Imperial County
Public Health Department

Process for EMT Recertification:

1. Review Policy #2100 for EMT Recertification and submit the following:

• A completed EMT Application form
• A completed EMT Statement of CE and attach copies of CE Certificates or - submit proof of completion of EMT Refresher Course (Include copy of Refresher Course Certificate)
• A completed EMT-I Skills Verification form
• Pay established fee.

A fee of $47.00 for recertification is due to Imperial County Public Health Department. This fee includes $37.00 for recertification to EMS Authority, and a $10.00 already established process fee for Imperial County EMS Agency. Do not mail cash. Please make checks payable to: Imperial County Public Health Department.

If criminal history report has not been filed with EMS, submit a copy of Live Scan Application Form to Imperial County Emergency Medical Services Agency.

Please call (442) 265-1444 to schedule an appointment for EMT recertification

Forms:

• Policy #2100
• Application Form
• Optional EMT Skills Verification Form (#6. Perilaryngeal Airway Adjunct)
• EMT Skills Competency Form
• Statement of Affiliation
• EMT Recertification Checklist 0-6 MOS
• EMT Recertification Checklist 6-12 MOS
• EMT Recertification Checklist 12 months and greater