Link to Certification Database

For additional information on Alaska EMS Certification email ems_certification@health.state.ak.us or call 907-465-3029.

Forms for Individuals:

Course Forms	Certification Forms	Course Prerequisites	Instructor Certification Forms
EMS Course Approval (08/02)	Initial Certification (9/07)	Proof of Patient Contacts EMT-II Candidates (10/02)	ETT Instructor Initial (9/07)
	Recertification (9/07)	Proof of Patient Contacts EMT-III Candidates (10/02)	ETT Instructor Recertification (9/07)
	Venipuncture Form for Certification as an EMT-II (02/05)	Patient Contact Form for EMT-II Candidates (9/05)	EMT-I Instructor Initial (9/07)
MICP Initial Course Approval (12/02)	Comity (9/07)	Patient Contact Form for EMT-III Candidates (9/05)	EMT-II/III Instructor Initial (9/07)
	Emergency Medical Dispatcher Initial (9/07)	Medical Director Verification for EMT-II Candidates (08/02)	EMT-I Instructor Recertification (9/07)
Instructor Course Approval (08/02)	Emergency Medical Dispatcher Recertification (9/07)	Medical Director Verification for EMT-III Candidates (08/02)	EMT-II/III Instructor Recertification (9/07)
	Extension Request (10/05)	Venipuncture Form for entry into EMT-III Training Programs (12/05)	Medevac Escort Instructor Initial (9/07)
EMS Course Completion (04/03)	Manual Defib Technician Initial (10/05)		MICP Course Coordinator Initial (1/08)
	Manual Defib Technician Recertification (05/04)		MICP Course Coordinator Recertification (9/07)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Frequently Asked Questions about Certification

	Conviction FAQs
	General FAQs

	Basic and Advanced Life Support Ground EMS Unit Application (8/05)
	Medevac Air Medical Service Application (8/05)
	Critical Care Air Ambulance Service Application (8/05)
	Specialty Air Medical Transport Team Application (7/05)

PCR:

State of Alaska Model Pre-hospital Patient Report Form (5/99)

Mandatory Reporting:

.doc	Mandatory Reporting - FAQs (12/03)
.doc	Mandatory Reporting - DPS Burn Form (4/03)