EMS Personnel

Please allow up to 30 days for processing.   To drop off paperwork in person, an appointment is required.  Questions?  Contact Liria Topuz at: 415.473.6871 


  • Be 18 years of age or older 
  • Present a valid government-issued photo identification
  • Complete a DOJ/FBI background check (live scan fingerprint) for :
  • Complete and sign the Marin County EMS Agency EMT application
  • Pay fees (Marin is $15; State is $75 for initial/reinstatement/change of entity or $37 for recertification).  Visa, MasterCard, Discover, check, or money order (for $90 or $52) payable to “County of Marin”.  Cash is accepted only if it is the exact amount.
    Note: The initial State fee also applies to those who are changing certifying entity
  • Present the following documents:
    • Valid Healthcare Provider CPR card (or equivalent)

    • National Registry EMT certificate (8.5 x 11 certificate, not the wallet card)
    • EMT course completion certificate issued within the last two (2) years


  • Skills verification form
  • Twenty-four (24) hours of continuing education hours (CEH) from an approved provide

NOTE  - For EMTs looking to get their Skills Verification Form signed off, click here for a list of Bay Area/ N.California sites that advertise that service (inclusion on this list is not an endorsement of these businesses).


For lapses of less than 6 months: 24 hours of CE or a 24-hour approved refresher course and completion of the EMT Skills form is required.  A new background check is required if you change certifying entities, using their agency form.

For lapses of 6 months to less than 12 months: 36 hours of CE and completion of the EMT Skills form are required.  A new background check is required if you change certifying entities, using their agency form.


For lapses of 12 months or more: 48 hours of CE, completion of the EMT Skills form, and passing a new background check.  Additionally required is proof of passing the cognitive and psychomotor (NREMT) exams within 2 years of application OR current  EMT, AEMT, or Paramedic NREMT certificate OR current & valid AEMT certificate or Paramedic license.

The application includes these statements:

Have you ever been convicted of any felony or misdemeanor offense in California or any other state or place, including entering a plea of nolo contendere or no contest, including any conviction thatbeen expunged (set aside) under Penal Code Section 1203.4?

Are there any criminal charges currently pending against you?

Have you ever had a certification, accreditation, or professional healing arts license denied, suspended, revoked, or placed on probation, or are you under investigation at this time?

Per policy, the Agency will issue a card within 45 days of receiving a complete application (including background check results).  Most cards will be issued within 1 -2 weeks.

For detailed information regarding this information see Marin County EMS Agency Policy #3200, EMT Certification/Recertification

Marin County Paramedic Accreditation Requirements

Submit a copy of EMT-P License issued in California

Submit the Paramedic Application form

Submit a copy of California Drivers License

Pay $75.00 fee (payable to "County of Marin")

Submit letter of proof of employment with a Marin County provider agency

Submit signed acknowledgment of orientation to system and protocols

Pass Marin County protocol test with 80% accuracy

Marin County Paramedic Continuous Accreditation Requirements

Submit a copy of EMT-P License issued in California

Submit a copy of the most recent Annual Policy Update certificate

Submit Paramedic Application

Faxed, mailed, and dropped off paperwork is no longer be accepted. The new procedure for submitting paperwork for paramedic continuous accreditation is to email required documents to emscerts@marincounty.org.  You will receive an automatic reply confirming receipt of your submission.

Letters and stickers will no longer be issued; an email confirming your new date will be sent within 30 days of receiving a complete continuous accreditation application.

To confirm accreditation status, one can log into ImageTrend Elite web version where the expiration date will be shown. 

Paramedic Intern Application

Paramedic Intern Application Form