Not sure where to start with licensing or reciprocity?
Click on your state or the state where you wish to be licensed as an EMS professional to be directed to the respective EMS office.
As of recent updates, these are the only states that do not require the National Registry of Emergency Medical Technicians (NREMT) for initial certification:
Alabama
Alaska
Colorado
Georgia
Indiana
Iowa
Michigan
Nevada
North Carolina
South Carolina
These states may have their own certification process, including state exams or training programs. However, the NREMT is still commonly required for reciprocity (when transferring licensure from another state) or for renewal in many cases. Updated 3/11/2025
As of the latest updates, the following states do not require the NREMT for reciprocity:
Alabama
Alaska
Colorado
Georgia
Indiana
Iowa
Michigan
North Carolina
South Carolina
Even if these states do not require NREMT for reciprocity, they still typically require proof of prior EMS licensure, continuing education, and possibly an additional state exam or verification of skills. Updated 3/12/2025