Reciprocity & Compact States: Where Your EMT Certification Can Take You

Our EMT program prepares you for NREMT certification, which is widely accepted across the U.S. Each state has its own process for EMT licensure, so we’ve grouped the states below based on what you can expect.

States with Direct NREMT Reciprocity

These states accept NREMT certification with minimal additional requirements (often just an application and background check):

  • Alabama

  • Arkansas

  • Connecticut

  • Delaware

  • District of Columbia

  • Indiana

  • Louisiana

  • Massachusetts

  • Minnesota

  • Mississippi

  • Montana

  • Nebraska

  • New Hampshire

  • New Mexico

  • North Dakota

  • Oklahoma

  • Rhode Island

  • South Dakota

  • Vermont

  • Wisconsin

States That Require Additional Verification (But No Extra Testing)

These states accept NREMT certification, but you must be a resident of the state to apply for EMT licensure:

  • Arizona

  • Nevada

These states require NREMT certification plus some paperwork or verification, but no additional exams:

  • New Jersey – Requires an EMT Verification Form and an application through the state EMS portal. More info

States That May Require Additional Testing

These states accept NREMT certification but may require state-specific exams or training modules:

  • New York – Applicants must complete a reciprocity packet and may be subject to additional testing or coursework. More info

EMS Compact (REPLICA) States

If you’re licensed in a REPLICA member state, you can temporarily practice in other member states without needing a separate license. This is especially helpful if you:

  • Are working as a traveling EMT

  • Have just moved to a new state and are waiting on licensure

  • Are filling short-term or emergency coverage roles

⚠️ Important Note:

REPLICA is not a substitute for permanent licensure in your home state.

If you live and primarily work in another Compact state, you are expected to apply for licensure in that state as soon as possible.

More about REPLICA

Current REPLICA states

  • Alabama

  • Colorado

  • Delaware

  • Georgia

  • Idaho

  • Indiana

  • Kansas

  • Mississippi

  • Nebraska

  • North Dakota

  • South Carolina

  • Tennessee

  • Texas

  • Utah

  • Virginia

  • West Virginia

  • Wyoming