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EMS Online
Office of Emergency Medical Services
Regulation & Compliance Enforcement
Non-Certified Personnel Account Request
Non-Certified Personnel Account Request
Restart Application
Submit Application
The following page will enable non-certified providers (e.g. drivers, auxiliary members, and others without EMS certification) to register for an EMS number and access EMS Portal.
Do you have a Portal Account with OEMS?
Do you have a Portal Account with OEMS?
No
Yes
Personnel Details
Please enter SSN (9 digit number only)
Required
Please re-enter SSN and click continue (9 digit number only)
Required
Continue
Personal Information
First Name
Required
Middle Name
Last Name
Required
Suffix
Date of Birth
Required
SSN
Address Line 1
Required
Address Line 2
Zip Code
Required
City
Required
State
Required
County or City Currently Living
Required
Home Phone
**
Business Phone
**
Cell Phone
**
A valid Home Phone or Cell Phone or Business Phone is required for contact information
Email Address
Required
Re-Enter Email Address
Required
Agencies