Kentucky Board of EMS
Quick Answer
No. Kentucky does not require out-of-state EMTs or paramedics to retake a cognitive exam — an active NREMT certification is accepted for reciprocity through Kentucky Board of EMS. The state application fee is $100, and processing typically takes 4–6 Weeks.
How to transfer in 3 steps:
| Requirement | Details |
|---|---|
| Application Fee | $100 |
| Background Check Mandate | Required — Kentucky background check (per KBEMS) |
| NREMT Status Requirement | Accepted — NREMT satisfies the competency requirement |
| Average Processing Time | 4–6 Weeks |
Classification
Direct ReciprocityApplication Fee
$100
Background Check
Varies
Est. Total Cost
Varies
Background check vendor: Kentucky background check (per KBEMS). Protocol exam: None — NREMT accepted.
Kentucky charges a $100.00 reciprocity certification fee under 202 KAR 7:030.
NREMT does not charge to release your certification to a state EMS board. Where the destination state requires verification of your existing state license, the state that issued that license sets its own verification fee.
This is a fingerprint-based criminal history check. Results are transmitted directly to the state EMS bureau, so you cannot forward them yourself — register with the approved vendor under Kentucky’s service code.
Your existing CE hours generally transfer, but they must meet Kentucky's requirement at your certification level. Confirm any state-specific modules before you submit.
Confirm you qualify for a Kentucky reciprocity pathway
Kentucky accepts reciprocity from Illinois, Indiana, Missouri, Ohio, Tennessee, Virginia, or West Virginia — or on the basis of NREMT certification, or for Armed Forces members and veterans who transitioned within the past six years.
File the Kentucky reciprocity application
Submit the Section B reciprocity application through the Kentucky Board of EMS.
Pay the $100 reciprocity certification fee
Kentucky's reciprocity fee is set by regulation at $100.00. Note that licensure and other fees may be assessed separately.
Complete any required background screening
Confirm the current background check requirement with KBEMS when you file.
Await certification issuance
Track your application with the Kentucky Board of EMS.
Active NREMT Certification
Authorize NREMT to release your verification to Kentucky Board of EMS. NREMT does not charge for this release.
Current State License Verification
An official verification form from your home state EMS bureau confirming your license is active and in good standing.
Fingerprint Background Check
Kentucky background check (per KBEMS) — required for all reciprocity applicants.
Continuing Education Hours
24 CE hours at the EMT-Basic level (more for AEMT/Paramedic). Confirm any Kentucky-specific modules such as trauma or pediatric hours.
Completed State Application
Submit the Kentucky Board of EMS reciprocity application and confirm the current fee directly with the office.
Government-Issued ID
A valid driver's license or passport for identity verification.
Comparing Municipal Public Safety & Paramedic Pay Rates?
Calculate firefighter and paramedic base salary, 24/48 shift overtime rates, and municipal pension scales using our Firefighter & Paramedic Pay Calculator.
Requirements, fees, and timelines are estimates for planning. Always confirm directly with Kentucky Board of EMS before applying.
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