EMS Provider Certification

Applications and Forms

The following PDF forms are required for completing the application process. Please download and print forms.

Please return all applications to:

Department of Health
Customer Service Office
P.O. Box 47877
Olympia, WA 98504-7877

Call our Customer Service Office at 360-236-4700 if you have questions about Emergency Medical Services (EMS) certification.

All EMS certifications require proof of EMS agency affiliation – active membership, paid or volunteer with a licensed aid or ambulance service.

Apply Online

Getting started

Online Application Instructions

Online application instructions are on our website.

Once you have completed the process, and submitted your application, you will receive an email with your pending credential number, or you may look on Provider Credential Search. Refer to this credential number any time you contact Department of Health or submit paperwork.

Initial certification – Applying for certification for the first time including upgrade, reciprocity, challenge and reversion

• Initial EMS certification application packet (PDF)
• EMS Portability of Professional Licenses of Members of the Uniformed Services and Their Spouses Application Packet (PDF)

Expired reactivation – reissuance of an expired certification

• EMS expired reactivation application packet (PDF)

Recertification – renewal of certification

• Renew your certification with EMS certification online.
• EMS recertification application packet (PDF)

Provisional certification   

• Applying for provisional certification (PDF)

Instructors

• EMS evaluator (ESE)
• Senior EMS Instructor (PDF)

EMS authorized skills and procedures

• Approved skills and procedures for certified EMS providers (PDF)

Additional forms

• Out-of-state credential verification (PDF)
• Credential Verification (PDF)
• EMS supervisor/medical program director signature (PDF)
• Personal status change (PDF) – agency and address changes. You may also use EMS certification online to make your changes.
• EMS supervisor change (PDF) – change, add or update an agency supervisor

Renewals

Renew online with EMS certification online

EMS Certification Online is accessed through SecureAccess Washington (SAW) security portal.

Getting started

To get started you must register with Secure Access Washington (SAW) and sign in to the Department of Health Online Application Portal. Please read Steps 1 and 2 completely before creating your account.

Step 1: Create a Secure Access Washington account.

Go to the Secure Access Washington (SAW) website.

Select "Create One." If you already have a SAW account, sign in with your user ID and password you previously created and continue to "Step 2" below.

Follow the steps to register. You'll create your own user ID and password for SAW.

The system will send you an email confirming your registration.

Select the link in the email that follows this statement: “To activate your new account, select the following link." This step is required to complete the registration process.

If you experience problems with the SAW site, contact Consolidated Technology Services (24 hours) at 888-241-7597 or email servicedesk@cts.wa.gov.

Step 2: create a link to EMS Certification Online

Login to your SAW account using your SAW user ID and password you previously created.

Select the “Add a New Service” link.

On the right column, select “I would like to browse a list of services”

Select ‘Department of Health'

Scroll to “EMS Online Certification”. Select “Apply.”

Click on “My Services” and choose “EMS Online Certification.”

Complete the one-time validation providing your credential number, date of birth and last 4 of your SSN.