Legal Recognition for N.C. EMS Credentials

Applicants currently holding EMS credentials from other states, the National Registry of Emergency Medical Technicians (NREMT), the Association of Public-Safety Communications Officials (APCO), Powerphone, or the International Academy of Emergency Dispatchers (IAED) may be issued a North Carolina EMS credential through legal recognition. Before an applicant is issued a North Carolina credential, they will have to meet one of the following eligibility requirements: (1) they must currently reside in North Carolina; (2) be currently enrolled in an EMS educational program in North Carolina; or (3) work for a licensed North Carolina EMS provider. A North Carolina Credentialing Information System (CIS) profile must be established online prior to making application. Applicants currently holding a North Carolina EMS credential may apply for legal recognition at a higher or lower EMS credentialing level. An applicant does not need to apply for legal recognition, if they are currently registered to take the North Carolina EMS exam at the same level.

Below are the steps for completing the online portion of the Legal Recognition process.

For South Carolina or West Virginia residents who already have a CIS Profile, please do the following steps:

  1. Log in to CIS as you normally do. Once your profile is up, select "new" in the lower right hand corner. You will be prompted to select a state in which to create a new profile. Select "North Carolina" and "save".

  2. You will need to log out of your S.C. or W.V. profile and log back into CIS under North Carolina (your password will not change).

  3. Go to step 5 below.

For everyone who does not already have a CIS Profile, please do the following steps.

  1. Please create your CIS profile. The site will open in another window so you can still see the instructions.

  2. Select "Click here for the Public Access site."

  3. Under "Please choose the state you wish to view," select "North Carolina" and click "Enter Public CIS."

  4. Then click Profile (on left side of screen), click on Register to Use CIS and fill in all the information that is required and save (bottom right of screen).

personal CIS Profile

  1. After you have created your profile, log into CIS under North Carolina. Select "Profile" from the drop down menu on the left and click on "Request Legal Recognition." Complete the request and click "save". You may log out of CIS at this point.

Legal Recognition

  1. After you have applied for legal recognition online, you must complete the NCOEMS Legal Recognition Application (PDF, 336 KB) and submit pages 1-3, along with all supporting documentation via fax to 919-733-7021, email to Alesia.Hester@dhhs.nc.gov, or mail to:

    NCOEMS
    Attn: Legal Recognition
    2707 Mail Service Center
    Raleigh, NC 27699-2707

    You must complete the top portion of the Legal Recognition Verification Form (Page 4) (PDF, 336 KB) and submit to the state agency where you are currently licensed, certified or registered as an EMS provider. Reproduce this form if you hold a certification/license in more than one state. This completed form will be returned to the NCOEMS as instructed at the bottom of the form. However, applicants that are applying with an International Academies of Emergency Dispatch (IAED), Association of Public Safety Communications Officials (APCO) or National Registry of Emergency Medical Technicians (NREMT) should submit the acknowledgement letter received from the aforementioned organizations in lieu of completing the verification form.
  1. Pursuant to N.C. G.S. 131E-159, any applicant who has not resided in North Carolina for the past five consecutive years, will be required to complete a national background check. Should a national background check be necessary, the applicant will be required to submit to electronic fingerprinting or submit a legible fingerprint card. There is a $38.00 processing fee which may be paid either by check/money order or electronically via the applicant's CIS profile upon receipt of email confirmation that the applicant's education has been approved. The electronic payment option can be found on the legal recognition details page in CIS. Applicants will be responsible for any vendor associated processing fees. Electronic charges will appear on the applicant's credit/bank statement as North Carolina Division of Health Service Regulation. Payment by check or money order should be made payable to the Division of Health Service Regulation and mailed to the NCOEMS address listed above.

  2. Once all information (application, verification form and other supporting documents for which the applicant is responsible) is received and processed, an applicant eligible for legal recognition may be issued an equivalent North Carolina credential with an expiration date that matches the state or National Registry credential used to obtain legal recognition, not to exceed four years.

  3. When an applicant has applied for legal recognition online, there are several status changes that occur during this process. Below are definitions to assist an applicant with following their legal recognition status within their CIS profile. Each status marked with an asterisk (*) indicates that the applicant has been notified by the NCOEMS via mail, email, or telephone.

    • Submitted:
      The applicant has requested legal recognition online. At this time, the applicant should proceed with completing the Legal Recognition Application and Verification form as referenced in step #6.

    • *Pending:
      This is acknowledging that the NCOEMS has seen the applicant's electronic submission within CIS and the applicant is working to complete and submit the necessary paperwork. The applicant should review step 7 to request a fingerprint card and instructions for completing a national criminal history review, if applicable.

    • *Additional Information Requested:
      The applicant has submitted partial paperwork to the NCOEMS or has not applied for legal recognition online. The applicant will be notified via email or telephone and their CIS profile will be marked accordingly.

    • *Education Approved:
      The applicant has submitted all necessary paperwork to the NCOEMS and is currently in the background phase of the legal recognition process. Notification has been sent to the applicant via email that they are able to submit an electronic payment through their CIS profile for them to undergo the national criminal background check. The office is awaiting the return of the criminal background report from the State Bureau of Investigation for review.

    • *Denied: Already Credentialed:
      The applicant has applied for legal recognition and currently holds a N.C. credential at the same level. The applicant will be notified via email or telephone and their CIS profile will be marked accordingly.

    • *Denied: Duplicate Request:
      The applicant has applied for legal recognition and is within the six-month timeframe from their original application. The applicant will be notified via email or telephone and their CIS profile will be marked accordingly.

    • Withdrawn:
      The applicant has notified the NCOEMS via email, fax, or telephone and voluntarily withdrawn their request for Legal Recognition. CIS will be marked accordingly.

    • Currently Ineligible:
      The applicant has submitted an online application and:
      • Did not respond within the six-month application period
      • Their current credential/license has expired,
      • Has not proven N.C. residency/affiliation,
      • Has lost N.C. affiliation (not N.C. Resident), or
      • Has taken a N.C. exam at the same level and is being processed through the exam.

    • Denied: Application Expired:
      The applicant failed to respond within the six-month application period. The applicant should reapply for legal recognition within their CIS profile using the on-line application process.

    • Denied: No Response From Applicant:
      The applicant failed to respond to any status level within the six-month application period. CIS automatically marks the applicant's CIS profile. The applicant should reapply for legal recognition within their CIS profile using the on-line application process.

    • Approved:
      The applicant has successfully completed the legal recognition process. In CIS an "Active" status will be reflected in the "Certifications" area of their CIS profile and they will be issued an NCOEMS credential.
Please call Alesia Hester at 919-855-3956 or Alesia.Hester@dhhs.nc.gov with any questions.
NC Office of Emergency Medical Services