The NREMT Exam Registration Process

The National Registry of Emergency Medical Technicians (NREMT) is an independent, non-profit organization, charged with certifying EMTs that have demonstrated they have obtained the knowledge and skills necessary to effectively do their work. NREMT ensures that there are uniform national standards for training, testing and continuing education. NREMT was developed to ensure the safety of patients being transported by EMTs.

NREMT Exam Minimum Requirements
The requirements for applying for national registration as an EMT-Basic with the NREMT are:

  • Applicants must be at least 18 years old.
  • Applicants must have successfully completed a state approved National Standard EMT-B training program sometime within the last 2 years.
  • Applicants from states that do not require EMT-Basic registration must obtain official documentation of current state certification.
  • Applicants should have successfully completed a state approved EMT-Basic practical exam within the past 12 months. (The exam must have criteria equal to, or that exceeds criteria established by NREMT.)
  • Applicants must complete the statement regarding felonies on the application and submit required documentation.
  • Applicants must submit CPR certification credentials authorized by the American Red Cross or the American Heart Association.
  • Applicants must submit an acceptable application that attests to the satisfaction of all previous requirements.
  • Applicants must tender a $70 non-refundable/non-transferrable application fee by money order.
  • Successful completion of the NREMT cognitive examination is required.

Applying to Take the Exam
There are a couple of methods applicants can use to apply to take the exam:

When applicants are satisfied all requirements are met, they can contact the NREMT in order to obtain an application, and to find out what procedures are involved in taking the test. Contact the NREMT in writing or by phone at:

National Registry of Emergency Medical Technicians
PO Box 29233 Columbus, OH 43229
614-888-4484 614-888-4484

It is helpful for applicants to determine, when calling, whether or not the NREMT examination is administered through the state’s EMT office, or whether individual arrangements must be made in order to take the exam.

Additionally, an application can be submitted to NREMT at the following URL: Services/candidate_application.asp

Precise guidelines for taking the exam are located at the NREMT website:

EMT-Basic Cognitive Exam
NREMT’s EMT Basic cognitive examinations can range from 70-120 items. The maximum time allowed for individuals for testing is two hours. The exam is administered using a computer adaptive test (CAT). By using the CAT method, questions can be easily modified to match the tester’s abilities. Students who answer correct questions will answer more difficult questions afterward. When questions are answered incorrectly, the following questions will be slightly easier.

The purpose of the test is to discover an individual’s highest ability level. The exam is scored as either pass or fail, and to pass, test takers must meet entry level competency.

EMT-Basic Practical Examination
Applicants applying for the NREMT EMT-Basic registration will fill out an application containing several sections. The application involves verifying applicant’s credentials.

NREMT EMT-Basic applications require proof that applicants have successfully completed a state approved practical examination within the last 12 months.

EMT certification candidates will find that they might benefit from testing prep and practice exams. Candidates are limited to 3 attempts at testing before remedial courses are required, and afterwards, to another 3 attempts before an EMT course must be retaken. It costs $70 for each attempt, and multiple tries can add up financially.


NREMT – EMT-Basic / EMT. (n.d.). NREMT – National Registry of Emergency Medical Technicians. Retrieved March 8, 2012, from

NREMT – National Registry of Emergency Medical Technicians. (n.d.). NREMT – National Registry of Emergency Medical Technicians. Retrieved March 8, 2012, from

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