Emergency Medical Services
EMS Personnel Forms
- Affidavit to Downgrade (PH-4072)
- Affidavit to Retire License (PH-3932)
- EMS Miscellaneous Fees (PH-3940)
- EMS Application and Fees (PH-2397) Rev 5-2022
- Online License application: http://lars.tn.gov
- Criminal Background Disclosure (PH-3856)
- Declaration of Citizenship Form (PH-4183A) REV 1-13-2021
- Statement of Licensure Level Form (PH-4291)
- Medical Statement Form (PH-0130)
Education Forms
- Application for Course Approval (PH-2792)
- Exam Cover Sheet (PH-3459) Rev 6-2-2023
EMR
- EMR Practical Skills Verification (PH-3677) Rev 1-25-2023
- EMR Class/Student Folder Checklist (PH-3855) Rev 5-22-2023
- Verification of EMR Refresher Training (PH-3933)
EMT
- EMT Class Folder Check List (PH-3945) Rev. 5/2023
- EMT Student Folder Checklist (PH-3944) Rev. 6-2-2023
- EMT Skills Evaluation (PH-3786) Rev 12-16-2020
- Verification of Education (PH-2388)
AEMT
- AEMT Skills Evaluation (PH-3805) Rev 12-16-2020
- AEMT Class Folder Checklist (PH-3858) Rev 5/2023
- AEMT Student Folder Checklist (PH-4241) Rev. 5-22-2023
Paramedic
- Paramedic Skills Evaluation (PH-3806) Rev 7-27-2021
- Paramedic Class Folder Checklist (PH-3857) Rev 5-22-2023
- Paramedic Student Folder Checklist (PH-4240) Rev. 5/2023
Critical Care Paramedic - Community Paramedic
- Verification of Paramedic-Critical Care Training (PH-4239)
- Critical Care/Community Paramedic Class/Student Folder Checklist (PH-4245) Rev 5-22-2023