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Marin Emergency Medical Services

EMS Forms

EMT Initial Application

EMT Application for Renewal

Paramedic Application

Marin EMS Live Scan

EMT Skills Verification Form

Paramedic Intern Application

Certificate of Operations Application

Vehicle Permit Application

Change of Address Form

EMS Reporting Form

CE Provider Application

County of Marin© 2020 County of Marin Health and Human Services - Emergency Medical Services Agency

1600 Los Gamos Drive, Suite 220
San Rafael, CA 94903
Phone 415-473-6871
Fax 415-473-3747

Accessibility Information

If you are a person with a disability and require an accommodation to participate in a County program, service, or activity, requests may be made by calling (415) 473-4381 (Voice), Dial 711 for CA Relay, or by email at least five business days in advance of the event. We will do our best to fulfill requests received with less than five business days’ notice. Copies of documents are available in alternative formats upon request.

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