Wisconsin E-Licensing
Important E-Licensing Information!
Read
Carefully!
Before moving to the license application, please review this
information carefully. E-Licensing
is best viewed with your monitor at 1024x768 screen resolution.
You may change this in the control panel.
If you do not, you will need to scroll both up and down and left
to right.
In order to more quickly communicate with all
EMS Providers, Service Directors and Medical Directors our office
intends to use the email address entered in E-Licensing. Please
make sure the email address entered in your E-Licensing account is
current and that you are able to access it regularly.
Logon and Passwords
If you held a first
responder certificate or EMT license since 2006, or if
you hold a current license that expires on June 30, 2012, or you were
enrolled in an EMS course through a Wisconsin EMS training center prior
to August 2009, you already have a Wisconsin
E-Licensing account.
DO NOT create a new profile!
-
If
you have an active email address in your E-Licensing
record and have access to it, you may try to obtain a new password
by entering your license number in the logon field then clicking “forgot
password.” A new
password will be sent to your email address. If
you did not provide an email address or you no longer have access to
the email address we have on file in E-Licensing, DO NOT create a new profile.
-
If you were trained out of state, have taken
no EMS training in Wisconsin and are applying for an EMS personnel certificate or license for the first time,
you may create a new profile and complete the Reciprocity License Application.
If you need further assistance, please contact the WI
EMS Office.
Online Applications Available
The applications are listed in order as they appear in the E-Licensing
(exit DHS). There is a brief
description of each application and its use. It is very important that
you chose the correct application.
06-2011 Provider Reinstatement License Application – this
application must be used by applicants who have held a Wisconsin EMS
Personnel certificate or license and did not renew their certification
or license that has been expired for over six months but less then 2
years as described in DHS 110.09 This application does not assign a
new EMS Personnel number. There is a reinstatement administrative fee
of $75.00 as listed in DHS 110.16 (b)
Basic Training Permit Application (Only for part of a licensed
EMT Basic service)– this application must be used by applicants
who do not hold a Wisconsin EMS Personnel certificate or license. This
training permit is to be used as listed in DHS 110.15 (2)
Basic Training Permit Local Credential Application– You
must hold a current Basic Training Permit with a licensed EMT Basic
Service prior to completing this application. This application is to
be used by EMS Personnel to apply for local credentialing with an EMS
agency/provider. It involves obtaining online, electronic approval
from the EMS agency’s service director and medical director prior to
being authorized to practice with the service. You must be locally
credentialed prior to practicing with an EMS agency. There are EMS
services with similar names so please select your service carefully!
EMS Instructor I License Application – this application is
for applicants to assist Instructor II in the Wisconsin EMS education
setting. This application does not assign a new EMS Personnel number.
DHS 110.27
EMS Instructor I Local Credential Application– You must
hold a current Instructor I license prior to completing this
application. This application is to be used by EMS Personnel to apply
for local credentialing with an EMS training center. It involves
obtaining online, electronic approval from the EMS training center’s
service director and medical director prior to being authorized to
practice with the service. You must be locally credentialed prior to
practicing with an EMS training center.
EMS Instructor II License Application – this application
is for applicants to be a licensed instructor II in the Wisconsin EMS
education setting. This application does not assign a new EMS
Personnel number. DHS 110.28
EMS Instructor II Local Credential Application– You must
hold a current Instructor I license prior to completing this
application. This application is to be used by EMS Personnel to apply
for local credentialing with an EMS training center. It involves
obtaining online, electronic approval from the EMS training center’s
service director and medical director prior to being authorized to
practice with the service. You must be locally credentialed prior to
practicing with an EMS training center.
EMS Personnel Initial License Application – this
application must be used by applicants who never held a Wisconsin EMS
Personnel certificate or license. This application assigns a new EMS
Personnel number. DHS 110.06
Local Credential Agreement – You must hold a current
certificate/license prior to completing this application. This
application is to be used by EMS Personnel to apply for local
credentialing with an EMS agency/provider. It involves obtaining
online, electronic approval from the EMS agency’s service director
and medical director prior to being authorized to practice with the
service. You must be locally credentialed prior to practicing with an
EMS agency. There are EMS services with similar names so please select
your service carefully! DHS 110.11
Out of State Trained Individuals Verification of License Form
– These forms must be completed by individuals applying for a
Reciprocity License. EMS Personnel certificates/licenses who have held
any EMS personnel license or certificate in another state and/or who
completed EMS training in another state.
Out of State Trained Individuals Verification of Education Form –
These forms must be completed by individuals applying for a
Reciprocity License. EMS Personnel who have completed EMS training in
another state.
Provider Downgrade License Application – this application
must be used by applicants who have a Wisconsin EMS Personnel
certificate or license but are applying to downgrade the level of
their certificate/license to a lower level. This application retains
your current EMS Personnel certificate/license number. DHS 110.08 (2)
EMS Personnel Upgrade License Application – this
application must be used by applicants who have a Wisconsin EMS
Personnel certificate or license but are applying to upgrade the level
of their certificate/license to a higher level. This application
retains your current EMS Personnel certificate/license number. DHS
110. 08 (1)
Reciprocity License Form – These forms must be completed
by individuals applying for a Reciprocity License. EMS Personnel
certificates/licenses who have held any EMS personnel
license/certification another state and/or who completed EMS training
in another state. There is a $50.00 fee for all reciprocity
applications DHS 110.16 (e)
Late Renewal License Form – this application must be used
by applicants who have held a Wisconsin EMS Personnel certificate or
license and did not renew their certification or license that has been
expired for less than as described in DHS 110.09 (1) This application
does not assign a new EMS Personnel number. There is a reciprocity
administrative fee of $50.00 as listed in DHS 110.16 (e)
If you have been assigned a random password, you will be required to
change your password the first time you log in.
Please do not share logon and password information with anyone.
When you first log into E-Licensing,
click on Update Profile
and make certain that all your personal information is correct and
up-to-date. It is your
responsibility to keep this information current at all times.
If you move or obtain a new email address, please log into E-Licensing and update your profile.
E-Licensing
will communicate with you as you go through the application process.
Once your license is issued, you will be notified by email.
You may then log into E-Licensing
and print a copy of your license. Only
then should you complete the Local
Credential Agreement.
Carefully follow all of the above instructions.
You may now go to E-Licensing
(exit DHS) to update your profile
or create a new account and complete the appropriate application.
Additional information
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