EMS and EMT License Reciprocity

Applying for Reciprocity

The State of Wisconsin issues Emergency Medical Services (EMS) certifications and licensure's by the authority of Wis. Stat. ch. 256 and Wis. Admin. Code ch. DHS 110.

Reciprocity DHS 110.066: Eligibility Criteria

a. The individual is 18 years of age or older.

b. The individual is capable of performing the actions authorized by the department in the Wisconsin scope of practice for the practice level for which the applicant applies.

c. The individual presents documentation of a current license or certificate issued by another state at or above the level being applied and a completed verification of licensure form from every state the individual has ever been licensed or certified as an emergency medical responder or emergency medical services practitioner.

d. The individual presents a completed verification of education form documenting completion of an initial course equivalent to the training required for an initial license or certificate under the applicable Wisconsin curriculum, as determined by the department. If initial training was completed prior to the current licensing period, the applicant also presents documentation of completion of an approved refresher course, as determined by the department.

e. The individual shall successfully complete the cognitive and psychomotor exam through the NREMT for the certification or license level being applied for. If an applicant holds current NREMT certification at or above the certification or license levels being applied, that individual shall be considered to come from a jurisdiction with licensing or certification standards at least substantially similar to Wisconsin and exempt from examination under s. 256.15 (7), Stats. Applicants who do not hold current NREMT shall not be considered to come from jurisdictions with substantially similar licensing and certifications standards to Wisconsin and must complete the NREMT cognitive and psychomotor assessment examinations.
Note: Verification of education forms may be obtained electronically through the department's E-Licensing system available at www.dhs.wisconsin.gov/ems. The form must be printed out and sent to the training institution, which will complete and return the form directly to the department. For further information or to request an assessment exam contact the Emergency Medical Services Section, 1 W. Wilson St., P.O. Box 2659, Madison, WI 53701-2659.

f. The individual provides documentation of successful completion of a CPR course within the last 2 years at the healthcare professional level by a CPR organization specified under s. DHS 110.17 (1). If the application is for licensure at the paramedic level, the applicant provides documentation of successful completion of coursework provided by an organization specified under s. DHS 110.17 (1) in all of the following:

  1. Advanced cardiac life support.
  2. Pediatric advanced life support, pediatric education for pre-hospital professionals at the advanced life support level, or an equivalent approved by the department.

g. Subject to ss. 111.321, 111.322, and 111.335, Stats., the individual does not have an arrest or conviction record that is substantially related to performing the duties of an emergency medical responder or emergency medical services practitioner, as determined by the department.

  1. An individual with a conviction record may apply to the department for a pre-determination on their eligibility for certification or licensure by completing an application for pre-determination including the date of conviction and the nature and circumstances of the crime and submitting it to the department.
  2. The individual shall submit the application for pre-determination fee specified under s. DHS 110.16 (1) (g).

h. The individual shall complete training for response to acts of terrorism or present evidence satisfactory to the department of the equivalent course and successful completion.

i. The individual shall submit the reciprocity fee specified under s. DHS 110.16 (1) (e).

Getting Started

  1. Create an e-licensing account. Instructions can be found on our EMS E-Licensing webpage.
  2. Verify the demographic information in both your E-licensing account and your NREMT account. The information in both accounts must match for the systems to sync properly and for our office to receive your NREMT status.

a. Please note: Wis. Admin. Code § DHS 110.13(4): An EMS professional shall notify the department of any change in his or her name, address, or other information kept by the department within 30 days of the change, using the department’s electronic licensing system or, at the department’s request, submitting updated information to the department in paper form. 

The Application Process

  1. Login to your e-licensing account.
  2. Click on the ‘Applications tab’ which will be found on the left-hand side of your screen.
  3. Select ‘EMS Reciprocity Application’.

a. Please note: This application is for applicants that hold a current out of state license. If you are applying for an initial license or are looking to upgrade your current Wisconsin license, please visit out Initial Application or Upgrade webpages.

  1. Upload your CPR card as well as your ACLS and PALS if applicable.

a. ACLS and PALS are required at the Paramedic level.

  1. Input your current NREMT number and expiration date.
    *Current NREMT is a requirement to obtain reciprocity in the state of Wisconsin.
  2. Download and send the Verification of Licensure (VoL) form to the state EMS office where you are currently licensed.

a. The Verification of Licensure (VoL) can be found in the ‘applications’ tab. Select ‘apply now’ which will populate your demographic information into PDF format onto the form. Next, send the form to the state office in which you were previously licensed. Our office will process the form once we receive it from that state office.

i. Our office must receive the VoL directly from the EMS state office where you are licensed.

  1. Download and send the Verification of Education (VoE) form to the EMS training center where you completed the highest level of initial EMS training or continuing education

a. The Verification of Education (VoE) can be found in the ‘applications’ tab. Select ‘apply now’ which will populate your demographic information into PDF format onto the form. Next, send the form to you to send to the applicable EMS educational facility.
b. You can upload copies of your current VoE document and or EMS course completion certificate(s) into the ‘documents’ tab of your e-licensing account. You can do this by selecting the ‘documents’ tab which is located on the left side of your screen. Next, select ‘upload a document’ and select the applicable document to upload.

  1. Provide a current Weapons of Mass Destruction (WMD) course completion certificate.

a. To be considered ‘current’, the certificate must be from a training completed within 6 months of your EMS Reciprocity license. If you have not taken a WMD course, we offer a free online course.
b. You can upload a copy of your current WMD certificate into the ‘documents’ tab of your e-licensing account. You can do this by selecting the ‘documents’ tab which is located on the left side of your screen. Next, select ‘upload a document’ and select the applicable document to upload.

Arrest or Conviction Record

Wisconsin Stat. § 111.321: Subject to ss. 111.33 to 111.365, no employer, labor organization, employment agency, licensing agency, or other person may engage in any act of employment discrimination as specified in s. 111.322 against any individual on the basis of age, race, creed, color, disability, marital status, sex, national origin, ancestry, arrest record, conviction record, military service, use or nonuse of lawful products off the employer's premises during nonworking hours, or declining to attend a meeting or to participate in any communication about religious matters or political matters

If you have an Arrest or Conviction Record, please refer to our Criminal History webpage for more information.

Contact Information

Helen Pullen
Email: Helen.Pullen@dhs.wisconsin.gov
Phone: 608-267-9777
Office Fax: 608-261-6392

Last Revised: October 6, 2021