CONTOMS Recertification

CONTOMS EMT-T Re-certification
Instructions

Please complete this form and click the Submit button when finished. You will receive your E-card (via email) within 30 days of your submission. Renewal of your certification is good for 3 years.
Prefix
FIRST NAME*
LAST NAME*
E-mail*
ADDRESS*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
EMT-T Card #*
EMT-T Dates
Current Paramedic or EMT card - Upload here*

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Affiliation Letter - Upload here*

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My Products

CECBEMS EMT-T Recertification$50.00

Total $0.00

CONTOMS EMT-T Re-certification