateo County EMS Agency accepted**

Where And When To Apply

San Mateo County EMS Agency accepts EMT applications in person every Tuesday and Thursday between the hours of 8:00 AM -10:00 AM, and 2:00 PM – 4:00 PM. No appointment necessary.

First time applicants must apply in person.

Those renewing an active license issued by San Mateo County may submit materials by mail to address listed below.

If you are unable to come during the hours listed above, please call (650) 573-2009 to schedule an alternative time.

LOCATION:San Mateo County EMS Agency, 801 Gateway Blvd., 2nd Floor, South San Francisco, CA 94080

Upon arrival, please proceed directly to the 2nd floor and check in with 2nd floor reception staff.

Fees

  • New/Initial EMT Certification – $125
  • EMT Renewal without prior background check for SMC – $125
  • EMT Renewal EMT with prior background check for SMC – $87

**Credit card, or check or money order payable to San Mateo County EMS Agency accepted**

Training & Education

For more information, please call (650) 573-2009.

Checklist: What You Will Need to Bring

EMT Certification

**Note: only complete application packets with payment will be accepted.**

EMT Renewal
  • Completed and signed EMT Application
  • Copy of current EMT Certification Card
  • CPR/AED Card/American Heart Association/American Red Cross for the Professional Rescuer
  • Completed Skills Form EMT Skills Competency Verfication Form. NOTE: Skills competency must be verified by direct observation of an actual or simulated patient contact, by an individual who is currently certified or licensed as an EMT, AEMT, Paramedic, Registered Nurse, Physician’s Assistant, or Physician AND who shall be designated by an EMS approved training program (EMT training program, AEMT training program, Paramedic training program or CE provider), or an EMS service provider.
  • Documentation of Completed Continuing Education from a California Approved CE Provider (at least half must be instructor based). See above (EMT Renewal) for requirements.
  • Driver’s License, California ID, or U.S. Passport

Additional requirements for licenses expired 12 months or more:

Out of State EMT Applicants
  • Please contact our offices at (650) 573-2009 for more information.
Paramedic Accreditation
  • Please contact your employer for the application process
  • Accreditation is only granted to paramedics employed by a San Mateo County ALS Provider
EMT-1 Forms and Checklists

Commands