1. Successful completion of a state-approved Emergency Medical Technician (EMT) course that meets or exceeds the National Emergency Medical Services Education Standards for the Emergency Medical Technician.

2. Apply for the National Registry EMT Cognitive Exam. An Authorization to Test (ATT) Letter allowing you to schedule your exam will not be issued until payment has been received and all other verifications are complete. When all areas of the application process are completed and have been verified, you will see the following link: ‘Print ATT Letter’.

3. Contact Pearson VUE to schedule your exam. First time test takers who wish to schedule online must create a Pearson VUE Web account. When creating your account and scheduling your test, you will need your National Registry Candidate ID from the Authorization to Test letter National Registry sent you. Appointments may be made up to one business day in advance.

4. Once you have passed the exams and received your EMT National Registry certificate, you may contact a local EMS agency to apply for EMT certification in California.

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