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

  • 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,  68 KB) and submit it as directed on the form.

Service Credentialing Forms

Miscellaneous Forms/Applications

Return to Wisconsin EMS Home 

Last Revised: September 10, 2015