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EMS state licensing directory  /

South

Delaware

State EMS office Delaware Health and Social Services, Office of Emergency Medical Services
Licensure levels recognized EMR, EMT, AEMT and Paramedic.
NREMT required for initial licensure Yes. Certification follows a state-approved course and the National Registry examination.
Reciprocity / legal recognition Reciprocity needs a current National Registry EMT, AEMT or Paramedic certification and the signature of the sponsoring organization's chief or EMS officer; out-of-state EMTs take the Delaware EMT reciprocity course.
Renewal cycle To be filled from the state EMS office
Continuing education model Continuing education programs that carry National Registry credit are approved through the Delaware Office of EMS and issued a program approval number.
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Certification and licensure are not the same thing

National Registry certification

Passing the NREMT cognitive and psychomotor exams earns you national certification. It is what most states use as the entry standard, but it is not a license to practice on its own.

State license

Your state EMS office issues the credential that actually lets you work. Each state sets its own application process, background requirements, fees, and scope of practice.

Reciprocity

Moving states usually means applying for legal recognition of your existing certification rather than starting over. What transfers automatically varies, and this is where candidates most often get stuck.

This directory is provided for reference only. State requirements change, and the state EMS office is always the authoritative source. Prehospital Prep is not affiliated with, endorsed, or sponsored by the NREMT, the IBSC, or any state licensing agency.

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