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Pennsylvania EMT & Paramedic License Reciprocity Requirements

Pennsylvania Department of Health — EMS

Quick Answer

No. Pennsylvania does not require out-of-state EMTs or paramedics to retake a cognitive exam — an active NREMT certification is accepted for reciprocity through Pennsylvania Department of Health — EMS. Processing typically takes 4–8 Weeks, and Pennsylvania does not publish a fixed application fee — confirm the amount with Pennsylvania Department of Health — EMS.

How to transfer in 3 steps:

  • NREMT verification — authorize NREMT to release your certification to Pennsylvania Department of Health — EMS. NREMT does not charge for this release.
  • State application — file the Pennsylvania reciprocity application; confirm the current fee with Pennsylvania Department of Health — EMS.
  • Background check — complete the Pennsylvania fingerprint background check (per PA DOH) background check.
NREMT Required: Yes Application Fee: Varies Processing Timeline: 4–8 Weeks Background Check: Required
Apply at the Pennsylvania EMS Bureau Portal

Pennsylvania State Board Requirements at a Glance

RequirementDetails
Application FeeVaries
Background Check MandateRequired — Pennsylvania fingerprint background check (per PA DOH)
NREMT Status RequirementAccepted — NREMT satisfies the competency requirement
Average Processing Time4–8 Weeks

Quick Transfer Summary & Key Metrics

Classification

Direct Reciprocity

Application Fee

Varies

Background Check

Varies

Est. Total Cost

Varies

Background check vendor: Pennsylvania fingerprint background check (per PA DOH). Protocol exam: None — NREMT accepted.

Pennsylvania State Board Fees, Fingerprinting & CE Requirements

Application Fees

State application feeVaries
Fingerprint background checkVaries
NREMT verification releaseNo charge
Estimated totalVaries

Pennsylvania does not publish a single endorsement 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.

Fingerprinting / Live Scan

Required vendorPennsylvania fingerprint background check (per PA DOH)
Typical costVaries
Exam / skills checkNone — NREMT accepted

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 Pennsylvania’s service code.

Continuing Education

EMR12 hours
EMT-Basic24 hours
AEMT36 hours
Paramedic48 hours

Your existing CE hours generally transfer, but they must meet Pennsylvania's requirement at your certification level. Confirm any state-specific modules before you submit.

How to Transfer Your EMT License to Pennsylvania: Step-by-Step

  1. 1

    Hold current NREMT certification or an out-of-state license

    Pennsylvania offers Certification by Endorsement to providers credentialed elsewhere.

  2. 2

    File through the Pennsylvania EMS Registry

    Apply using the Pennsylvania EMS Registry's Certification by Endorsement process.

  3. 3

    Receive your certification through your Regional EMS Council

    Once approved, Pennsylvania emails you and your Regional EMS Council mails your PA EMS certification materials.

  4. 4

    Note your EMS Compact eligibility

    Pennsylvania is an EMS Compact member state, so providers licensed in other member states may qualify for a privilege to practice.

  5. 5

    Await certification issuance

    Confirm the current fee and track your application with the Pennsylvania Bureau of EMS.

NREMT & Verification Documentation Needed

  • Active NREMT Certification

    Authorize NREMT to release your verification to Pennsylvania Department of Health — 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

    Pennsylvania fingerprint background check (per PA DOH) — required for all reciprocity applicants.

  • Continuing Education Hours

    24 CE hours at the EMT-Basic level (more for AEMT/Paramedic). Confirm any Pennsylvania-specific modules such as trauma or pediatric hours.

  • Completed State Application

    Submit the Pennsylvania Department of Health — 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.

Frequently Asked Questions

Related State Reciprocity Guides

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Requirements, fees, and timelines are estimates for planning. Always confirm directly with Pennsylvania Department of Health — EMS before applying.