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EMERGENCY MEDICAL SERVICES (EMS) AGENCY
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Please complete the EMS application: (Step 1 of 5)
Fields marked with an asterisk (*) are required
* Legal First Name :
* Legal Last Name :
* Last 4 Social Security Number :
(4 characters)
* Date of Birth :
MM/DD/YYYY (10 characters)
* Are You Currently Certified? :
Yes/No (max 3 characters)
You may select up to 1 item.
Description
Certification Number
Payment Amount
Initial California EMT Certification Fee
$190.00
EMT Recertification - Current Certification with LA County, or lapsed < 12 months
$149.00
EMT Recertification - Current Certification with OTHER CA Certifying Entity, or lapsed < 12 months
$190.00
EMT Recertification - Certification with ANY CA Certifying Entity and lapse > 12 months
$190.00
Replacement Card
$16.00
$0.00
Payment Amount
:
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