• Change of Address Form [PDF]
  • Credit Card Authorization Form [PDF]
  • Credit Card Authorization Form for Multiple Medics [PDF]
  • Detailed Disclosure Form [PDF]
  • Duplicate (Lost, Destroyed, etc.) Card Request [PDF]
  • IS-01 Form (Statement of Citizenship, Alienage, and Immigration Status for State Paramedic License Application) [PDF]
  • Initial In-State (California Graduates) Paramedic License Application Packet
  • Initial Out-of-State Paramedic Application Packet
  • Initial Challenge Paramedic Application Packet [Physicians, RN’s, Physician Assistants, and MICN’s ONLY]
  • Instructions for Completing Fingerprint Cards [PDF]
  • Lapsed License Reinstatement Lapsed Less Than One Year[PDF]
  • Lapsed License Reinstatement Lapsed One Year or More[PDF]
  • License Verification Request Form #VL01 [PDF]
  • Live Scan Fingerprint Application Request form with instructions [Paramedics ONLY] [PDF]
  • Local EMS Agency (LEMSA) Paramedic Accreditation Report Form
  • Personal Information Update [PDF]
  • Renewal Paramedic Application Form
  • Signature Attestation Form [PDF]