EMT Certification in Maryland

EMT certification in Maryland is a national level certification that can be acquired by successfully clearing the NREMT (National Registry of Emergency Medical Technicians) exam. The validity of Emergency Medical Technician certification is 2 years. After that, you need to renew it in order to continue your career in the field of emergency medical services.

Before applying for EMT certificate, the applicants must complete program from a state-approved college or institute.

Requirements to Get EMT Certificate

  • EMT applicants of Maryland must not be less than 18 years of age.
  • They should hold a CPR (Cardiopulmonary Resuscitation) certification.
  • They must have completed EMT program from a state-approved program center.
  • NREMT examinations must be passed by all applicants.
  • The applicant must submit his/her legal proof of U.S. nationality.
  • The prospective applicants must be in good physical and mental health.
  • The applicants must be fluent in reading and writing English.
  • The candidates must go through a criminal background check.

Special Requirements

  • The applicant should submit the application for certification, as well as the applicable fee.
  • It is mandatory for the applicants to complete a practical exam from a state-approved program.
  • If an applicant’s age is around 16 and 17, he/she can apply only after producing written consent of their parents.
  • The applicant must also complete a field program/internship of emergency medical services.
  • The applicant should be affiliated with a BLS EMS Operational program.

Process of EMT Certification

Step 1: EMT Program

Firstly, the applicant is required to take EMT program from a state-approved program school or college in Maryland.

Step 2: Application for National Certification

  • The applicant must go to the NREMT website, and then create an account on it by clicking on “Create New Account”.
  • Now, the applicant must create a new application by clicking on “Create Initial Entry Application”.
  • Next, the application fee must be paid by the applicant while completing the online application process, though it can also be paid later.
  • The applicant must check his/her application status and “Authorization to Test” (ATT) Letter regularly by logging into the NREMT website with the username and password, and by clicking on “Check Initial Entry Application”.
  • If “Submitted” appears at the side of “Course Completion Verification”, it connotes that the applicant’s details have been submitted, and the approval about the course completion by the education program director is being awaited.
  • If “Not Submitted” is seen alongside “Application Payment”, in this situation, the applicant is required to pay the application fee before getting the ATT Letter.
  • After the applicant has made the payment and the course completion has been authorized by the education program director, the link “Print ATT Letter” will appear.
  • Now, the applicant must take a print-out of the ATT Letter and set a timetable for his/her exam.

Important Note: Only if your confirmation has been done successfully, the link “Print ATT Letter” will show up. Nevertheless, the link will not appear if the verification process is not completed.

The ATT Letter contains the directions of scheduling the NREMT exam by using ‘Pearson VUE’ website.

State-approved EMT program programs manage the NREMT practical examinations.

Step 3: Background Check

The final step, which the applicant is required to complete the process of certification, is a criminal background check. You may consult the course coordinator for further information.

Renewal of EMT Certificate

All levels of EMT candidates must fulfil the following pre-requisites:

  • It is mandatory for the EMT applicants to be employed with an EMS agency, rescue team, or a medical-care facility.
  • EMT applicants in Maryland must prove their cognitive capability by giving an examination or by Continuing Education (CE).
  • The applicants should provide skills verification proof, signed by the Director of Operations/Physician Medical Director, as well as Program Program Director.
  • Submission of CPR (Cardiopulmonary Resuscitation) certification is a must.

EMR-Emergency Medical Responder

  • EMR applicant in Maryland must complete a 12-hour refresher course from a state-approved program.
  • The applicant must submit his/her renewal application by September 30, i.e. before the date when the certification expires.
  • A non-refundable application fee of $10 must be paid by the applicant while submitting the necessary documents for recertification.


  • EMT-Basic applicant must provide the renewal application before March 31 of the year when the certification expires.
  • A state-approved 24-hour refresher course must be completed by the applicant.
  • Also, an added 48-hour program of EMS is mandatory.
  • The applicant must pay an amount of $15 (non-refundable) while doing the renewal paperwork.


  • The duly filled application for renewal must be submitted by the applicant prior to March 31 of that year, in which, the certification expires.
  • The applicant is required to finish a 36-hour refresher course from a state-approved program and a 36-hour additional program.
  • A non-refundable amount of $15 must be paid by the applicant.


  • Paramedic applicants of Maryland must submit their requisite recertification documents before March 31, i.e. when the certification expires.
  • It is compulsory for the applicants to complete a state-approved refresher course of 48 hours.
  • Also, additional EMS program of 24 hours is required to be completed by the applicant.
  • A payment of $20 (non-refundable) must be made by the applicant.

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