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Certification and Accreditation

The Prehospital Certification Section is responsible for the certification and accreditation of EMS personnel

The Prehospital Certification Section is responsible for the certification and accreditation of EMS personnel.



The EMS Agency no longer performs certification/recertification by walk-in or appointment with same-day service. Mail your complete application or submit in person during normal business hours. If submitting in person, bring all original documents and a duplicate as no copying of documents will be performed. In order to prevent a lapse in certification, submit your application at least 30 days prior to expiration along with a self-addressed stamped envelope. The EMS Agency will process and mail your certification/recertification within 21 days of receiving a complete application.

If you have additional questions, call: (562)347-1500
send an email to:


Lucy Hickey, MPA, BSN 

Nicholas Todd, PM
Program Head, Prehospital Certification
(562) 347-1632

Lynne An 
Paramedic Accreditation
MICN Certification
(562) 347-1637

Susan Miller
EMT Certification

Paramedic Accreditation Study Materials

Paramedic Accreditation and Internship Requirements
Orientation to Accreditation Materials

Examination Schedule - 2016
Content List for Accreditation Materials
WMD Training - 2016 Schedule

EMS Update 2015

Online Training  ***Must complete and bring completion certificate to exam or submit with application

Online Instructions

*** EMS Update 2014

    Online Training **Recommended for Accreditation review** Add EMS Update 2014 to your courses after completing EMS Update 2015 in the UCLA web  page


Objectives - Accreditation

Study Guides

Agitated Delirium/Taser
ALS to BLS Downgrade
Assisting Patients with Emergency Medications
Crush Syndrome
Difficult Airway Management
DuoDote Training

LA County Drug Cards
WMD Drugs

Nasal Drug Delivery
Oxygen Administration
Pediatric Airway Study
Policies Related to Death & Dying
Prehospital Pain Management
Tracheostomy Care

Skills Information

Endotracheal Tube Introducer
End-Tidal CO2
Esophageal Intubation Detection Device
Intranasal Medication
King LTS-D
Needle Thoracostomy
Tracheostomy Tube & Stoma Care


Manuals and Protocols
Treatment Protocols
Medical Control Guidelines
Color Code Drug Doses - LA County Kids
Ref No.
903, Paramedic Clinical Experience and Field Internship Requirements
Ref No.
1006, Paramedic Accreditation
Ref No.
1006.1, Paramedic Accreditation Application
Burn Transfer Form


The L. A. County EMS Agency certifies Emergency Medical Technicians (EMT) and Mobile Intensive Care Nurses (MICN). Also, all paramedics must be licensed by the State of California and become locally accredited in order to work as a paramedic within the County of Los Angeles. EMT-II/AEMT (EMT-Intermediate/Advanced EMT) is not a recognized designation in L. A. County.

The National Registry of Emergency Medical Technicians (NREMT)

The NREMT application process has changed to online only. In order to become eligible to test for NREMT, you must attend and complete an approved training program, register online with NREMT, be approved by your training program director for course completion, and pay their fee. Once this is complete, you will receive an authorization to test with an authorization to test number, website link and phone number to schedule yourself to take the NREMT written exam administered testing centers designated by the NREMT. The exam standard for initial certification for EMT-Basic and EMT-Paramedic in California is the NREMT written and practical exam. For additional information about certification by the National Registry of Emergency Medical Technicians as an EMT-Paramedic or EMT-Basic, visit their web site at www.nremt.org ( http://www.nremt.org/ ) or call (614) 888-4484.

National Registry certification alone does not allow you to work as an EMT-I or Paramedic in California.

EMT Certification

In order to work as an EMT in California, you must be certified by one certifying entity (Local EMS Agency). This certification is valid statewide. Check with the local EMS agency in the county you work to identify if there are additional local requirements to function. For questions concerning EMT certification in L. A. County, check the Certification ( http://ems.dhs.lacounty.gov/Certification/Cert.htm ) section web page or email emtinfo@dhs.lacounty.gov.

Paramedic State Licensure

In California, to become licensed as a Paramedic, you must pass the National Registry exam and complete all State requirements. For information on State licensure, check the EMS Authority's web page at
http://www.emsa.ca.gov/ ) or call paramedic licensing at (916) 322-4336.

Paramedic Local Accreditation

In accordance with State regulations, a paramedic must be accredited to practice within a local jurisdiction. Paramedics must be sponsored by a approved L. A. County ALS Provider Agency in order to become accredited. For questions regarding accreditation in L. A. County, contact your Paramedic Coordinator or Lynne An at lan@dhs.lacounty.gov.For more information about L. A. County Prehospital Certification requirements, select from the following: