Licensure Disclosure – Emergency Medical Responder

Contact Information for Other States

StateMeets or Does Not Meet State Educational Requirements for Licensure or CertificationAgency Information
AlabamaMeetsAgency: Alabama Department of Public Health – Office of EMS
Phone: (334) 290-3088
Email: https://www.alabamapublichealth.gov/ems/contact.html
Website: https://www.alabamapublichealth.gov/ems/ems-education.html
Mailing Address: Alabama Department of Public Health
Office of EMS
208 Legends Court
Prattville, Alabama 36066
Notes: EMR and EMT field courses are now available in Alabama. They are held at regional offices however, not at a statewide level. Any person 18 years of age or older who has successfully completed the Emergency Medical Responder course of instruction, or its equivalent, as approved by the Board or its designee, and who has passed the State approved EMSP can be licensed as an EMR.
AlaskaMeetsAgency: EMTprep & Alaska Dept. of Health & Social Services – Division of Public Health
Phone: 907-269-7800
Email: heidi.hedberg@alaska.gov
Website: https://emtprep.com/extra/state-nremt-info/alaska
Mailing Address: Office of the Commissioner- Anchorage Office
3601 C Street, Suite 902
Anchorage, Alaska 99503-5923
Notes: https://health.alaska.gov/dph/Emergency/Documents/ems/documents/2019%20GECL.AppendixA.pdf
ArizonaMeetsAgency: EMTprep & Arizona Deprtment of Health Services – EMS & Trauma System
Phone: (602) 542-1025
Email: info@emtprep.com
Website: https://azdhs.gov/preparedness/emergency-medical-services-trauma-system/index.php
Mailing Address: Arizona Department of Health Services
150 North 18th Avenue
Phoenix, Arizona 85007
Notes: Arizona does not offer EMR licenses.
ArkansasMeetsAgency: EMTprep & Arkansas Department of Public Safety – Arkansas Division of Emergency Management
Phone: 501-683-6700
Email: https://www.dps.arkansas.gov/emergency-management/adem/about-adem/contact-us-2/
Website: https://www.dps.arkansas.gov/emergency-management/adem/training-exercise/training/
Mailing Address: Arkansas Department of Public Safety
Building 9501
Camp Joseph T. Robinson
North Little Rock, AR 72199
Notes: Arkansas does not offer EMR licenses
CaliforniaMeetsAgency: California Emergency Medical Services Authority
Phone: (916) 322-4336
Email: https://emsa.ca.gov/contacts/
Website: https://emsa.ca.gov/
Mailing Address: Emergency Medical Services Authority
11120 International Drive, 2nd Floor
Rancho Cordova, CA 95670
Notes: In California an EMR training course must meet the requirements of the California Code of Regulations, Title 22, Division 9, Chapter 1.5, passed all required tests and been certified by a California EMR certifying entity such as CalFire or the California Highway Patrol.
ColoradoMeetsAgency: Colorado Department of Public Health & Environment
Phone: 303-692-2000
Email: https://cdphe.colorado.gov/about-cdphe/contact-us
Website: https://cdphe.colorado.gov/emergency-care/emergency-medical-services/emergency-medical-responder-emr-registration
Mailing Address: Colorado Department of Public Health and Environment
Citizens Advocate
4300 Cherry Creek Drive South
Denver, CO 80246
Notes: Colorado issues a 3-year registration to first-time EMRs whose applications are approved by the department. Those who have never been registered in Colorado as an EMR are considered initial applicants.
ConnecticutMeetsAgency: Connecticut State Department of Public Health – OEMS
Phone: 860-509-7975
Email: DPH.EMSLicensing@ct.gov
Website: https://portal.ct.gov/DPH/Emergency-Medical-Services/EMS/OEMS—EMS-Education-and-Training
Mailing Address: Office of Emergency Medical Services
410 Capitol Avenue, MS #12EMS
Hartford, CT 06134-0308
Notes: To be eligible for an EMR certification by endorsement of a current out-of-state certification, an applicant must be at least fourteen (14) years old and meet the following requirements: Hold a current certification as an Emergency Medical Responder (EMR) by the (NREMT) or by a state or territory maintaining certification requirements equal to or higher than those of Connecticut.
DelawareMeetsAgency: Delaware State Fire School
Phone: (302) 739-4773
Email: fire.school@delaware.gov
Website: https://statefireschool.delaware.gov/emr/
Mailing Address: Delaware State Fire School
1461 Chestnut Grove Rd
Dover, DE 19904
Notes: The Delaware State Fire School manages all EMR certifications for the State of Delaware. For questions concerning your Delaware Certification, contact the office at 302-739-7339 or by Email at fire.school@delaware.gov 40 hour EMR course required, that is based on national recognized curriculum healthcare provider certification
FloridaMeetsAgency: Florida Department of Health
Phone: 850-245-4440
Email: EMS@flhealth.gov
Website: http://www.floridahealth.gov/licensing-and-regulation/licensing-ems-education/index.html
Mailing Address: Florida Department of Health
4052 Bald Cypress Way
Bin-A22
Tallahassee, FL 32399
Notes: Florida has two levels of certification for prehospital providers: Emergency Medical Technician and Paramedic. Emergency Medical Responder courses are available for law enforcement, security, etc in the state of Florida.
GeorgiaMeetsAgency: Georgia Department of Public Health – OEMS
Phone: 404-657-2700
Email: dph-phemsinfo@dph.ga.gov
Website: https://dph.georgia.gov/EMS
Mailing Address: Georgia Department of Public Health
200 Piedmont Avenue, Southeast
Atlanta, GA 30334
Notes: The Georgia Public Safety Training Center holds an Emergency Medical Responder course from time to time.
HawaiiMeetsAgency: State of Hawaii, Department of Health – Emergency Medical Services
Phone: 808-733-9210
Email: webmail@doh.hawaii.gov
Website: https://health.hawaii.gov/ems/
Mailing Address: State of Hawaii Department of Health
Emergency Medical Services & Injury Prevention System Branch
Leahi Hospital
3675 Kilauea Avenue, Trotter Building
Notes: There is two licensure categories for emergency medical responders: Emergency Medical Technician Basic and Emergency Medical Technicians Paramedic
IdahoMeetsAgency: Idaho Division of Public Health, Bureau of EMS Preparedness
Phone: 208-334-6996
Email: IdahoEMS@dhw.idaho.gov
Website: https://healthandwelfare.idaho.gov/providers/emergency-medical-services-ems/ems-providers
Mailing Address: Idaho Bureau of EMS & Preparedness
2224 E Old Penitentiary Rd,
Boise, ID 83712
Notes: To volunteer, or pursue a career to practice EMS in Idaho, you must be licensed by the state as an Emergency Medical Responder (EMR), Emergency Medical Technician (EMT), Advanced EMT (AEMT), or Paramedic. EMS licensing
IllinoisMeetsAgency: Illinois Department of Public Health – EMS Licensing
Phone: 217-782-4977
Email: https://dph.illinois.gov/contact-us.html
Website: http://www.dph.illinois.gov/topics-services/emergency-preparedness-response/ems/licensing
Mailing Address: IDPH Springfield Headquarters Office
525-535 West Jefferson Street
Springfield, IL  62761
Notes: Illinois has several categories of licensures for EMR: EMT Basic, EMT Intermediate, Advanced EMT, Paramedic, Lead Instructor, Emergency Medical Dispatcher and First responder.
IndianaMeetsAgency: Indiana Department of Homeland Security – Emergency Medical Services
Phone: 317-232-2222
Email: emscertifications@dhs.in.gov
Website: https://www.in.gov/dhs/ems/
Mailing Address: Indiana Department of Homeland Security
302 W. Washington St Room E208
Indianapolis, IN 46204
Notes: EMS personnel earn certifications at different levels in Indiana: emergency medical responder (EMR), emergency medical technician (EMT), advanced EMT (AEMT) and paramedic. These certifications prepare and authorize them to perform specific types of medical care.
IowaMeetsAgency: Iowa Department of Public Health -EMS
Phone: 515-281-7689
Email: https://idph.iowa.gov/Contact-Us/Response-Method/subject/3
Website: https://idph.iowa.gov/BETS/EMS
Mailing Address: Iowa Department of Public Health
Lucas State Office Building
321 E. 12th Street
Des Moines, IA 50319-0075
Notes: For Volunteer Emergency Medical Services Personnel, they must be trained to provide emergency medical care, certified as a first responder, and been issued a certificate by the Iowa Department of Public Health. A paid EMS personnel member who volunteers for another department is eligible for the credit, effective January 1, 2013.
KansasMeetsAgency: Kansas Board of Emergency Medical Services
Phone: 785-296-7296
Email: Contact Staff | ksbems.org | Kansas Board of Emergency Medical Services
Website: http://www.ksbems.org/ems/
Mailing Address: Kansas Board of Emergency Medical Services
Landon State Office Building,
900 SW Jackson Street, Suite 1031
Topeka, KS 66612-1228
Notes: The state of Kansas offers a number of courses specifically for fire, law enforcement, emergency medical technicians and other first responders. These courses are taught in communities across the state.
KentuckyMeetsAgency: Kentucky Board of Emergency Medical Services
Phone: 866-975-2367
Email: https://kbems.ky.gov/Pages/Contact-Us.aspx
Website: https://kbems.ky.gov/Pages/index.aspx
Mailing Address: Kentucky Board of Emergency Medical Services
500 Mero Street, 5th Floor 5SE32
Frankfort, KY 40601
Notes: A Kentucky certified First Responder is a person who has completed an approved course and received certification by KBEMS in providing pre-hospital care for both medical and trauma emergencies. Emergency Medical Responders (EMRs) have a higher level of skill than those trained in basic first aid. First Responders can support Emergency Medical Technicians and Paramedics by providing basic medical care for soft tissue and bone injuries and assisting in childbirth.
LouisianaMeetsAgency: Louisiana Department of Health – Bureau of Emergency Medical Services
Phone: 225-925-4022
Email: susan.bailey@la.gov
Website: https://ldh.la.gov/index.cfm/page/759#
Mailing Address: Louisiana Department of Health – Bureau of Emergency Medical Services
P. O. Box 629
Baton Rouge, LA 70821-0629
Notes: Louisiana EMR Initial License: Within two years of completing the course, the individual must successfully complete a state approved EMR course or present a valid, unrestricted NREMT certification as an EMR.
MaineMeetsAgency: Maine Emergency Medical Services
Phone: (207) 626-3860
Email: maine.ems@maine.gov
Website: https://www.maine.gov/ems/about/becoming-a-first-responder
Mailing Address: Maine Emergency Medical Services
Department of Public Safety
45 Commerce Drive Suite 1
152 State House Station
Notes: Emergency Medical Responder (EMR) and Emergency Medical Technician (EMT) are the Basic Life Support (BLS) entry levels for persons seeking to become licensed EMS provider in Maine.
MarylandMeetsAgency: Maryland Institute for Emergency Medical Services System
Phone: 1-800-762-7157
Email: info@miemss.org
Website: http://www.miemss.org/home/
Mailing Address: Maryland Institute for Emergency Medical Services System
653 West Pratt Street,
Baltimore, MD 21201
Notes: Upon completion of all of requirements, and verification of out-of-state credentials, a reciprocity applicant may be eligible for initial certification as a MD Emergency Medical Responder for a period not to exceed 42 months.
MassachusettsMeetsAgency: Massachusetts Office of Emergency Medical Services
Phone: (617) 753-7300
Email: oems.recert@state.ma.us
Website: https://www.mass.gov/orgs/office-of-emergency-medical-services
Mailing Address: Massachusetts OEMS
67 Forest St.,
Marlborough, MA 01752
Notes: In order to become a first responder in the state of Massachusetts, you must enroll in, and successfully complete a first responder training program.
MichiganMeetsAgency: Michigan Department of Health & Human Services
Phone: 517-241-3025
Email: MDHHS-MichiganEMS@MICHIGAN.GOV
Website: https://www.michigan.gov/mdhhs/0,5885,7-339-73970_5093_28508—,00.html
Mailing Address: Michigan Department of Health & Human Services
P.O. Box 30207
Lansing, Michigan 48909
Notes: Any individual who is employed as a Medical First Responder to provide medical first response life support must be licensed with the Michigan Department of Community Health – Emergency Medical Services (EMS) Section. Additional certifications are available for Emergency Medical Technician (EMT), Specialist/AEMT, and Paramedic.
MinnesotaMeetsAgency: Minnesota EMSRB
Phone: 651-201-2800
Email: emsrb@state.mn.us
Website: https://mn.gov/elicense/a-z/?id=1083-231164#/list/appId//filterType//filterValue//page/1/sort//order/
Mailing Address: Emergency Medical Services Regulatory Board (EMSRB)
335 Randolph Avenue, Suite 220
Saint Paul, MN 55102
Notes: The Minnesota Emergency Medical Services Regulatory Board (EMSRB) is the state agency responsible for licensing ambulance services, certifying emergency medical personnel, and approving emergency medical services training programs.
MississippiMeetsAgency: Mississippi State Department of Health
Phone: 601-576-7400
Email: web@HealthyMS.com
Website: https://msdh.ms.gov/msdhsite/_static/47,0,307,375.html
Mailing Address: Mississippi State Department of Health
570 East Woodrow Wilson Drive
Jackson, MS 39216
Notes: Mississippi requires that all Medical First Responders maintain current registration with the National Registry of Emergency Medical Technicians.
MissouriMeetsAgency: Missouri Department of Health & Senior Services – OEMS
Phone: 573-751-6356
Email: EMSINFO@health.mo.gov
Website: https://health.mo.gov/safety/ems/
Mailing Address: Bureau of Emergency Medical Services
Missouri Department of Health and Senior Services
PO Box 570
Jefferson City, MO 65102-0570
Notes: Missouri does NOT have a step down process from EMT-Basic. NREMT’s Emergency Medical Responder (EMR) certification is the equivalent of Missouri’s First Responder certification
MontanaMeetsAgency: Montana Department of Public Health & Human Services – EMS & Trauma Systems
Phone: (406) 444-3895
Email: EMSTS Contact List (mt.gov)
Website: https://dphhs.mt.gov/publichealth/EMSTS
Mailing Address: Montana DPHHS
P.O Box 202951
1400 Broadway, Room C303
Helena, MT 59620
Notes: “Emergency care provider” or “ECP” means a person licensed by the board, including but not limited to an emergency medical responder, an emergency medical technician, an advanced emergency medical technician, or a paramedic.
NebraskaMeetsAgency: Nebraska Department of Health & Human Services – EMS Licensing
Phone: (402) 471-0371
Email: DHHS.EMSLicensing@nebraska.gov
Website: https://dhhs.ne.gov/Pages/EHS-EMS-Licensing.aspx
Mailing Address: Nebraska Department of Health & Human Services
301 Centennial Mall South
P.O. Box 95026
Lincoln, Nebraska 68509-5026
Notes: The State of Nebraska requires all Emergency Medical Responders, Emergency Medical Technicians, Advanced Emergency Medical Technicians, and Paramedics to be licensed.
NevadaMeetsAgency: Nevada Department of Health & Human Services, Division of Public and Behavioral Health
Phone: 775-684-4200
Email: healthems@health.nv.gov
Website: http://dpbh.nv.gov/Reg/EMS/EMS-home/
Mailing Address: Nevada Department of Health & Human Services, Division of Public and Behavioral Health
4150 Technology Way
Carson City, NV 89706
Notes: In Nevada, the closest equivalent to an EMR is a First Responder. Other licensed professions include EMT, EMT-Paramedic, and Advanced EMT. Emergency Medical Responder is not a role in Nevada.
New HampshireMeetsAgency: New Hampshire Fire Academy & EMS
Phone: (603) 223-4200
Email: fstems@dos.nh.gov
Website: https://nhfa-ems.com/about/bureau-of-emergency-medical-services/
Mailing Address: New Hampshire Fire Academy & EMS
98 Smokey Bear Blvd
Concord, New Hampshire 03301
Notes: In New Hampshire, the closest equivalent to an EMR is a First Responder. Other licensed professions include EMT, EMT-Paramedic, and Advanced EMT. Emergency Medical Responder is not a role in NH.
New JerseyMeetsAgency: New Jersey Department of Health – OEMS
Phone: 609-633-7777
Email: ems@doh.nj.gov
Website: https://www.nj.gov/health/ems/
Mailing Address: NJ Department of Health
Office of Emergency Medical Services
PO Box 360
Trenton, NJ 08625-0360
Notes: In the state of New Jersey, “Emergency medical responder” means a paid or volunteer member of a duly incorporated first aid, rescue, or ambulance squad.
New MexicoMeetsAgency: New Mexico Emergency Medical System Bureau
Phone: 505-476-8200
Email: Contact Us (nmhealth.org)
Website: https://nmhealth.org/about/erd/emsb/nrc/
Mailing Address: New Mexico Emergency Medical System Bureau
Harold Runnels Building
1190 S. St. Francis Drive
Santa Fe, NM 87505
Notes: New Mexico has a position called “EMS First Responder” that equates to Emergency Medical Responder in most states. National EMS Certification Required for Initial New Mexico State Licensure.
New YorkMeetsAgency: New York State Department of Health
Phone: 866-881-2809
Email: dohweb@health.ny.gov
Website: https://www.health.ny.gov/professionals/ems/cfr.htm
Mailing Address: New York State Department of Health
Corning Tower
Empire State Plaza,
Albany, NY 12237
Notes: New York State recognizes “Certified First Responders”, and otherwise licenses EMT and AEMTs.
North CarolinaMeetsAgency: NC Division of Health Service Regulation – Office of Emergency Medical Services
Phone: 919-855-3750
Email: https://www.ncdhhs.gov/divisions/dhsr/dhsr-contact-form
Website: https://info.ncdhhs.gov/dhsr/EMS/credcomp.htm
Mailing Address: NC Division of Health Service Regulation
Office of Emergency Medical Services
2707 Mail Service Center,
Raleigh, NC 27699-2707
Notes: https://oems.nc.gov/wp-content/uploads/2022/11/EMR-EducationProgramRequirements.pdf
North DakotaMeetsAgency: North Dakota Department of Health (NDDH) Division of Emergency Medical Systems (DEMS)
Phone: 701-328-2310
Email: dhseo@nd.gov
Website: Emergency Medical Systems | Health and Human Services North Dakota
Mailing Address: North Dakota Department of Health and Human Services
Division of Emergency Medical Systems
600 East Boulevard Avenue
Bismarck ND 58505
Notes: EMS Personnel Renewal Requirements | Health and Human Services North Dakota
OhioMeetsAgency: State of Ohio Department of Public Safety – Division of EMS
Phone: (614) 466-9447
Email: ASKEMS@dps.ohio.gov
Website: https://www.ems.ohio.gov/certifications.aspx#gsc.tab=0
Mailing Address: Ohio Department of Public Safety
Division of Emergency Medical Services
1970 West Broad Street
Columbus, Ohio 43223
Notes: https://ems.ohio.gov/certifications/certification-actions/reciprocity
OklahomaMeetsAgency: Oklahoma State Department of Health
Phone: (405) 426-8480
Email: Esystems@health.ok.gov
Website: EMS Division (oklahoma.gov)
Mailing Address: Oklahoma State Department of Health
123 Robert S. Kerr. Ave Suite 1702
Oklahoma City, OK 73102-6406
Notes: Oklahoma EMRs can either be nationally registered or registered with the state by completing an OSDH approved EMR Course and proof of passing a CareerTech sponsored EMR Written Exam.
OregonMeetsAgency: Oregon Health Authority
Phone: 503-947-2340
Email: OHA.DirectorsOffice@state.or.us
Website: https://www.oregon.gov/OHA/PH/PROVIDERPARTNERRESOURCES/EMSTRAUMASYSTEMS/EDUCATIONTRAINING/Pages/approved.aspx
Mailing Address: Oregon Health Authority
EMS & Trauma Systems Program
800 Northeast Oregon Street
Suite 465
Notes: https://www.oregon.gov/oha/PH/PROVIDERPARTNERRESOURCES/EMSTRAUMASYSTEMS/EMSTRAININGCERTIFICATION/Pages/recip.aspx Requirements for EMRs in Oregon are as follows: Current NREMT certification, current CPR certification, $45 license fee, current and valid US identification
PennsylvaniaMeetsAgency: Pennsylvania Department of Health – Bureau of EMS
Phone: 717-787-8740
Email: https://forms.health.pa.gov/health-contact-us/
Website: https://www.health.pa.gov/topics/EMS/Pages/EMS.aspx
Mailing Address: Pennsylvania Department of Health
Health and Welfare Building
8th Floor West
625 Forster Street
Notes: https://www.ehsf.org/education/certification-by-endorsement
Rhode IslandMeetsAgency: Rhode Island Department of Health
Phone: 401-222-2401
Email: https://health.ri.gov/programs/detail.php?pgm_id=128
Website: https://health.ri.gov/licenses/
Mailing Address: Department of Health
3 Capitol Hill
Providence, RI 02908
Notes: Emergency Medical Services Licensing: Department of Health (ri.gov)
South CarolinaMeetsAgency: S.C. Department of Health and Enviromental Control
Phone: 803-898-3432
Email: info@dhec.sc.gov
Website: https://scdhec.gov/ems-training-protocols-requirements
Mailing Address: S.C. Department of Health and Enviromental Control
2100 Bull Street
Columbia, SC 29201
Notes: Certification as an EMR – First Responder (Emergency Medical Responder) is not currently recognized as a certified level in South Carolina and does not fall under South Carolina Laws and Regulations pertaining to EMS
South DakotaMeetsAgency: S.D. Department of Health
Phone: 605-773-3361
Email: DOH.info@state.sd.us
Website: https://doh.sd.gov/healthcare-professionals/ems-trauma-program/ems-licensing/
Mailing Address: South Dakota Department of Health
600 East Capitol Avenue
Pierre, SD 57501-2536
Notes: To become a South Dakota certified Emergency Medical Responder or Emergency Medical Technician, students are required to successfully pass the EMR or EMT Course and pass the National Registry Cognitive and Psychomotor examinations. If you are seeking to obtain your South Dakota EMR or EMT Certification and you are currently certified/licensed in another state, and you have or have had National Registry Certification, you can apply to obtain your SD EMR or EMT Certification via our E-Licensing system (Reciprocity).
TennesseeMeetsAgency: Tennessee Department of Health
Phone: (615) 741-2584
Email: tn.health@tn.gov
Website: https://www.tn.gov/health/health-program-areas/health-professional-boards/ems-board/ems-board/licensure.html
Mailing Address: Tennessee Department of Health
710 James Robertson Parkway
Nashville, TN 37243
Notes: Certification Requirements for Emergency Medical Responder (EMR) – Be at least seventeen (17) years of age, read, write, and speak English, no history of drug abuse in past 3 years, completed board approved EMR program, and obtain a passing score on a board approved written examination.
TexasMeetsAgency: Texas Dept. of Health and Human Services
Phone: 512-834-6700
Email: emscert@dshs.texas.gov
Website: https://www.dshs.texas.gov/dshs-ems-trauma-systems/ems-personnel-certification-licensure
Mailing Address: Texas Department of State Health Services
PO Box 149347
Austin, Texas 78714-9347
Notes: An out-of-state certified emergency medical services (EMS) person may apply for Texas certification by reciprocity. Persons with Emergency Care Attendant (ECA); First Responder (FR) or Emergency Medical Responder (EMR) are not eligible for Texas Reciprocity.
UtahMeetsAgency: Utah Department of Health – Bureau of Emergency Medical Services Preparedness
Phone: (801) 273-6666
Email: ems@utah.gov
Website: https://bemsp.utah.gov/ems-personnel-licensure/
Mailing Address: Bureau of Emergency Medical Services
Utah Department of Public Safety
4501 South 2700 West
Taylorsville, UT 84129
Notes: The following EMS certifications are available in Utah: Emergency Medical Responder: An EMR performs basic lifesaving and first aid. An EMR is not employed by an EMS agency, but is trained in communicating with EMTs and Paramedics.
VermontMeetsAgency: Vermont Department of Health
Phone: 802-863-7200
Email: https://www.healthvermont.gov/about/contact-us
Website: https://www.healthvermont.gov/emergency-medical-services
Mailing Address: Vermont Department of Health
280 State Drive
Waterbury, VT 05671
Notes: In Vermont, all initial EMS personnel licenses are based on certification from the National Registry of EMTs (NREMT) and an affiliation with a Vermont-licensed ambulance or first responder agency. If you hold a current NREMT certification and would like to obtain a Vermont EMS personnel license, you must complete the Vermont EMS Reciprocity Application and submit it to the address on the application. Reciprocity Information:
VirginiaMeetsAgency: Virginia Department of Health – OEMS
Phone: 804-888-9100
Email: emstechasst@vdh.virginia.gov
Website: https://www.vdh.virginia.gov/emergency-medical-services/
Mailing Address: Virginia Department of Health
P.O Box 2448
Richmond, VA 23212-2448
Notes: https://www.vdh.virginia.gov/courses/uploads/sites/23/2018/02/reciprocity-and-legal-recognition-in-virginia.pdf
WashingtonMeetsAgency: Washington State Department of Health
Phone: 360-236-4700
Email: https://fortress.wa.gov/doh/opinio/s?s=DOHFeedback
Website: Emergency Medical Services (EMS) Provider Licensing Information | Washington State Department of Health
Mailing Address: Washington State Department of Health
Customer Service Office
P.O Box 47877
Olympia, WA 98504-7877
Notes: Reciprocity: Applicant lists all states where credentials are or were held, including where applicant has applied but a credential was not granted. A verification form must be completed and submitted by the jurisdiction where the applicant is or was credentialed. Applicant sends form to jurisdiction for completion. The jurisdiction sends completed form directly to the department.
West VirginiaMeetsAgency: West Virginia Dept. of Health & Human Resources – OEMS
Phone: (304) 558-3956
Email: Office of EMS Staff (wvoems.org)
Website: https://www.wvoems.org/
Mailing Address: West Virginia Office of Emergency Medical Services
350 Capitol Street
Room 425
Charleston, WV 25301
Notes: https://www.wvoems.org/media/323041/legal%20recognition%20and%20credential%20recognition%20transfer%206-5-2017.pdf
WisconsinMeetsAgency: Wisconsin Department of Health Services – EMS
Phone: 608-266-1865
Email: Contact Information | Wisconsin Department of Health Services
Website: https://www.dhs.wisconsin.gov/ems/licensing/index.htm
Mailing Address: Wisconsin Department of Health Services
1 West Wilson Street
Madison, WI 53703
Notes: https://www.dhs.wisconsin.gov/ems/licensing/reciprocity.htm Emergency Medical Responders (EMRs), formerly known as first responders in Wisconsin, are volunteers or part-time employees within their communities who are certified by the State of Wisconsin. Many of the responders are also trained to the Emergency Medical Technician (EMT) level.
WyomingMeetsAgency: Wyoming Department of Halth – Office of Emergency Medical Services
Phone: (307) 777-7656
Email: https://health.wyo.gov/contact/
Website: https://health.wyo.gov/publichealth/ems/ems-program-2/
Mailing Address: Wyoming Department of Health
Office of Emergency Medical Services
122 West 25th Street, Suite 102E
Cheyenne, WY 82002
Notes: Initial EMS Education – Wyoming Department of Health
District of ColumbiaMeetsAgency: DC Health – Emergency Medical Services
Phone: (202) 671-4222
Email: doh@dc.gov
Website: https://dchealth.dc.gov/service/emergency-medical-services
Mailing Address: Emergency Medical Services Division of the Department of Health
899 North Capitol Street, NE
Washington, DC 20002
Notes: The EMS Division of the Department of Health maintains a list of individuals who have gained and maintained status as a District Certified Emergency Medical Responder (EMR).
American SamoaMeets 
GuamMeetsAgency: Guam Department of Public Health and Social Services
Phone: (671) 735-7411
Email: breanna.sablan@dphss.guam.gov
Website: https://dphss.guam.gov/emergency-medical-services-2/
Mailing Address: Guam Board of Emergency Medical Services
194 Hernan Cortez Avenue, Terlaje Professional Building
Suite 213
Hagatna, Guam 96910
Notes: The closest approximation to an EMR in Guam is called a Community Emergency Response Team (CERT). The goal is for emergency personnel to train members of neighborhoods, community organizations, or workplaces in basic response skills. CERT members are then integrated into the emergency response capability for their area. For more information, contact Citizen Corps Program Manager Jaimie Cruz at (671) 475-9600 or via email at jaimie.cruz@ghs.guam.gov
Northern Mariana IslandsMeetsAgency: CNMI Office of the Governor – Fire and Emergency Medical Services
Phone: (670) 237-2200
Email: https://governor.gov.mp/contact/
Website: Department of Fire & Emergency Medical Services Archives | Office of Planning and Development (gov.mp)
Mailing Address: The Honorable Ralph DLG. Torres
Governor
Commonwealth of the Northern Mariana Islands
Caller Box 10007
Notes: There is no reciprocity with the Northern Mariana Islands from my research. Found no information regarding training and certification requirements
Puerto RicoMeetsAgency: pr.gov – Official Portal of the Government of Puerto Rico
Phone: (787) 777-3535
Email: N/A
Website: PR.gov | Gobierno de Puerto Rico
Mailing Address: PR Department of Health
PO Box 2129
San Juan, PR00922-2129
Notes: Although not licensed by the government officially, there are many options in Puerto Rico to train as an EMR. The Puerto Rico Virtual School and Emergency & Critical Care Trainings LLC are two examples.
U.S. Virgin IslandsMeets