Individual Licensure

Declaration of U.S. Citizenship Information

The Beason-Hammon Alabama Taxpayer and Citizen Protection Act requires every person or sole proprietorship applying for certain licenses or permits to either demonstrate U.S. citizenship, or, if the person is an alien, to prove lawful presence in this country. The Alabama Department of Public Health will verify an applicant’s immigration status or naturalized/derived citizenship status using the SAVE Program effective August 1, 2016.

To comply with this law, ADPH requires the following for an initial permit or renewal application:

• A signed Declaration of U.S. Citizenship or Lawful Presence of an Alien
• A legible photocopy or digital copy of a document demonstrating U.S. citizenship or lawful presence in the U.S.

A business entity must provide a Declaration of Business Ownership Structure if the type of ownership or business entity is not clearly indicated on the application.

ADPH will only verify the status of the individual who is licensed or permitted. Demonstration of U.S. citizenship or lawful permanent residence is only required one time.

Individual Licensure Information

• EMSP License Requirements - Please read this document before filling out the application. As a reminder, All Intermediates and individuals who do not have National Registry must submit continuing education certificates every year. This is not an audit. This is mandatory for license renewal.
• EMSP Endorsement Requirements - Please read this document in regard to adding endorsements to an EMSP license.
• EMS Individual Licensure Application - Complete the application. Please be aware that walk-ins will not be processed during the license renewal period (January 1 - April 30). This form is fillable and should be typewritten, not handwritten.
• EMS Individual Online Renewal - The online renewal capability is currently active. Please remember that all online renewal transactions are subject to a $2 annual fee for using this method of renewal. Individuals chosen for audit are required to fax requested documentation to (334) 206-0364 within 72 hours of the request.
• Paramedic Endorsements Application - Complete this application in addition to your individual license application to acquire critical care and/or tactical endorsements. This form is fillable and should be typewritten, not handwritten. For all paramedic endorsements, please complete page one only. A CFRN and CTRN must have their credential verification sent from the BCEN website to [email protected] for approval. To apply for the initial critical care endorsement, please complete only the first page of the application and attach your ISBC/BCEN certification. To renew your critical care endorsement, please email or fax the ISBC/BCEN certification during the renewal cycle each year.
• Please complete the Information Update Form to update your personal information in the database.
• If you apply for renewal after April 1 of your expiration year, a $50 late fee will be added in addition to the new licensure fee.
• The OEMS has established a license denial policy based on Section 22-18-6(f) of the Code of Alabama.
• An individual who checks Yes to having a diagnosed condition that may affect their ability to safely practice must have a physician complete the Essential Job Functions Analysis Form and submit it with their application. The individual must be re-evaluated for any change in the condition.
• An individual who checks Yes to having a conviction must supply documentation as to the nature of the offense, the current status and disposition of the case, and a personal statement concerning the incident(s) in question. Please provide a separate statement and documentation for each conviction.

Lapsed National Registry Certification Information

Has your National Registry certification lapsed? Here is the information needed to see how to regain your certification.