Brandeis Emergency Medical Corps (BEMCo)

Massachusetts Reciprocity Instructions

Non-Massachusetts certified Emergency Medical Technicians (EMTs) must be nationally certified and receive verification from your home state to apply for a Massachusetts EMT license.

The National Registry of Emergency Medical Technicians® (NREMT) website contains information and outlines the application process for EMT national certification. The NREMT website can also help to find your home state's EMS office (OEMS) in order to request verification. This verification is required to submit as part of your application for Massachusetts EMT licensure. Below you will find information on requesting verification from your home state and applying for national EMT certification.

If you have any questions during this process, please do not hesitate to email us for assistance.

Request Verification from Your Home State

Send the following information to your home state's EMS office to request verification:

National EMT Certification

You must be nationally certified prior to applying for your Massachusetts EMT license through NREMT. The steps are outlined on the the NREMT website on the Certification Process tab under Application Process.

Refer to the NREMT website for login, complete details on the application process and additional information not provided here.

  1. Create an account/login profile.

  2. Complete a National Registry application and including the Licensing Action and criminal statements.

  3. Pay the application fee as noted on the NREMT website. This fee is charged for each attempt of the cognitive examination.

  4. Mail the filled-out Verification of Emergency Medical Technician Status form to NREMT with a self-addressed stamped envelope to National Registry of Emergency Medical Technicians, 6610 Busch Boulevard, Columbus, OH 43229. Be sure to complete this step as it is not detailed on the NREMT website.

  5. Candidates will receive an electronic Authorization to Test (ATT) once you are eligible for the exam. The electronic ATT contains scheduling instructions for the cognitive exam and important details concerning proper identification required at testing centers.


  • If you do not have your NREMT certification because you completed your EMT class prior to turning 18, you may be able to transfer your cognitive exam results without repeating the exam. You must have already created an NREMT account and be certified in a state that utilizes the NREMT cognitive and practical exam. Contact your state OEMS to confirm that the following is an option for you.

  • Login and create a new National Registry application. Ensure that your training center has verified your course and exam results. If you have already paid the required application fee, you will not have to pay this again, however you must pay a processing fee.

  • Send a letter to National Registry of Emergency Medical Technicians, 6610 Busch Boulevard, Columbus, OH 43229, explaining that you would like to transfer your examination results (sample letter requesting transfer of examination results).

  • Your NREMT account will be updated stating that you have successfully earned your national EMS certification. This typically occurs within 7-10 business days.

Next Step

Once you have received verification through your home state and are nationally certified, you can apply for a Massachusetts EMT license through the mail or online.