New Hampshire Bureau of EMS
Quick Answer
No. New Hampshire does not require out-of-state EMTs or paramedics to retake a cognitive exam — an active NREMT certification is accepted for reciprocity through New Hampshire Bureau of EMS. Processing typically takes 4–6 Weeks, and New Hampshire does not publish a fixed application fee — confirm the amount with New Hampshire Bureau of EMS.
How to transfer in 3 steps:
| Requirement | Details |
|---|---|
| Application Fee | Varies |
| Background Check Mandate | Required — New Hampshire background check (per Bureau of EMS) |
| NREMT Status Requirement | Accepted — NREMT satisfies the competency requirement |
| Average Processing Time | 4–6 Weeks |
Classification
NREMT Pathway RequiredApplication Fee
Varies
Background Check
Varies
Est. Total Cost
Varies
Background check vendor: New Hampshire background check (per Bureau of EMS). Protocol exam: None — NREMT accepted.
New Hampshire does not publish a fixed reciprocity fee — confirm the current amount with the Bureau of EMS.
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 New Hampshire’s service code.
Your existing CE hours generally transfer, but they must meet New Hampshire's requirement at your certification level. Confirm any state-specific modules before you submit.
Understand that New Hampshire does not handle state-to-state transfers
The Division of Fire Standards and Training & EMS states plainly that it does not process state-to-state license transfers. You apply for a New Hampshire license on the basis of your NREMT certification instead.
Confirm you hold current NREMT certification
New Hampshire's answer to out-of-state providers is: yes, if you are NREMT certified. NREMT is the pathway, not your home state license.
Complete the New Hampshire provider license application
Submit the New Hampshire Bureau of EMS Provider License Application along with a copy of your current NREMT card.
Complete any required background screening
Confirm the current background requirement with the Bureau of EMS when you file.
Await licensure
Track your application with the New Hampshire Bureau of EMS.
Active NREMT Certification
Authorize NREMT to release your verification to New Hampshire Bureau 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
New Hampshire background check (per Bureau of EMS) — required for all reciprocity applicants.
Continuing Education Hours
24 CE hours at the EMT-Basic level (more for AEMT/Paramedic). Confirm any New Hampshire-specific modules such as trauma or pediatric hours.
Completed State Application
Submit the New Hampshire Bureau 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.
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Requirements, fees, and timelines are estimates for planning. Always confirm directly with New Hampshire Bureau of EMS before applying.
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