Legal Recognition (Reciprocity) for N.C. EMS Credentials

People currently holding EMS credentials from other states, the National Registry of Emergency Medical Technicians (NREMT), the Association of Public-Safety Communications Officials (APCO), or the National Academy of Emergency Dispatchers (NAED) may be issued a North Carolina EMS credential through legal recognition. People seeking legal recognition must reside in North Carolina, attend an EMS educational program in North Carolina, or work for a licensed North Carolina EMS provider. A North Carolina Credentialing Information System (CIS) profile must be established online prior to making application. If you currently hold a North Carolina issued EMS credential, you may only apply for legal recognition at a higher or lower EMS credentialing level.

Below are the steps for completing the online portion of the Legal Recognition (Reciprocity) process.

  1. Please complete the tutorial on creating a CIS profile.
  1. Then create a personal CIS profile by entering the "Click here for the Public Access site"

personal CIS Profile

  1. After you have created your profile, log into CIS. Select "Profile" from the drop down menu on the left and "Request Legal Recognition."

Legal Recognition

  1. After you have applied for legal recognition (reciprocity) online, you will receive an information packet in the mail. Complete and return the required information. OEMS will keep your online application open for six months.

Additional Information

If you have not been a North Carolina resident for the past consecutive five years, you will be required to complete a national background check which is included as part of your information packet.

Applicants should allow 7-10 days to receive the information packet.

After all information is received, an applicant eligible for legal recognition will be issued an equivalent North Carolina credential with an expiration date that matches the state or National Registry credential used to obtain legal recognition. This expiration date will not exceed four years.

Allow a minimum of 60 days to complete this process.

Please call Alesia Hester at 919-855-3956 or Gloria Currie at 919-855-3944 with any questions.
NC Office of Emergency Medical Services