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Wisconsin Department of Health Services

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Name Change and Address Update Information

Name Change

Since First Responder certification and EMT licensure are professional credentials, name changes must be verified by submitting a copy of the legal document authorizing your name change, i.e., a copy of your marriage license, a copy of the page from your divorce decree authorizing your name change, a copy of a court order.  Name change requests must be made in writing including your old and new names, current address, phone number and license number along with a copy of the legal document.

Name changes should be sent to:

dhsemssmail@wisconsin.gov

Address Information 

It is the responsibility of the certificate/license holder to keep address information current with the EMS office.  Renewal notices and other important information will be sent to you at the address (and/or e-mail address) on file. Under DHS 110.16 (C)  there is a $30 fee for returned renewal notices.  Mail sent by the Wisconsin EMS Section is not forwarded with a forwarding order through the post office.  It is returned to the EMS office. 

Address information must be kept current through your Wisconsin E-Licensing account.

Last Revised: November 03, 2011