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The form explains renewal eligibility, required documentation for National Registry AEMT/EMT status, and mandatory demographic/service affiliation details. Applicants must complete seven questions, provide personal information, and obtain attestations from the Head of Service, Training Officer (or alternate signers), and District Medical Advisor. It also lists continuing competency education hour requirements across clinical, operational, and medical topic categories.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/advanced-emt-license-renewal-application-vermont/366162/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/advanced-emt-license-renewal-application-vermont/366162.png","ImageObject",300,407,{"name":92,"@type":93},"Franzy","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-29","2026-09-23",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What documentation is required if you already have a current National Registry AEMT certification?","Question",{"text":112,"@type":113},"Attach a copy of your current NR-AEMT card. Documentation of continued competency training is not required.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What documentation is required if you have a current NR-EMT certification?",{"text":117,"@type":113},"Provide a photocopy of your current NR-EMT card and document education for all topics marked with an asterisk (*).",{"name":119,"@type":110,"acceptedAnswer":120},"If you have never held NREMT at the EMT, Intermediate, or Advanced level, what must you document?",{"text":121,"@type":113},"Document 50 hours of Advanced EMT continued competency education as described in the instructions.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},366162,1790472219,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":29,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144},2336478945519,"https://ap-avatar.wpscdn.com/davatar_085a072bc5b1113ac321206ff7593b45","VERMONT DEPARTMENT OF HEALTH EMERGENCY MEDICAL SERVICES OFFICE Post Office Box 70, 108 Cherry Street Burlington, Vermont 05402-0070 1-800-244-0911 (in VT) or 1-802-863-7310  \nADVANCED EMT LICENSE RENEWAL APPLICATION  \nThis form is to be used by all persons applying to renew their Vermont Advanced EMT license. Please keep a copy of this application for your service’s credentialing records.  \nINSTRUCTIONS  \n\n| If you hold a current National Registry AEMT certification | Attach a copy of your current NR-AEMT card. Documentation of continued competency training is not required. |\n| --- | --- |\n| If you hold a current NR-EMT certification, you only need to document a portion the National and State/Local topics because many of the hours were represented in your NR-EMT renewal application. | Please include a photocopy of your current NR-EMT card AND document education in all topics designated with an asterisk (*) |\n| If you have never held a NREMT certification at the EMT, Intermediate or Advanced EMT level | Please document 50 hours of Advanced EMT continued competency education as described on pages 3, 4 and 5. |\n\nPage 2 (Mandatory):  \nIn the top section of this page please provide your demographic and service affiliation information. To be eligible for a Vermont EMS license, you must have an affiliation with an EMS agency licensed in Vermont at or above the AEMT level, or be affiliated with a medical facility that requires you to hold this level of EMS licensure. PLEASE NOTE: A current email address is required for access to free online continuing education.  \nIn the middle section of this page, please indicate the license level at which you are renewing and whether you are doing so through documentation of continued competency education or with a National Registry of EMTs certification.  \nPages 3, 4 and 5:  \nUnless you hold a current NR-AEMT certification, you must document completion of continued competency education and skills verification (page 5) . If you have a renewed National Registry EMT certification, you only need to document training in the topics designated with an asterisk (*) .  \nIf you have never held a NR-EMT or NR-AEMT certification, you must document all 50 hours ofCE as described on these pages.  \nPage 6 (Mandatory):  \nPlease answer the seven questions and then print and sign your name. Please also fill in the application completion date and your date ofbirth. Your Head of Service must attest with a signature that you are affiliated with the licensed agency indicated on this application. The only person authorized to sign as your Head of Service is the person listed on your service’s license application. Your Training Officer must attest with a signature that you completed all required continuing education documented on this application. If you are your agency’s Training Officer, your District Training Coordinator must sign your application (all other applications can only be signed by the Training Officer). Your District Medical Advisor must attest with a signature that you meet local medical control requirements to function at an advanced level and should be relicensed.  \nAPPLICANT INFORMATION  \nPLEASE PRINT PLEASE PRINT  \n     X X X – X X –    \nVT EMS License Number VT EMS License Exp. Date Last 4 digits of Social Security Number  \nLast Name First Name Middle Name  \nAddress Town/City State ZIP  \n(  )  -  (  )  -       \nHome Phone Work Phone Sex Date ofBirth  \n(  )  -     \nCell Phone Email Address(es)– Required for FREE online education access  \n1)  2)   \nPrimary Service Affiliation Additional Service Affiliation  \n3)  4)   \nAdditional Service Affiliation Additional Service Affiliation  \nPrior First Names:   Prior Last Names:   Birth City:  Birth State:  Birth Country   \nRENEWAL METHOD: 􀂅 With NR-AEMT card 􀂅 With NR-EMT card and CE  \n(NR-AEMT \\# ) (Exp.  )  \n􀂅 Without NREMT (CE only)  \n*DO NOT WRITE BELOW THIS LINE – OFFICE USE ONLY*  \nNREMT verified: YES NO N/A by:   Date    \nSignatures verified: YES NO by: ","cbCaibRjGKU7qX1Q","https://ap.wps.com/l/cbCaibRjGKU7qX1Q","pdf",375458,"English","# Instructions for renewal documents\n# Applicant information and eligibility requirements\n# Renewal method selection and signatures\n# Continued competency education requirements (Advanced EMT)\n## National continued competency requirements and topic-hour table","[{\"question\":\"What documentation is required if you already have a current National Registry AEMT certification?\",\"answer\":\"Attach a copy of your current NR-AEMT card. Documentation of continued competency training is not required.\"},{\"question\":\"What documentation is required if you have a current NR-EMT certification?\",\"answer\":\"Provide a photocopy of your current NR-EMT card and document education for all topics marked with an asterisk (*).\"},{\"question\":\"If you have never held NREMT at the EMT, Intermediate, or Advanced level, what must you document?\",\"answer\":\"Document 50 hours of Advanced EMT continued competency education as described in the instructions.\"}]","Advanced EMT License Renewal Application - Vermont | PDF",1790164004,15]