Must be a VA State EMT. Enter Certification # below:
Date of Birth. Must be 19 years of age or Older.
You do not meet the minimum age qualification of 19 with the birth date that you entered.
Please select one of the options below regarding your experience:
I have been cleared as an AIC in the ODEMSA region for 1 or more years.
I have been cleared as an AIC in the state of VA for 3 or more years.
Agency you were an AIC at:
Should be Empty: