Include the above information and your Name and Address on the form. IDPH will send an EMS Renewal Notice via USPS mail to each licensed Pre-Hospital Provider at the last known address in the state database at least 60 days prior to expiration. 0000043601 00000 n Please contact the Division of EMS and Highway Safety at 217-785-2080 or at DPH.EMTLIC@illinois.gov with questions or for more information. 0000001345 00000 n Renew a License All licenses issued or renewed after May 1, 2020, will expire on June 30, 2023. Below is a link to the IDPH memo with the graduated breakdown of hours needed for renewal dates...progressively increasing to the full implementation in January 2021. E�\i\�\� E�\i\�\� 5 26 0 0 9.958 9.957 re H�2�37�402VH�2P0P�Գ4� �� A2�\�\ �e endstream endobj 25 0 obj <>/Subtype/Form/Type/XObject>>stream 0000001085 00000 n E�\�\y\Fz�P�\.0m�`��c�d� H�*�2T0T0׳4� �� %PDF-1.3 %���� Please browse this collection of forms and publications. Click on Forms and Documents on the top of the page and then, Scoll down to the EMS Section of their page for the most up-to-date information: Illinois Department of Public Health If requested for the sytem's ID number on the online renewal form - it is 0907 IDPH mails out RENEWAL NOTICES with a PIN number 60-90 days prior to renewal. 0 0 9.958 9.957 re H�*�2T0T0׳4� �� h�b``�f`0�e```TXʀ �`as�p8W������)T,�L�*)���0�B�L1W @� �� endstream endobj 29 0 obj <>/Subtype/Form/Type/XObject>>stream 0000040089 00000 n 5 0 obj <> endobj If you do NOT receive this notice, email your EMS System for a copy. IDPH leaves the breakdown of those hours up to the local EMS systems. H�2�37�402VH�2P0P�Գ4� �� 0 0 9.958 9.957 re 0 0 9.958 9.957 re � (IDPH law states EMT-P needs 100 hours, EMT-I needs 80 hours, and EMT-B needs 60 hours). IDPH will send an EMS Renewal Notice via USPS mail to each licensed EMS Lead Instructor (LI) at the last known address in the state database at least 60 days prior to expiration. %%EOF If your license is due to expire, contact If your license is due to expire, contact your Emergency Medical Systems (EMS) director to assure continuing education hours have been completed and the necessary paperwork 15 0 obj <> endobj 44 0 obj <>/Filter/FlateDecode/ID[<5C78189557F74885B1FDD2DFD15D23DC>]/Index[15 78]/Info 14 0 R/Length 109/Prev 92671/Root 16 0 R/Size 93/Type/XRef/W[1 3 1]>>stream Forms for EMS certification renewal, reciprocity application, change of EMS status, and continuing education for renewal Administrative Rules Advisory Council Quality Assurance, Standards, and Protocols (QASP) EMS System X��������������� �7} � �t�`���"i��W��&�ի'pXCMbd`1��&@Z���r�W�v'�`g ���1< "�Pvc���� VI. }Of�|�h�{ @O��t���\���,�+�?� Individual licensees may utilize this site to pay initial EMS licensing fees, pay EMS renewal licensing fees, update address information, and/or for Ambulance Providers to pay Vehicle Fees. E�\�\y\Fz�P�\.0m�`��c�d� If you can not find the form or publication that you are looking for, type a search Illinois license renewal fee and answer their child support/felony conviction questions. 0.749023 g f f � Form 3 - Renewal Information If you have completed Form 1 and Form 2 and had no issues, then you should be taken back to the "Continue My Applications" page, and under Form, you should see the "Form 3 - Renewal Information" - click Start 0 If you do NOT receive this notice, email your EMS System for a copy. A2�\�\ �e endstream endobj 28 0 obj <>/Subtype/Form/Type/XObject>>stream 0000001982 00000 n �`as�p8W������)T,�L�*)���0�B�L1W @� �� endstream endobj 27 0 obj <>/Subtype/Form/Type/XObject>>stream EMS personnel are considered under Phase 1A. V. Bring proof of hours and the IDPH form to the EMS office. 30 0 obj<>stream This page contains a comprehensive list of IDPH’s forms and publications organized by topic. 0000042858 00000 n E�\i\�\� 0000035991 00000 n Licensees have a one-month grace period (for most licenses until the end of July) to renew their license without paying H��WkO����_Q�|X��4�m�������ɒ�vug��L�!�����a�﷪m'ᑅ �A����ӧNU�:�e��� ��q�C ��7��2���i�;>� `:� ׬�_B��s�|������Ǜ����L�{_�������h����['׶����j Region 11 EMS Lead Instructor (LI) Policy Candidates should fill out the application form ( Word ) ( PDF ) and submit to their Resource Hospital for review: IDPH EMS Renewal Form All areas must be completed or the application will be returned unapproved should be directed to covidems @ dhs.in.gov affects! Guidelines of EMS and COVID-19 questions about how COVID-19 affects EMS operations, certifications or should... 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