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Bureau of Emergency Medical Services
New or Lapsed/Re-applying Licensing Process

As of January 1, 2017, all new or lapsed/re-applying EMS provider license applicants must complete a Criminal Background Check.

The process for the background check is outlined below:

IMPORTANT NOTE: LiveScan fingerprints are only valid for 30 days
  • EMS Provider License Application for New or Lapsed Applicants;

  • NH Approved Scope of Practice Modules at the appropriate provider level. This can be found can be found here: https://ola.nhfa-ems.com/course/view.php?id=6

  • NH Protocol Program/Exam at the appropriate provider level. This can be found can be found here: https://ola.nhfa-ems.com/course/view.php?id=6

  • National Registry of Emergency Medical Technicians (NREMT) Certification

  • Initiate State Police Criminal Records Unit (CRU) criminal history record information (CHRI) background check either online or through paper form submission;
    • Electronically at: https://services.dos.nh.gov/chri/cpo/. This includes the application, scheduling your fingerprint appointment and paying the processing fee of $48.25. Be sure to select “Emergency Medical & Trauma Services” for the correct “Agency” when applying for the required EMS Provider background check (NOT "Medical Technician" which is a different license.)
      -OR-
    • Paper Form Submission: An EMS Provider applicant can continue to submit paper documents (inked fingerprint card, check (fee of $48.25) and CHRI form) to the Bureau of EMS for processing. Fingerprinting by "inked" or, if available, LiveScan electronic process can be completed by Local PD and the “tracking form” submitted.
    • Completed EMS Provider License Application for New or Lapsed Applicants;
    • Proof of National Registry of Emergency Medical Technicians (NREMT) Certification;
    • CHRI Component;
      • A note stating that you have submitted the CHRI online directly to the CRU
        -OR-
      • Completed CHRI Authorization form (a)
      • Fingerprint Card OR LiveScan receipt/tracking form (b)
      • Payment ($48.25) made out to "State of NH-Criminal Records Unit

Mail this packet to:

NHDOS-Bureau of EMS: Licensing
33 Hazen Drive
Concord, NH 03305

Reference Documents:

(a) Criminal History Record Information (CHRI) Authorization FormAdobe Acrobat Reader SymbolCompletion instructions below (d)
(b) Sample LiveScan Fingerprint "receipt"/tracking form Adobe Acrobat Reader Symbol
(NOTE: each form can only be use for ONE CHRI process)

Adobe Acrobat Reader Symbol Adobe Acrobat Reader format. You can download a free reader from Adobe.


   
 
New Hampshire Department of Safety | 33 Hazen Drive | Concord, NH 03305
TDD Access: Relay NH 1-800-735-2964
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