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Browse > Home / Tools / Forms

Forms

Education

-Transition Application Form
-Request for Initial Course Approval–Basic

-Request for Initial Course Approval–Advanced

-Request for Initial Course Approval–Educator

-Single Program Provider Form

-Retro-active approval for EMS continuing education

-Educators workshop request for approval

-Application for Program Provider Status

-Application for Long Term Accreditation for Initial Courses of Instruction

Educational Incentive Grant

-MOA for Student (Paramedic)Form
-MOA for Student (EMR, EMT, EMTI, AEMT)

-MOA for Student (Educators)

-MOA for Service Form

-Application for Funds
-Continuing Education Form for Transition Courses

Certification

-Military Reinstatement Form
-Instructor Coordinator Initial Application
-Instructor Coordinator Regain Application
-Training Officer Verification of Appointment
-Training Officer Regain Application
-Application to Re-Instate an Expired Certification Packet NEW!
-Recognition of Non-Kansas Credentials NEW!

Ambulance Forms

-Vehicle Mech. & Safety Inspection
-Application for Ambulance License
-Application for Air Ambulance License

Other Forms

-Investigations Self-report Form
-Medical Advisor Information
-AED Placement Notification Form
-Felony Conviction Questionnaire
-Authorization for Release of Information
-Sponsoring Organization Update Form
-Variance Application
-Tag Authorization Form

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