Nebraska EMT, AEMT & Paramedic License Renewal Requirements
Nebraska EMS licenses are regulated by the Nebraska Department of Health and Human Services (DHHS), Office of Emergency Health Systems. Nebraska requires NREMT certification for initial licensure and is a member of the EMS Compact. Licenses are renewed biennially with staggered expiration dates by level.
At a Glance
| Detail | Information |
|---|---|
| Regulatory Body | Nebraska DHHS, Office of Emergency Health Systems |
| Renewal Cycle | Every 2 years |
| EMT Expiration | March 31 of even-numbered years |
| EMR/AEMT/Paramedic Expiration | March 31 of odd-numbered years |
| NREMT Required | Yes — for initial licensure |
| EMS Compact Member | Yes |
| DHHS.EMSLicensing@nebraska.gov |
Continuing Education Requirements
| Level | CE Hours (2-year cycle) |
|---|---|
| EMR | 20 hours |
| EMT | 25 hours |
| AEMT | 30 hours |
| Paramedic | 30 hours |
CE must meet NCCP requirements and be from approved providers or CAPCE-accredited.
Nebraska-Specific Notes
- Staggered expirations by level. EMTs renew March 31 of even years; EMR, AEMT, EMT-I, Paramedic, and Instructors renew March 31 of odd years.
- EMS Compact member. Nebraska joined the EMS Compact in 2020, allowing cross-state practice privileges.
- EMT-Intermediate sunset. The EMT-I level was set to sunset December 31, 2025. Affected licensees should have either downgraded or upgraded to Paramedic.
- Critical Care Paramedic and Community Paramedic are newer licensure types now available.
- Fingerprints required for initial EMT, AEMT, and Paramedic applications (through Nebraska State Patrol).
- Tuition reimbursement available for initial courses and refresher courses.
- Reinstatement: EMT/AEMT/Paramedic not eligible if expired more than 3 years; EMR not eligible if expired more than 5 years. $35 reinstatement fee.
- Applications preferred electronically via email to DHHS.EMSLicensing@nebraska.gov.
How to Renew
- Complete required CE hours for your level
- Maintain current CPR certification
- Submit renewal application (electronic preferred)
- Pay the renewal fee
- Retain CE documentation for 5 years
Contact Information
Nebraska DHHS — Office of Emergency Health Systems
- Website: dhhs.ne.gov — EMS Licensing
- Email: DHHS.EMSLicensing@nebraska.gov
- Fax: (402) 742-2322
- Phone: (402) 471-0371
- Address: PO Box 95026, Lincoln, NE 68509-5026
This page is for informational purposes only. Requirements may change — always verify current requirements with Nebraska DHHS before renewing. Last reviewed March 2026.
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