When an EMT certification expires and what renewing takes, each read on the state EMS office's own pages or rules. 46 states so far; the rest are added as their pages are checked.
| Alabama 2-year license; expires March 31; renewal window January 1 to March 31 |
| Alaska every 2 years, December 31 |
| Arizona every 2 years from your certification date; apply in the 90 days before it expires |
| Arkansas matches your NREMT expiration date |
| California every 2 years, last day of the month |
| Colorado every 3 years; renew in the last 6 months and the new 3 years start at your old expiry date |
| Connecticut Your Connecticut EMT certificate expires on the date posted on it; you must renew on or before that date, with a 3-month grace period. |
| Delaware 2 years, matching your NREMT cycle |
| District of Columbia 2 years, June 30 of your NREMT expiration year |
| Florida every 2 years, December 1 of even years |
| Georgia every 2 years, March 31 (in your NREMT expiration year) |
| Hawaii every 2 years, January 31 of even years |
| Idaho every 3 years |
| Illinois every 4 years, on the date printed on your license |
| Indiana every 2 years |
| Iowa every 2 years from your current expiration date |
| Kansas every 2 years |
| Kentucky every 2 years, ending December 31 (date on your KBEMS card) |
| Louisiana every 2 years |
| Maine every 2 years |
| Maryland every 3 years; first period ends July 31 or January 31 (36 to 42 months) |
| Massachusetts every 2 years |
| Michigan every 3 years from issue |
| Minnesota every 2 years, March 31 (first expiration set by when you were certified) |
| Missouri every 5 years |
| Montana every 2 years, March 31 (renewal window Feb 1 to March 31 of your renewal year) |
| Nebraska every 2 years, March 31 of even years |
| Nevada every 2 years, on the date on your certificate |
| New Hampshire follows your NREMT cycle; expires 30 days after the NREMT expiration date |
| New Jersey about every 3 years (36 months), expiring June 30 or December 31 |
| New Mexico every 2 years, March 31 |
| North Carolina every 4 years |
| North Dakota follows your NREMT cycle; the state license expires 90 days after the NREMT expiration date |
| Ohio every 3 years, on your birthday |
| Oklahoma every 2 years, July 1 to June 30 |
| Oregon every 2 years, odd years, renew April 1 to June 30 |
| Pennsylvania every 3 years |
| South Carolina up to four years from the date of issue |
| South Dakota Your South Dakota EMT license expires on the date set when it was issued (first licenses vary in length); renewal opens online 90 days before. |
| Texas every four years |
| Utah expires March 31 (the Bureau's example cycle ends March 31, 2027); submit at least 30 days before |
| Virginia every four years, from the end of the month of issue |
| Washington every three years, matched to your agency's license expiration month |
| West Virginia every two years, March 31 |
| Wisconsin every three years, June 30 |
| Wyoming every two years, December 31 |
The NREMT EMT exam, EMR and the other EMS levels, with every answer explained. Made by an RN and former New York State EMT. Free to start, no sign-up.
A study aid, not legal advice: your state EMS office has the final word, and its rules and fees change. Headed In LLC is not affiliated with the National Registry of EMTs or any state EMS office.