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EMPLOYER INFORMATION PRIMARY 1. Is this employer one of the following Municipal Fire Department Agency State of Louisiana Address Volunteer Fire Department Fire Protection District Municipal Law Enforcement Other Public Entity 2. I do not perform EMS duties outside of my individual official governmental responsibilities for any form of compensation. Supervisor Phone Number If you checked yes to both questions and are applying to be an EMT-Basic you can pay the Public Employee Recertification...

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What is louisiana emt reinstatement form?

Louisiana EMT reinstatement form is a document that allows EMTs in Louisiana to request the reinstatement of their certification after it has been expired or revoked.

Who is required to file louisiana emt reinstatement form?

EMTs in Louisiana whose certification has expired or been revoked are required to file the Louisiana EMT reinstatement form.

How to fill out louisiana emt reinstatement form?

To fill out the Louisiana EMT reinstatement form, you need to provide your personal information, previous certification details, reasons for reinstatement, and any supporting documents. The form can usually be downloaded from the Louisiana Department of Health website.

What is the purpose of louisiana emt reinstatement form?

The purpose of the Louisiana EMT reinstatement form is to allow EMTs whose certification has expired or been revoked to request its reinstatement.

What information must be reported on louisiana emt reinstatement form?

The Louisiana EMT reinstatement form typically requires information such as personal details, previous certification information, details of any disciplinary actions, reasons for reinstatement, and supporting documents.

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