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Emergency Medical Technician (EMT) Certification & Renewal

General information

San Mateo County EMS Agency (EMS Agency) is the designated local authority for EMT certification and Paramedic local accreditation.

Please see the appropriate section below for information on licensure and accreditation in San Mateo County.

Hours & Location

EMS accepts EMT applications Tuesdays and Thursdays between the hours of 8:00 AM – 10:00 AM and 2:00 PM – 4:00 PM at the EMS offices. No appointment is necessary. If you are unable to present during the hours listed, please call (650) 573-3782 to schedule an alternative time. 

Address: San Mateo County EMS Agency, 801 Gateway Blvd., 2nd Floor, South San Francisco, 94080. Upon arrival, applicants may proceed directly to the 2nd floor, and check in there.

Initial/first-time certification applicants MUST apply in person. 

Those who have previously certified in San Mateo County may apply in person, or by mail to the address above, with attention to: EMT Applications

EMT Initial Certification 

EMS Agency certifies and renews California EMT applicants 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.

The following requirements apply to all initial/first-time EMT certification applicants applying through San Mateo County:

  • Be eighteen (18) years of age or older.
  • Possess a current government-issued photo ID (e.g., state drivers license, state ID card, military ID card, passport).
  • Possess a current BLS for Healthcare Provider AED/CPR card.
  • Meet one (1) of the following training/education eligibility criteria:
  • Possess one of the following:
    • a current and valid National Registry EMT, Advanced EMT or Paramedic registration certificate; or,
    • a current and valid out-of-state Advanced EMT or Paramedic certificate; or,
    • a current and valid California Advanced EMT certificate or a current and valid California Paramedic license.
  • Not be precluded from certification for reasons defined in Section 1798.200(c)(1) through (c)(12) of the Health and Safety Code.
EMT Checklist & Application Materials

Please see the EMT Initial Certifcation Packet below for information regarding the EMT application process, application checklist, and required forms. 

EMT Renewal

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:

  • 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, from one of the following: 
  • Complete the CA Skills Competency Verification Form from an approved EMT Training Program or an approved EMS service provider 
  • Have documentation of completion of prehospital training in Glucometer, and administration of Naloxone, and Epinephrine (new requirement as of 7/1/2019)
  • Possess a current BLS for Healthcare Provider AED/CPR card from American Heart Assoc., Red Cross or Cal Fire
  • Pay appropriate fee:
    • Renewal with prior background check for SMC – $87
    • Renewal EMT without prior background check for SMC – $125

First time applicants in San Mateo County must also complete a California Department of Justice and FBI Live Scan background check using the San Mateo County form (see below for form and instructions). 

EMT Renewal Application Materials & Checklist

Please see the EMT Renewal Packet below for information regarding the application process, checklist and required forms. 

EMT Reinstatment

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 Renwal’ tab.

For an EMT Certificate lapsed greater than 6 months, but less than 12 months:

Complete the requirements listed under ‘EMT Renewal’; and 

  • Complete an additional twelve (12) hours of approved prehospital continuing education certificate(s), for a total of thirty-six (36) hours.
For an EMT Certificate lapsed greater than 12 months:

Complete the requirements listed under ‘EMT Renewal’; and 

  • Complete an additional twenty-four (24) hours of approved prehospital continuing education certificate(s), for a total of forty-eight (48) hours.
  • Have documentation of a current NREMT certificate/card or current CA Paramedic license
  • Complete a Live Scan background check using the San Mateo County Live Scan Request form (see below for form and instructions). 
EMT Reinstatement Application Materials & Checklist

Please see the EMT Renewal Packet below for information regarding the application process, checklist and required forms. 

Paramedic Licensure

The California EMS Authority (EMSA) manages all licensure activities for Paramedics in California.  For licensure information, visit the EMSA-Paramedic Licensure Information page.

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

Accreditation is only granted to paramedics employed by a San Mateo County Advance Life Support (ALS) Provider. Please contact your employer for more information on the application process.

Forms

Commands