EMT Reinstatement


To be reinstated as an EMT in the State of California by Sacramento County, the applicant must complete and submit the following:


  1. Go online at https://actonline.saccounty.net and apply.  Online application instructions found here.
  2. Apply for and receive a National Registry EMT card within two (2) years of the date of application for EMT reinstatement unless a current National Registry EMT, AEMT or paramedic certificate or a current AEMT certificate or paramedic license was previously obtained.
  3. Upload the following:
    • Expired EMT Certification issued in California.
    • Proof of passing both the NREMT cognitive and pychomotor exams.
    • Successful completion of a twenty-four (24) hour refresher course from an approved EMT training program, and twenty-four (24) hours of continuing education, within the last twenty-four (24) months prior to applying for reinstatement OR;
      (a) Forty-eight (48) hours of CE within the last twenty-four (24) months prior to applying for reinstatement, from an approved CE provider as outlined in the State of California Title 22, Division 9, Chapter 11.
    • Completed Department of Justice (DOJ) and Federal Bureau of Investigation (FBI) Live Scan Request Form, BCII 8016.  Obtain Live Scan form here.
    • Current CPR for the Healthcare Provider card or equivalent
    • Government issued photo identification​​.
    • Beginning July 1, 2019, an EMT renewing his/her certification for the first time shall submit documentation of successful completion on the use of naloxone, epinephrine by auto-injector and glucometers.  Please see additional information HERE.
    • Skills competency verification form, EMSA-SCV (01/17), with original signatures. 
      • This form must be the current 01/17 version to be accepted after July 1, 2017.  Obtain Skills Competency form here.
  4. Pay the required fees.


Please use the SCEMSA- specific Live Scan form on our website and take to a Live Scan location.  Live Scan Locations


If assistance is needed with the online process, bring all documents in person to:

Sacramento County Emergency Medical Services Agency (SCEMSA)
9616 Micron Avenue, Suite 960
Sacramento, CA 95827

Tuesday-Thursday 0800-1200


We will assist with online registration/application and uploading documents.  Application approval times vary depending on the Live Scan processing times.​


Cost for EMT Renewal/Reinstatement

  • $50.28 SCEMSA application fee (Non-refundable).
  • $75.00 State of California reinstatement fee (Non-refundable).
  • $30.00 Late fee (within 30 days of expiration)
  • $30.00 Expedited Processing fee (if requested)

Fees may be paid by credit card online or with exact cash at the SCEMSA office.