New Hampshire licenses EMTs through the Department of Safety's Division of Fire Standards and Training and Emergency Medical Services (its Bureau of EMS). You need a state license to work here, and National Registry certification is the first step to getting it. Everything below comes from the Division's EMS provider licensing page, checked October 18, 2026.
Study aid, not a protocol. Nothing on this site replaces your course, your medical director or your agency's protocols. Built by an RN and former EMT. Headed In LLC is not affiliated with, endorsed by or connected to the National Registry of Emergency Medical Technicians (NREMT) or any state EMS office; their names appear here only to point you to the real thing.
The national steps, briefly
A state-approved EMT course
Every state approves its own programs, all taught to the National EMS Education Standards. Most run 150 to 300 hours over three to six months.
A healthcare-provider CPR card
AHA BLS or an equivalent your state accepts, usually before clinicals.
The cognitive exam
The National Registry (NREMT) EMT exam: 70 to 120 adaptive questions in 2 hours, $104 per attempt, six attempts within two years of your course.
Your state's license or certification
The card comes from the state, not the Registry. The state's own steps are below.
New Hampshire Division of Fire Standards and Training and EMS, Bureau of EMS
Exam first: current National Registry certification, which means an EMS course plus the Registry's practical and written exams.
Background check: book a fingerprint and criminal record check with NH Criminal Records, choosing "Emergency Medical Service Provider Licensing"; it is a LiveScan session plus the check. The Bureau accepts only NH Criminal Records checks (out-of-state LiveScans are not accepted). The fee is $47, rising to $50 on October 1, 2026; results usually take about three business days.
Online programs: the protocols program at your level (and a scope-of-practice program if one is listed for your level) on the Division's Online Learning Academy.
Application: the New EMS Provider License Application, emailed with your documents to the Division. It averages five business days to process. You do not need to be affiliated with an EMS unit to apply.
Age: not on the Division's page; ask your program.
Renewal: every two years through RespondNH, with current Registry certification at your level and the protocols program. Let it lapse and you start over.
From another state: there are no state-to-state transfers; apply for a New Hampshire license with your Registry certification.