Emergency Medical Responder

Applications submitted during the last seven (7) calendar days of the month may be delayed due to Agency workflow.

Emergency Medical Responder Initial Certification -  Online Only - We are currently closed to the public - No Walk-ins or Appointments.

Mountain-Valley EMS Agency does NOT accept applications via Fax or Mail

BEFORE APPLYING ON-LINE OR IN PERSON, MAKE SURE YOU HAVE ALL REQUIREMENTS!! APPLICATIONS WILL NOT BE PROCESSED UNLESS ALL REQUIREMENTS ARE MET! (see on-line section also)

EMERGENCY MEDICAL RESPONDER INITIAL CERTIFICATION - An individual shall be eligible for Emergency Medical Responder certification upon successful completion of the following requirements:

• Be 18 years of age.
• Pass the Agency Emergency Medical Responder exam, prior to submitting online application or in person.  Please call (209) 529-5085 to schedule the test.
• Apply for certification within six (6) months of Emergency Medical Responder course completion.
• Complete a Mountain-Valley EMS Agency  pdf Emergency Medical Responder - Certification Application (280 KB) . (hard copy), OR by submitting online application below. Mountain-Valley EMS Agency does NOT accept applications via Fax or Mail
• Submit a copy of your course completion certificate from an approved Emergency Medical Responder training program.
• Submit documentation of successful completion of  skills competency verification.
• Submit the 4 MCI Field Operations Module CE Certificates, (http://www.mvemsa.org), not dated earlier than 90 days prior to application submission, in compliance with Agency policy # 853.00 - Prehospital Standards. These will need to be done every 2 (two) years.
• Submit a copy of a photo ID: current driver’s license, ID card, or valid military ID card.
• A copy (front and Back) of current CPR Card taught to the curriculumn standards of the American Heart Association, American Red Cross or the National Safety Council at the Healthcare Provider or equivalent level (Professional Rescuer or BLS - Basic Life Support). Online CPR/AED classes without a hands on demonstration of skills competency are not accepted.
• Digital photo taken on site by Agency staff, or provide a current passport style photo (passport photo or clear headshot with plain background), if applying online.
• Pay the non-refundable application fee of $30.00 by cash, check, money order, cashier's check, debit or credit.  For online applications, if paying by credit or debit via PayPal, there will be a $5.00 processing fee.

An Emergency Medical Responder certificate will be issued upon successful completion of these steps. The certification will be for a period of two years.

To request a duplicate card if lost or stolen, a $20.00 Duplicate Card fee is required before the request is processed.

 For Online  Applications:

• Please allow 5-7 business days for application processing and issuance of an EMR Certification card once all requirements have been met.  NO EXCEPTIONS.
• Please make sure you have all required documents, including the passport style photo, saved and available for uploading PRIOR  to starting the application process.
• You will need to submit:
  
  • All items listed above for EMR Initial Certifications.
  • A current passport style photo (actual passport photo or a headshot/selfie against a blank wall).
  • Pay all fees, if applicable.
• Applications will not be processed until all required documents have been submitted and approved.  Incomplete applications will be maintained for up to 60 days to allow for submission of additional required documents.  All incomplete applications will be considered abandoned after 60 days.
• ALL FEES PAID ARE NON-REFUNDABLE.

EMR Initial Certification Online Application

 Emergency Medical Responder Recertification - Online Only - We are currently closed to the public - No Walk-ins or Appointments

.

Mountain-Valley EMS Agency does NOT accept applications via Fax or Mail

BEFORE APPLYING ON-LINE OR IN PERSON, MAKE SURE YOU HAVE ALL REQUIREMENTS!! APPLICATIONS WILL NOT BE PROCESSED UNLESS ALL REQUIREMENTS ARE MET! (see on-line requirements also)

EMERGENCY MEDICAL RESPONDER RECERTIFICATION- Emergency Medical Responder certification is good for two years. In order to maintain certification an individual must recertify every two years. An individual shall be eligible for Emergency Medical Responder recertification upon successful completion of the following requirements:

• Complete a Mountain-Valley EMS Agency  pdf Emergency Medical Responder - Certification Application (280 KB) to include (hard copy), OR by submitting online application below: Mountain-Valley EMS Agency does NOT accept applications via Fax or Mail
• A copy of a current driver’s license or a government issued identification card.
• A signed affidavit that the candidate is at least 18 years of age.
• A signed affidavit that the candidate is not precluded from certification for reasons defined in Health and Safety Code, Section 1798.200.
• Payment of the non-refundable application feeof $30.00 by cash, check, money order, cashier's check, debit or credit. For online applications, if paying by credit or debit via PayPal, there will be a $5.00 processing fee.
• A copy (front and Back) of current CPR Card taught to the curriculumn standards of the American Heart Association, American Red Cross or the National Safety Council at the Healthcare Provider or equivalent level (Professional Rescuer or BLS - Basic Life Support).  Online CPR/AED classes without a hands on demonstration of skills competency are not accepted.
• Digital photo taken on site by Agency staff or provide a current passport style photo (passport photo/selfie or clear headshot with plain background), if applying online.
• Documentation of successful completion of 16* hours of continuing education, CE less than 1 hour is not acceptable, (MUST be CE Certificates, cannot be a list of course/hours completed, must be at least 1 hour or more, less than 1 hour does not count), or an MVEMSA Approved Trainiing Log signed by your employers training officer, and must be obtained during the current certification period.  If lapsed, CE must be dated within 24 months prior to applying for reinstatement.  Additional requirements for lapsed certifications. 
• Submit the 4 MCI Field Operations Module CE Certificates, (http://www.mvemsa.org), in compliance with Agency policy # 853.00 - Prehospital Standards, (*These CE Certificates (total of 4 hours) can be used as part of your CE requirements for this certification period), not dated earlier than 90 days prior to re-cert.  These need to be done every 2 (two) years.
• Submit documentation of successful completion, every two years, of a skills competency verification. This can be done by:
  • Skills testing by an employer approved trainer documented on file with the Mountain-Valley EMS Agency.

A new Emergency Medical Responder certificate will be issued upon successful completion of these steps.  An individual may apply for recertification:

• Within six months before the current certificate expires. The new expiration date will be two years from the current expiration date.
• More than six months before the current certificate expires. The new expiration date will be two years from the last day of the month the requirements are met.

  For Online  Applications:

• Please allow 5-7 business days for application processing and issuance of an EMR Certification card once all requirements have been met.  NO EXCEPTIONS.
• Please make sure you have all required documents, including the passport style photo, saved and available for uploading PRIOR  to starting the application process.
• You will need to submit:
  
  • All items listed above for EMR Recertifications.
  • A current passport style photo (actual passport photo or a headshot/selfie against a blank wall).
  • Pay all fees, if applicable.
• Applications will not be processed until all required documents have been submitted and approved.  Incomplete applications will be maintained for up to 60 days to allow for submission of additional required documents.  All incomplete applications will be considered abandoned after 60 days.
• ALL FEES PAID ARE NON-REFUNDABLE.
• Incomplete applications that expire during processing shall be subject to a $15.00 late fee.

 EMR RECERTIFICATION APPLICATION

Lapsed Emergency Medical Responder Certificates - Online Only - We are currently closed to the public - No Walk-ins or Appointments

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Mountain-Valley EMS Agency does NOT accept applications via Fax or Mail

LAPSED CERTIFICATES - An individual may not work as an Emergency Medical Responder or represent him/herself as an Emergency Medical Responder with a lapsed certificate. There are no extensions. Once a certificate has expired, an individual will need to:

• You will need to submit:
  
  • All items listed above for EMR Recertifications and
  • For a card expired six months or less, complete 16 hours of continuing education* plus the skills competency verification.
  • For a card expired more than six months but less than a year, complete 24 hours of continuing education* plus the skills competency verification.
  • For a card expired for more than one year but less than two years, complete 32 hours of CE* plus the written First Responder exam and a skills competency verification. 

• * All CE MUST be CE Certificates (cannot be a list of course/hours completed, CE cannot be less than 1 hour, less than 1 hour will not count), or an MVEMSA Approved Training Log signed by your employers training officer.  Must be dated within 24 months prior to applying for reinstatement.
• For a card expired two years or more, retake an entire Emergency Medical Responder course.
• A late fee of $15 will be assessed for certfications processed after the expiration date.

For Online  Applications:

• Please allow 5-7 business days for application processing and issuance of an EMR Certification card once all requirements have been met.  NO EXCEPTIONS.
• Please make sure you have all required documents, including the passport style photo, saved and available for uploading PRIOR  to starting the application process.
• You will need to submit:
  
  • All items listed above for EMR Recertifications and Lapsed Certificates.
  • A currennt passport style photo (actual passport photo or a headshot/selfie against a blank wall).
  • Pay all fees, if applicable.
• Applications will not be processed until all required documents have been submitted and approved.  Incomplete applications will be maintained for up to 60 days to allow for submission of additional required documents.  All incomplete applications will be considered abandoned after 60 days.
• ALL FEES PAID ARE NON-REFUNDABLE.

 EMR RECERTIFICATION APPLICATION

For a copy of the Practical Examination Workbook- Use the following link:

  pdf Practical Examination Workbook for the EMR and EMT (3.52 MB)