Help! I Am Going To Lapse!

• EMT Licensing
• How to Apply for a N.H. Waiver
• Re-instatement Process
• Lapsed Certifications

Lapsed Certification

What to do if your certification lapses?
If you have not completed all re-certification requirements by March 31 then your certification will lapse.  Getting your certification back is not impossible but it can be a difficult and confusing.  We have taken the time to speak with the National Registry of EMT's and the New Hampshire Bureau of EMS in order to ensure that the information contained here is as useful and accurate as possible.

Note:  This process can vary based on your individual circumstances.  We have provided a general outline of the steps along with some useful suggestions but you should consider visiting these additional web sites for more information or contacting the Education Specialist for the Bureau of EMS:

• National Registry of Emergency Medical Technicians
• New Hampshire Bureau of EMS

Note: If you have completed all of the re-certification requirements by March 31 but did not mail your paperwork to the National Registry then you may be eligible to complete an easier “Re-Instatement” process.  For more information or to see if you are eligible for re-instatement click here.

Lapsed EMT-Basic Certifications

If your certification lapses you must complete the following steps (Note: step 5 is only for EMT-Intermediates):

1. Complete a state approved Refresher Training Program
2. Take and pass the State of New Hampshire Practical Exam
3. Receive the Authorization to Test (ATT) from the National Registry of EMT's
4. Pass the National Registry of EMT's Computer Based Test for your certification level
5. EMT-Intermediates Only: Pass the National Registry of EMT's Advanced Life Support Practical Exam.  (Note this is in addition to the BLS Practical listed in step 2) Tip: Must register at least 23 days in advance!

1. Complete a State Approved Refresher Training Program

   Complete a State of New Hampshire approved Refresher Training Program (RTP).  For Basics, this is the standard 24-hour RTP.  EMT-Intermediates must also document at least 12-hours of Advanced Life Support training by mailing supporting documentation (certificates of completion, etc) to the Geographically Appropriate State of New Hampshire Education Specialist.
   
   Tip!  If you completed a New Hampshire approved Refresher Training Program (RTP) prior to March 31 you do not need to retake this course.
   


To Find a RTP: 

• Still need an RTP? Let us know! McGregor Institute will offer an RTP in April or May if there is sufficient demand.
• For the state list of all EMS courses (including RTPs) click here.
  
  

2. Take and pass the State of New Hampshire Practical Exam

   Tip! You must have completed a Refresher Training Program in order to be eligible to take a Practical Exam. 

   Tip! Registration for Practical Exams usually close at least 7 days before the exam date.  We recommend registering at least 14 days before the exam!!

   To Find an Exam: 

   • McGregor Institute of EMS typically offers Practical Exams every May, August and December.  To learn more about upcoming exams click here.
   • The Bureau of EMS maintains a list of upcoming Practical Exams statewide.  To view this list click here.
   • Register for and pass a State of New Hampshire Practical Exam.
   • After passing the practical exam, the New Hampshire Bureau of EMS will write a letter indicating that you are approved to take the computer based test. This must be sent to the National Registry.

   National Registry of EMT's
   Rocco V. Morando Building
   6610 Busch Blvd.
   P.O. Box 29233
   Columbus, Ohio 43229
   
   

3. Register with NREMT to Receive a Authorization to Test

   To take the Computer Based Test (CBT) you must first receive an “Authorization to Test” (ATT) from the National Registry of EMT's.
    
   Tip!  You will not receive an Authorization to Test from the National Registry until they have received the letter from the state of New Hampshire.  To get this letter see Steps 1 and 2 above.
   
   To apply for an ATT you must:

   1. Login to the National Registry’s web site. If you do not have an account you will need to make one by clicking the link below the login box.
   2. Select “Create New Application” from the left hand menu.
   3. Submit application to take the Computer Based Test (CBT) on the NREMT web site.  The National Registry will begin processing your application and typically contact you via phone or email within 1-2 business days. 
   • Note:  You will not receive final approval to take the Computer Based Test until the Registry receives verification from the State of New Hampshire
   • You will need to pay the Exam Fee before the National Registry will process your request.  You can do this online when you complete the application or at a later date.

   Tip!  To Check your Status:  Login to your account → Click on “Candidate Services” → Click on “Check Application Status”
   
   

4. Pass the National Registry of EMT's Computer Based Test (CBT)
   

   Note:  The directions to register for a time and date to take the Computer Based Test can be found on your “Authorization to Test” letter from the National Registry.  Be sure to read these directions carefully and bring the required identification materials to your testing site. 
   
   Note: Pearson Vue is subcontracted by the NREMT and actually administers the test. The National Registry releases the ATT and the appointment to test is done via contact with Pearson Vue.
   
   Where should I take my test?  To find a test center (and directions) near you click here.

   How should I prepare for the CBT?  We recommend the following click here.
   
   

5. Pass the National Registry of EMT's Advanced Life Support Practical Exam (EMT-Intermediates Only)
   

   Tip!  EMT-Intermediates must document at least 12-hours of Advanced Life Support training by mailing supporting documentation (certificates of completion, etc) to the Geographically Appropriate Education Specialist before they can complete the ALS Practical Examination.
   
   Tip!  In New Hampshire Becker Training Associates is the only organization that offers National Registry Advanced Life Support examination.  To view a list of ALS testing dates click here.  You must return the exam application to Becker Training Associates at least 23 days prior to the exam date.

   1. To register for the exam with Becker Training Associates visit their web site.  On the top menu click on “Testing” → select “ALS Exam Registration” → review the documents listed.
   2. Remember to show up on time for the Practical Examination.

    
   Other ALS Test Locations!  To view that National Registry’s list of Practical Examinations click here.

McGregor Institute is committed to making these materials as useful as possible!  Do you have suggestions about how we can improve this page?  Please click here to provide feedback. If you would like to receive periodic updates about the recertification process please fill out our form to sign up!