Oklahoma EMT, AEMT & Paramedic License Renewal Requirements

Oklahoma EMS licenses are regulated by the EMS Division, under the Oklahoma State Department of Health. Oklahoma requires NREMT certification for personnel licensed after April 2010 and follows the NCCP model. Providers licensed before that date may renew with state-only CE hours.

At a Glance

Detail	Information
Regulatory Body	Oklahoma State Dept. of Health, EMS Division
Renewal Cycle	Every 2 years
NREMT Required	Yes — for personnel licensed after April 1, 2010
Email	Esystems@health.ok.gov
Phone	(405) 426-8480

Two Renewal Pathways

Pathway 1: With Current NREMT (Preferred)

Submit current NREMT certification, renewal application, CPR card, and fee.

Pathway 2: Without NREMT (State-Only CE)

Level	CE Hours
EMR	16 hours
EMT	40 hours
AEMT/Intermediate	50 hours
Paramedic	60 hours

CE must meet or exceed NREMT NCCP guidelines.

Additional Requirements

• Current CPR certification (meets or exceeds AHA standards)
• Current ACLS (Paramedic only)
• ALS skills review and verification signed by medical control (Intermediate, AEMT, and Paramedic)
• Line of duty death benefit fee (per Oklahoma statute)

Oklahoma-Specific Notes

• NREMT mandatory for post-2010 licensees. Personnel licensed after April 1, 2010, must maintain NREMT. Those licensed before may use state-only CE pathway.
• Medical director skills verification required for ALS providers. Without it, Intermediate or Paramedic licenses may be issued as inactive (cannot provide patient care until an agency medical director verifies skills).
• Cannot renew after 90 days past expiration. The EMS Division will not issue any renewed certification or license after 90 days from the original expiration date.
• Fees vary by level: EMT $20, Intermediate/AEMT $25, Paramedic $30 (plus line of duty death benefit fee).
• CAPCE-accredited courses accepted.
• High initial training hour requirements — Oklahoma has some of the highest in the US (154 hrs EMT, 1,050 hrs Paramedic).
• 3-hour child abuse recognition and reporting training required for initial licensure (since January 2015).

How to Renew

1. Complete NREMT recertification (if applicable) or state CE requirements
2. Maintain current CPR (and ACLS for Paramedics)
3. Obtain medical director ALS skills verification (ALS providers)
4. Submit renewal application with all documentation
5. Pay the renewal fee plus death benefit fee

Contact Information

Oklahoma State Department of Health — EMS Division

• Website: oklahoma.gov/health — EMS Division
• Email: Esystems@health.ok.gov
• Phone: (405) 426-8480
• Fax: (405) 900-7560
• Address: 123 Robert S. Kerr Ave., Suite 1702, Oklahoma City, OK 73102-6406

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This page is for informational purposes only. Requirements may change — always verify current requirements with the Oklahoma EMS Division before renewing. Last reviewed March 2026.

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