EMT Certification by Examination

Before applying for certification, please familiarize yourself with the general certification/licensure policies.
A step-by-step instruction document on how to apply for an initial EMT Certification on CT e-license can be downloaded by clicking here.

An EMT applicant must be at least sixteen (16) years old and meet one of the following requirements:

  • Successfully complete an Department-approved Emergency Medical Technician (EMT) training program in Connecticut with a minimum of 150 hours (including written and practical examinations); or
  • Hold a current unrestricted Connecticut licensure as a registered nurse (RN), advanced practice registered nurse (APRN), physician (MD) or physician assistant (PA), and successful completion of a Department-approved EMT refresher course with a minimum of 30 hours (including written and practical examinations) in addition to the successful completion of the State-approved cognitive and psychomotor exams as described below.

Documentation Requirements

  • A completed online application on the Connecticut eLicense website for EMT certification.
  • EMT Training Program Completion Form, which is submitted directly to the Department by your instructor.
  • If under 18 years of age, a Parental Consent Form.
  • If applicable, a completed Verification of EMS License/Certification Form from all states in which the applicant is or has ever been certified, current or expired, forwarded to this office from the appropriate authority in any U.S. State or territory in which the applicant is or has ever been certified as a EMS provider.  Most jurisdictions charge a fee for verification.  Be sure to contact the jurisdiction for fee information.
  • Successful completion of an OEMS-approved NREMT psychomotor (practical) examination.
  • Successful completion of the National Registry of Emergency Medical Technician (NREMT) cognitive EMT examination.  For more information, please visit the NREMT website
All supporting documentation (except for the online application) should be sent from the primary source (state, territory, instructor) via any of the following:
via email: dph.emslicensing@ct.gov (Preferred Method)
via fax: 860.920.3142
via mail: Connecticut Department of Public Health
EMS Certification
410 Capitol Ave., MS # 12 EMS
P.O. Box 340308
Hartford, CT 06134-0308

Examination information for candidates

EMT applicants must complete a state approved psychomotor (practical) examination and the NREMT's cognitive (written) examination.

Psychomotor (practical) Examination Process

It is the responsibility of the applicant to schedule their practical exam. The applicant may either contact the instructor of the EMT course in which they are enrolled or the testing site directly to schedule the exam.  A schedule of practical exams is available on the EMS Licensure/Certification/Exam page of the OEMS website.


Practical examination results are not released to applicants by OEMS.  Your official results will be communicated to your instructor of record who will contact you after they receive your results.  Results are reported in "pass/fail" format and details of test performance are not made available.


The practical examination consists of five (5) stations in which the candidate is expected to direct patient care and be graded individually in five stations.  The table below details passing and/or failure of of stations and action needed to pass and be eligible to sit for the cognative examination.


if you pass:
action needed:
all 5 stations
proceed to Cognative Examination Process (below), if not already completed
4 stations (fail 1 station)
receipt of a Review & Retrain form directly from Instructor
3 stations (fail 2 stations)
retake these two stations practical examination
2 to 0 stations (failed 3 to 5 stations)
retake entire practical examination

For information regarding the skills stations at the practical examination please visit the 
NREMT website.

Cognitive (written) Examination Process

In order to take the National Registry EMT written exam, applicants must first set up an account.  This allows the applicant to then register for the examination first with the NREMT.

Applicants that are deemed eligible for examination will receive an Authorization To Test (ATT).  The ATT instructions will include information regarding scheduling an examination.  The ATT will appear directly at the NREMT website.  Applicants should complete an NREMT registration form and pay the requisite examination registration fee.


If you are at least 18 years old, your EMS-Instructor must approve your course completion. If under 18 years of age, or applying on the basis of completion of a refresher course, OEMS, not the instructor, must approve your course and practical exam, meaning that under 18 applicants, and those applicants applying on the basis of current Connecticut RN, APRN, MD or PA license who completed a Connecticut approved refresher course, must complete the practical exam before qualifying to take the written exam as an Assessment applicant only.


A candidate may be required to take the EMT Assessment examination prescribed by OEMS if:

  • they are under 18 years of age;
  • they hold a current Connecticut RN, APRN, MD or PA license and have taken a refresher course to qualify for EMS certification;
  • they are not able to qualify for certification via endorsement because their state of certification does not require the NREMT examinations for the purpose of certification.

Please note:  Unless the applicant is under 18 years of age or is an Assessment applicant, the practical verification at the NREMT is not necessary to take the NREMT examination.  Course completion verification and payment of the required fee are the only two prerequisites for taking the NREMT exam.  In most cases, practical verification will occur after completion of the written exam.


Results of the practical or written examinations are valid for one year from the date of the last practical or written examination (or vice versa), or from the end of the course if you are applying for the first time.  For example, a candidate applying for written examination who has one-year-old practical examination results must retake the practical examination before a certification is issued.


Candidates are allowed six (6) opportunities to test for the written examination within a two-year period from the end of the course.  Results of the written exam are valid for one year only.  Candidates applying for the fourth time must require submission of an official verification of successful completion of a refresher education course including the written and practical exams directly from the instructor of record to the NREMT and to this department.  This refresher must be completed before the fourth attempt of the examination.  Candidates who fail the written examination on the sixth attempt, or have reached the two-year limit must repeat the entire Initial EMT training program in order to apply for subsequent examination attempts.