[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-375108-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-375108-en":130},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","emt-cognitive-competency-by-exam-form-recertification","EMT Cognitive Competency by Exam Form - Recertification","","Congratulatory notification confirming successful demonstration of continued cognitive competency by examination, requiring completion of the enclosed EMT recertification form for processing. The form must be fully completed, with criminal conviction and disciplinary action statements answered, and active status requests signed by a Training Officer or Supervisor. Submission by email is required by March 31 to prevent renewal as inactive, with a copy retained for personal records. False statements may lead to revocation and audits may occur.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/emt-cognitive-competency-by-exam-form-recertification/375108/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/emt-cognitive-competency-by-exam-form-recertification/375108.png","ImageObject",300,407,{"name":42,"@type":43},"Putri","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-29","2026-09-23",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",9,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What must be done to complete EMT recertification after passing the cognitive competency exam?","Question",{"text":63,"@type":64},"Complete the entire enclosed recertification form so it can be processed. No additional recertification application needs to be sent.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What happens if the criminal conviction or disciplinary action questions are answered “yes”?",{"text":68,"@type":64},"Contact the National Registry at evaluation@nremt.org before proceeding with the application.",{"name":70,"@type":61,"acceptedAnswer":71},"How can an EMT avoid being renewed as inactive?",{"text":72,"@type":64},"Email the completed form to support@nremt.org by March 31 and retain a copy of submitted materials for personal records.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},375108,1790695304,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,110,115,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":108,"slug":109},7,40,"healthcare",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":112,"show_sort_weight":113,"slug":114},8,"Research & Report",30,"research-report",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},"Religion & Spirituality",20,"religion-spirituality",{"id":117,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":117,"slug":121},"World Cup","world-cup",{"id":123,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":123,"slug":125},10,"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":97,"slug":129},19,"General","general",{"code":4,"msg":82,"data":131},{"doc_id":79,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":107,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":26,"language":139,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":12,"update_tm":143,"read_time":97},962085571259,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","National Registry of Emergency  \nMedical Technicians®  \nTHE NATION'S EMS CERTIFICATION  \nROCCO V. MORANDO BUILDING 6610  \nBUSCH BLVD.  \nP. O. BOX 29233  \nCOLUMBUS, OHIO 43229  \n(614) 888-4484  \n[www.nremt.org](www.nremt.org)  \nCongratulations! You have successfully demonstrated continued cognitive competency by examination.  \nIn order to be recertified, you will need to fill out the enclosed form and answer the requested information. You must complete the entire form in order to be processed. You do not need to send anyother recertification application. Submission of the enclosed form by someone who has not undergone and completed the examination process is prohibited and subject to disciplinary action according to National Registry policies.  \n1. Answer the Criminal Conviction and Disciplinary Action questions.  \n2. If requesting active status, you will need to sign the application and obtain a signature from the following:  \na. Training Officer, or Supervisor  \n3. Email the form to [support@nremt.org](support@nremt.org) by March 31 to avoid being renewed as inactive.  \nPlease make and retain a copy of all materials you send to the National Registry for your own records.  \nAgain, congratulations, and we look forward to completing your recertification.  \nBill Seifarth, MS, NRP, ICE-CCP  \nExecutive Director/  \nChief Executive Officer  \nTHE NATIONAL REGISTRY OF EMERGENCY MEDICAL TECHNICIANS EMT Cognitive Competency by Exam Form  \nMailing Address  \n\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n\nCity  \nEmail  \nArea Code  \n\n| CRIMINAL CONVICTION AND DISCIPLINARY ACTION STATEMENTS |  |  |\n| --- | --- | --- |\n| YES  YES  | NO NO  | Since your last certification, have you been convicted of a criminal conviction?\u003Cbr>Since your last certification, have you ever been subject to limitation, suspension from, or under revocation or probation of your right to practice in a health care occupation or voluntarily surrendered a health care licensure in any state or to any agency authorizing the legal right to work? |\n| If you answered “yes” to either question, please contact the National Registry at [evaluation@nremt.org](evaluation@nremt.org) before proceeding. |  |  |\n\nAGENCY INFORMATION INACTIVE STATUS REQUEST  \nFor active status, please provide information for the organization in which you currently serve/are employed as an EMT:  \nAgency:  \nAddress:  \nCity State Zip Code  \nTraining Officer  \nDaytime Phone \\#  \nBy completing this section , you are indicating you are currently performing EMT skills in either the emergency ambulance/rescue or patient/health care setting.  \nRequest Inactive Status*  \n*With Inactive Status, no Training Officer or Medical Director is required to validate skills. You may return to active status at a later date.  \n| VERIFICATION OF SKILL COMPETENCE |\n| --- |\n| Verification of skills competency is a requirement for a registrant to maintain active status and is validated by the agency’s designated EMS authority. The expectation of skills competency validation is performed at the local level and affirms that the EMS professional has been verified as competent for level-specific skills and any necessary remediation has been undertaken. |\n\nAs the Training Officer/Supervisor of EMT training/operations, I do hereby affix my signature attesting to the continued competence in all the skills outlined above.  \n\n| Training Officer/Supervisor Signature (must be original signature) | Title | Date Signed |\n| --- | --- | --- |\n\nI hereby affirm that all statements on the EMT Recertification form are true and correct. It is understood that false statements or documents may be sufficient cause for revocation by the National Registry. It is also understood that the National Registry may conduct an audit of the ","cbCaio8Yda8yAfpb","https://ap.wps.com/l/cbCaio8Yda8yAfpb","pdf",301887,"English","# Recertification Instructions\n## Criminal Conviction and Disciplinary Action Statements\n## Active Status Signature Requirements\n## Inactive Status Request\n## Verification of Skill Competence\n## Attestations and Signatures","[{\"question\":\"What must be done to complete EMT recertification after passing the cognitive competency exam?\",\"answer\":\"Complete the entire enclosed recertification form so it can be processed. No additional recertification application needs to be sent.\"},{\"question\":\"What happens if the criminal conviction or disciplinary action questions are answered “yes”?\",\"answer\":\"Contact the National Registry at evaluation@nremt.org before proceeding with the application.\"},{\"question\":\"How can an EMT avoid being renewed as inactive?\",\"answer\":\"Email the completed form to support@nremt.org by March 31 and retain a copy of submitted materials for personal records.\"}]","EMT Cognitive Competency by Exam Form - Recertification | PDF",1790206075]