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Wisconsin Department of Health Services

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Required State EMS Forms

The following forms can be printed and used as needed. These forms are reviewed and updated periodically. Please note that the license application forms for EMT-Basic, Intermediate-Technician, Intermediate, and Paramedic licensure and for Emergency Medical Responder Certification have been redesigned into one form.

License Applications

Service Credentialing Forms

Funding Assistance Forms

Miscellaneous Forms/Applications

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Last Revised:  February 20, 2014