Overview
Delaware requires a state-issued license to work independently as a emt / paramedic. Licensing is administered by Delaware Office of Emergency Medical Services (OEMS). Requirements include supervised experience, a written exam, and payment of licensing fees.
Always verify current requirements directly with Delaware Office of Emergency Medical Services (OEMS) before beginning your application, as rules can change.
License tiers and what each allows
| License | What you can do | Exam required |
|---|---|---|
| EMT-Basic | First response emergency care, transport, and basic life support. | NREMT cognitive + psychomotor exam |
| Advanced EMT | Advanced airway management and limited medication administration. | NREMT AEMT exam |
| Paramedic | Full advanced life support, medications, intubation, and field assessment. | NREMT paramedic exam |
Step-by-step path
Complete an approved EMT training program
Enroll in a Delaware OEMS-approved EMT-Basic course (120-150 hours). Programs are offered at community colleges and fire departments.
Pass the NREMT exam
The National Registry of Emergency Medical Technicians (NREMT) exam includes a cognitive (written) and psychomotor (skills) component. Fee is approximately $70.
Apply for Delaware state certification
Submit your NREMT results to Delaware Office of Emergency Medical Services (OEMS) to obtain your state certification.
Renew biennially
Delaware EMS certifications renew every two years. Continuing education hours are required for renewal.
Fee summary
| Item | Fee |
|---|---|
| Application / registration | Varies (check board) |
| Licensing exam | $70 (NREMT exam) |
| License issuance | Varies (check board) |
| License renewal (biennial) | Varies (check board) |