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EMS and Trauma Systems

EMS and Trauma Systems

EMS Certification and Licensure

EMS Application Fees

All EMS application fees are non-refundable and non-transferable. Applications are available online or on our Applications and Forms page.

Mailing application fees to DSHS? 
Send applications with fees to:
Department of State Health Services
Cash Receipts Branch – MC 2003,
PO Box 149347,
Austin, TX 78714-9347

The department collects the  fees listed below. The amounts are set forth by the Texas Online Authority. These fees recover costs associated with application processing through Texas Online  

View fees by license/certification

Initial EMS Personnel Certification and Licensure
Level              Fee             
ECA or EMT $64
Advanced EMT or EMT-P $96
Licensed Paramedic $126
Reciprocity (all levels)                     $126

Renewal EMS Personnel Certification and Licensure 
Level Renewal Timeframe                 Fee               
ECA or EMT Within 12 mos prior to expiration date $64
ECA or EMT Within 90 days after expiration date $94
ECA or EMT Within 91 days to 1 year after expiration date $124
Advanced EMT or EMT-P Within 12 mos prior to expiration date $96
Advanced EMT or EMT-P Within 90 days after expiration date $141
Advanced EMT or EMT-P Within 91 days to 1 year after expiration date $186
Licensed Paramedic Within 12 mos prior to expiration date $126
Licensed Paramedic Within 90 days after expiration date $186
Licensed Paramedic Within 91 days to 1 year after expiration date     $246
Retest (all levels)   $30
Inactive fee (all levels)       $30

Initial EMS Coordinator, Instructor and EMS Info Operator Instructor 
Level               Fee            
Basic or Adv Coordinator             $66
EMS Instructor $34
EMS Info Operator Inst $64

 

Renewal EMS Coordinator, Instructor or EMS Info Operator Instructor 
Level Renewal Timeframe            Fee           
Basic or Adv Coordinator               Within 12 mos prior to expiration date $66
Basic or Adv Coordinator Within 90 days after expiration date $96
Basic or Adv Coordinator Within 91 days to 1 year after expiration date            $126
EMS Instructor Within 12 mos prior to expiration date $34
EMS Instructor Within 90 days after expiration date $49
EMS Instructor Within 91 days to 1 year after expiration date $64
EMS Info Operator Inst Within 12 mos prior to expiration date $64
EMS Info Operator Inst Within 90 days after expiration date $94
EMS Info Operator Inst Within 91 days to 1 year after expiration date $124

EMS Provider  
Level             Fee     
Provider Initial Application (13 or more months)     $500
Provider Renewal Application (13 or more months) $510
Vehicle (12 months or less) $90
Vehicle (13 or more months) $180 
Reinspection Fee $30
Provisional License $30
Fixed-Wing Rotor-Wing Reciprocal for Border States                $500
Variance or Exception request $30

 

First Responder Organization Fees
Level                   Fee         
First Responder Initial Application $70
First Responder Renewal Application $70

 

  

Education Programs
Program Level Fee
Basic Self-study Evaluation                                        $32               
Basic Site Visit $93
Advanced Self-study Evaluation $62
Advanced Site Visit $255

 

Course Approvals
Course        Fee       
Basic Course (ECA, EMT) $32
Advanced Course (Advanced EMT, EMT-P) $62
Instructor $32
Emergency Medical Information Operator $62
Emergency Medical Information Operator Instructor Course $32
CE Program $62

 

Volunteer Fee Exempt Status

Fee exemption is allowed ONLY if you volunteer exclusively for a licensed provider or registered first responder organization. This means that you do not receive pay from ANY service for providing EMS care. This does not include reimbursement for medical supplies, gasoline, clothing, meals, and insurance incurred while volunteering.

If you submit an application fee, it will be considered a declaration of non-exempt fee status. Volunteers are not exempt from fees when applying for inactive.

 

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