EMT Certification in Hawaii

Candidates, who want to get EMT certification in Hawaii, should complete their EMT training from a college or institute that is recognized by the state. The National Registry of Emergency Medical Technician (NREMT) is a non-profit body, which certifies the EMT professionals through an examination. Once the candidate has obtained EMT certificate, he/she can further apply for a state license. EMT certification in Hawaii is valid for a span of 2 years.

Requirements to Get EMT Certificate

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Hawaii candidates need to fulfil the following pre-requisites in order to get certified as an EMT professional:

  • He/she should not be less than 18 years of age.
  • The candidate in Hawaii must get trained as an EMT from a state-approved training school.
  • He/she must complete CPR (Cardiopulmonary Resuscitation) training from a state-approved program.
  • EMT candidates need to clear the NREMT exam.
  • A proof of candidate’s legal presence in the state should be submitted.
  • He/she should be mentally and physically fit and fine.
  • English proficiency is a must.
  • Candidates must also go through a background check.

Other special requirements for getting EMT certification are to pass a state-approved practical exam and submission of the renewal application along with the requisite fee.

Process of EMT Certification

Step 1: Get Training

Candidates must complete EMT training from a state-approved training institute.

Step 2: Application for National Certification

  • The candidate needs to create his/her account on the NREMT website by clicking on “Create New Account”.
  • Next, the candidate should click on “Create Initial Entry Application” for creating a new application.
  • The application fee must be paid by the candidate as soon as the process of online application is completed.
  • Now, the candidate must check the status of his/her application process and find whether your ‘Authorization to Test’ (ATT) Letter has been uploaded on the website’s homepage or not. For this, you need to sign in with your password and username. Click on the link, “Check Initial Entry Application Status”.
  • If NREMT website has submitted the details of the candidate and it is waiting for the approval of the education program director about the course completion, then “Submitted” will appear besides “Course Completion Verification”.
  • If “Not Submitted” appears besides “Application Payment”, then you will have to pay the application fee before you receive your ATT Letter.
  • After the payment of fees and verification of the course completion by the education program director, the link “Print ATT Letter” will appear.
  • The candidate should take out a print copy of his/her ATT Letter. The timetable of the NREMT examination can be decided with the help of instructions provided on the letter.

State-approved training programs will conduct the NREMT practical examinations.

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Step 3: Background Check of the Candidate

The candidate must undergo a criminal background check in order to complete the certification process.

Step 4: License Application

In order to obtain the state license, the candidate must fill the application form, and submit the following documents with it:

  • A clear copy of the course completion certificate by a state-approved training program.
  • A copy of current NREMT certificate.
  • Initial certification fee.

Renewal of EMT Certificate

For the renewal of EMT certificate in Hawaii, the candidate must fulfil the following general requirements:

  • It is important for the EMT-B and paramedic professionals that they must be active in a job of an emergency medical technician in a health-care service.
  • A proof of candidate’s cognitive skills should be provided either through a Continuing Education (CE) course or by giving an examination.


  • An EMT-basic candidate must finish a 24-hour refresher course from a state-approved training program.
  • Added training of 48 hours, related to EMS, is also required.
  • A non-refundable fee of $15 should be paid by the candidate of Hawaii.
  • The candidate must prove his/her skills competency by getting it approved by the Director of Operations, as well as Training Medical Director or either by a Physician Medical Director.
  • A CPR (Cardiopulmonary Resuscitation) card is a must to be provided by the candidate.


  • Paramedic candidates of Hawaii need to complete a 48-hour refresher course, covering all the subjects of EMS.
  • They also need to complete a 24-hour additional training of Continuing Education (CE).
  • While submitting the documents for the renewal, paramedic candidate must also make a payment of $20, which is non-refundable.
  • The candidate must provide a skills verification proof, which must contain the signatures of the Physician Medical Director.
  • The candidate must also submit a valid CPR (Cardiopulmonary Resuscitation) certification.

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