Forms & Applications

Initial Instructor Certification

Live Fire Instructor

Certification requirements vary depending on when an individual was certified as a Fire Instructor or Assistant Fire Instructor. If you received your Fire Instructor or Assistant Fire Instructor certification prior to January 1, 2018 you may be eligible for a full or partial exemption (“grandfathering”) from completing the Live Fire Instructor certification requirements.

Click HERE for additional information on the Live Fire Instructor Certification, including course entrance requirements, certificate qualifications, and exemption ("grandfathering") options.

NOTE: If ineligible for the exemption (“grandfathering”), the Live Fire Instructor application will be made available upon completion of course and job performance certification requirements.

 

Reinstatement Applications

 

Reciprocity Packets & Applications

Application Fee: $75.00 application fee required with EMS provider reciprocity applications (check/money order payable to “Ohio Treasurer of State”). There are no reciprocity application fees for firefighter or fire instructor.

Certifications not eligible for certification via reciprocity per the Ohio Administrative Code:

• Fire Safety Inspector
• Hazard Recognition Officer
• Assistant EMS Instructor
• Assistant Fire Instructor
• Live Fire Instructor

 

Request for Extension

 

Request for Exemption

 

Grant Applications & Forms

Priority 1 Training & Equipment Grant

Priority 1 applicants shall apply online. Instructions to create an account may be found in our user guide. For assistance logging on to the grants application website, please email our help desk, or call 614-752-6487.

APPLY

 

Please email the Grants Section if you have any questions about grant application forms.

Medical Transportation Checklists & Forms

The way you apply for, renew, and manage your medical transportation license has changed.

A new online system has been developed called MTLS Online. We will no longer accept paper applications and forms. All fees must be paid via credit card or Automated Clearing House (ACH).

To register with Identity Manager or log into the MTLS Online System use the following link: https://services.dps.ohio.gov/EMSMTLS.

CLICK HERE for help registering and navigating in the new system.

Inspection Forms

The following inspection forms are provided to assist you in preparing for your inspection. They are the same forms the inspector will use during the inspection.

Sample Only Forms

The following forms are for reference only. The functions of each of these forms is no longer done on paper but through the MTLS Online System. To register with Identity Manager or log into the MTLS Online System, use the following link: https://services.dps.ohio.gov/EMSMTLS.

CLICK HERE for help registering and navigating in the new system.

Complaint Form 

 

Fire Charter Program Administration

 

EMS and Fire Course and Exam Administration

Fire Charter Course Materials

Firefighter

 

Fire Charter Course Examinations

General Course Examination Documents and Policies

 

EMS Training Program Administration

 

Ohio EMR-EMT Manual

EMS Offsite Location Notice Form

 

EMR titles:

Required

• Patient assessment/management – Trauma
• Patient assessment/management – Medical
• BVM ventilation of an apneic adult and pediatric patient
• Oxygen administration via non-rebreather mask
• Cardiac arrest management: AED

Random –

• Medication administration via autoinjector
• Bleeding control/shock management
• Medication administration via intranasal route

 

EMT titles

Required:

• Patient assessment/management – Trauma
• Patient assessment/management – Medical
• Medical BVM ventilation of an apneic adult and pediatric patient
• Cardiac arrest management: AED
• Bleeding control/shock management

Random A –

• Long bone immobilization
• Joint immobilization
• Oxygen administration via non-rebreather mask

Random B –

• Medication administration via autoinjector
• Medication administration via intranasal route
• Ventilation via a supraglottic airway

 

EMS Training Program Curriculum & Education Standards

 

Archived EMS Curricula

The following archived curricula were used for classes that began prior to September 1, 2012. To request a copy of an archived curriculum, email EMS Education or call the Education & Testing section at (800) 233-0785 or (614) 466-9447.

• 1994 Emergency Medical Technician-Basic: National Standard Curriculum
• 1998 Emergency Medical Technician Paramedic: National Standard Curriculum
• Emergency Medical Technician: Basic Refresher Curriculum (October, 2003)
• First Responder Training Program Ohio Approved Curriculum (February, 2009)
• Ohio EMT - Intermediate Curriculum and Transitional Course (March, 2002)
• Ohio EMT - Intermediate Refresher Curriculum (March, 2004)
• Ohio EMT - Paramedic Refresher Curriculum (January, 2004)

EMS Training Program Instructor Information

EMS Instructor Initial Certification Information

 

More Forms