All EMS application fees are non-refundable and non-transferable. Application are available online or from our Applications and Forms page.
Mailing application fees to DSHS?
All applications with fees are to be sent to: Department of State Health Services - Cash Receipts Branch – MC 2003, PO Box 149347, Austin, TX 78714-9347
The fees listed below include any convenience or subscription fees required by the Texas Online Services Authority. The department is authorized to collect subscription and convenience fees, in amounts determined by the Texas Online Authority, to recover costs associated with application and renewal 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 (13 or more months) |
$60 |
| First Responder Renewal Application (13 or more months) |
$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 (receive no pay from ANY service for providing EMS care). This does not include reimbursement for actual expenses for medical supplies, gasoline, clothing, meals and insurance incurred while volunteering. The EMS administrator is required to complete the Volunteer Sign-off section on your certification/licensure application.
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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