Overview
EMTs and paramedics provide emergency medical care and transport. All states require NREMT certification plus a state license. Paramedics require additional clinical training.
NREMT plus West Virginia certification.
License tiers and what each allows
| License | What you can do | Exam required |
|---|---|---|
| EMT-Basic | Training level. Work under supervision. No independent work. | Registration only |
| Advanced EMT | Install, repair, and maintain systems under supervision or independently in most states. | Yes. State licensing exam (~$60 fee) |
| Paramedic | Full independent work, supervise others, pull permits, design systems. | Yes. Advanced state exam |
Step-by-step path
Register as an apprentice
Register with West Virginia Office of EMS before starting work. This is required to legally accumulate supervised hours toward your journeyman qualification. Some states charge a small registration fee.
Accumulate 120 hours of supervised experience
Work under a licensed journeyman or master emt / paramedic. This takes approximately 0 years at full-time hours. Your employer is required to verify your hours when you apply for the journeyman exam.
Pass the journeyman licensing exam
The exam covers NREMT Certification requirements and state-specific rules. Exam fee is $60. Most candidates study 4-8 weeks using a state-approved prep guide before sitting for the test.
Apply for your journeyman license
Submit your application to West Virginia Office of EMS after passing the exam. License fee is $50. Processing typically takes 2-4 weeks. Your employer's verification of your hours is required at this stage.
Renew biennial
Your West Virginia license renews biennial. Renewal fee is $50. Some states require continuing education at renewal. Always renew on time to avoid a lapse in licensure.
Fee summary
| Item | Fee |
|---|---|
| Apprentice registration | Varies (check board) |
| Journeyman exam | $60 |
| Journeyman license | $50 |
| License renewal (biennial) | $50 |