Forms
June 8, 2009
Education
The forms below are only available through the KBEMS Licensing Portal. All forms links in this section will redirect to the Kansas Board of EMS Licensing Portal. Paper/PDF applications will no longer be accepted.
-Request for Initial Course Approval
-Request for Initial Course Approval–Educator
-Single Program Provider Form
-Retro-active approval for EMS continuing education
-Sponsoring Organization Application
-Application for Program Provider Status
Educational Incentive Grant
-MOA for Student (Paramedic)Form
-MOA for Student (EMR, EMT, AEMT)
-MOA for Service Form
-Application for Funds
-EIG Fulfillment Form
-EIG Fulfillment Form – Paramedics
-EIG Military & Low Income Request for Funding
Certification
Beginning on December 31st, 2021 EMS Providers holding Current Kansas EMS certification can apply for Inactive Ineligible to Practice certification. This allows providers who are no longer providing EMS services to retain their certification without the need to complete continuing education. Submit an application through the portal, along with the $10 fee to change your status to “Inactive Ineligible to Practice”. If you decide to return to active status, you will be able to reinstate your certification by submitting a reinstatement application, completing the required Continuing Education, and payment of the applicable fee.
A link to the portal is here: Inactive Status Request application.
Note: All Certification Applications are available on the KBEMS Licensing Portal. All forms links in this section will redirect to the Kansas Board of EMS Licensing Portal. Paper/PDF forms will no longer be accepted for processing.
EMS Provider Renewal Application
Educator Renewal Application
-Military Reinstatement Form
Inactive Status Request application.
-Application to Re-Instate an Expired Certification Packet
Ambulance Forms
-Vehicle Mech. & Safety Inspection
-Ground Ambulance Inspection
-Air Ambulance Inspection
-Service Inspection
Other Forms
-Medical Director Appointment Form
-Tag Authorization Form
-Authorization for Release of Information
-AED Placement Notification
The forms below are only available through the KBEMS Licensing Portal. All forms links in this section will redirect to the Kansas Board of EMS Licensing Portal. Paper/PDF applications will no longer be accepted.
-Investigations Self-report Form
-Felony Conviction Questionnaire
-Other Allied Health Personnel Form, NOTE: Allied Health Personnel may need to create an account in the Licensing Portal.
Information Verification
July 17, 2009
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Introduction The Kansas Board of Emergency Medical Services Information Verification Webpage gives the KBEMS partners an ability to check the current status of the following information:
Who Can Use the KBEMS Information Verification?
It is open for public use. However, by using this application, you agree to follow the guidelines of the Kansas Open Records Act (Kansas Statute 45-221). These records are made available by KBEMS to provide immediate access to information for the convenience of interested persons. This information is updated on a daily basis. It is the practice of KBEMS to obtain and verify information from the original source. KBEMS assumes no responsibility for any errors or omissions, or for the use of information obtained from this site. If there is a need for supporting documentation, information can be requested under the Kansas Open Records Act (KORA). What information are you looking for today? Choose one below:
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Adopted Documents
February 27, 2012
Graduated Sanctions
Medication Lists
- Updated Medication List (includes EMR, EMT, and AEMT) – effective 11/12/2021
Educational Standards
- Paramedic Education Standards
- AEMT Educational Standards
- Emergency Medical Responder Education Standards
- Emergency Medical Technician Education Standards
EMS Providers
July 15, 2009
License Management How-To
August 31, 2016
Board Meetings
June 29, 2009
Kansas Board of EMS: April 4th and 5th, 2024 Board and Committee Meetings
Location:
Landon State Office Building, Room 509
900 SW Jackson
Topeka, KS 66612
Social distancing will be encouraged at all times regardless of vaccination status. Please refer to each meeting agenda for directions and deadline to submit comments upon agenda items.
All meetings may be attended virtually:
You may listen to the meetings via computer, tablet or smart phone through GoToMeeting. Links for virtual access via computer or phone can be found in the in the meeting schedule. GoToMeeting links for virtual computer access can be found below (or refer to the agenda for each meeting).
Committee format is standard time allocation:
Click on each committee meeting link to view agendas.
Thursday, April 4th:
1:00 pm: Education, Examination, Training and Certification (EETC) , also available virtually via GoToMeeting
NOT Meeeting Investigations Committee
Friday, April 5th
9:00 am: General Board Meeting, also available virtually via GoToMeeting
To comment on Committee or Board Meeting Agendas CLICK HERE.
COMMITTEE DOCUMENTS:
OTHER IMPORTANT DOCUMENTS:
2024 Meeting Dates
Grants
May 13, 2009
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KBEMS Grant Programs:
Other Grant Resources |
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| U. S. Department of Health and Human Services, Health Resources and Services Administration | www.hrsa.gov | |
| The Rural Health Information Hub, Rural Funding and Opportunities | https://www.ruralhealthinfo.org/funding/span> | |
| The Kresge Foundation Bricks and Mortar Program | http://www.kresge.org/opportunities/ | |
| Robert Wood Johnson Foundation | www.rjwf.org/index.jsp | |
| Kansas GrantWatch | https://kansas.grantwatch.com/ | |
| New Federal Website, Grants. gov | http://www.grants.gov | |
Summary of Distribution
May 18, 2012
Education Incentive Grant Monies Distribution
Training
June 8, 2009
EMS Jobs in Kansas
July 23, 2012
We will soon be removing this page from the KBEMS website. We encourage everyone to use KansasWorks website. The site is FREE to both job seekers and employers wishing to post job openings.
| DATE POSTED | LOCATION | POSITION | HOW TO APPLY | DEADLINE |
|---|---|---|---|---|
| 04/02/2024 | Stafford County Emergency Services | Full Time EMT Stafford County Emergency Services has an open position available for a full time EMT. Stafford County Emergency Services serves a rural population of approximately 4,208 people throughout a 792 square mile service area with a call volume of 400-450 calls per year. The department works under protocols designed to provide care to patients in a rural setting. With prolonged transport times and bypass protocols, our EMS personnel must have strong critical thinking skills and be comfortable caring for patients for long periods of time. Available shifts are 12 hours: * 7am – 7pm (3 shifts per week) Qualified applicants should possess a Kansas EMT certification, current CPR certification, and a valid Kansas driver’s license. Salary is commensurate with experience and education. Stafford County offers an excellent fringe benefit package. Stafford County is an Equal Opportunity Employer. |
Interested applicants can call (620) 549-3765 for further information.
Applications are available at the |
Applications accepted until position is filled |
