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, AEMT, Intermediate, and Paramedic licensure and for Emergency Medical Responder Certification have been redesigned into one form.)

License Applications

  • Note: All individual license applications are now only accepted electronically by following the Wisconsin E-licensing link.
  • A Social Security number is required to apply for an EMS license/certificate. If you do not have a Social Security number and wish to apply for an EMS license/certificate, please complete form Affidavit of No Social Security Number - EMS Professional License F-00893 (Word) and submit it as directed on the form.

Service Credentialing Forms

Miscellaneous Forms/Applications

 

Last Revised: November 6, 2017