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OFFICE USE ONLY 707 EMR 718 EMT, EMT, PM 719 AFFIDAVIT OF RETIREMENT OF EMS LICENSE FROM PRACTICE IN TENNESSEE I, Last NameFirst Backstreet AddressCityMiddle Initial of Social Security #Statehood

How to fill out 718 - emt aemt

How to fill out 718 - emt aemt

1. To fill out the 718 - emt aemt form, follow these steps:
2. Start by entering your personal information, such as your name, address, contact details, and social security number.
3. Provide details about your current certification and licensure as an Emergency Medical Technician (EMT) or Advanced EMT (AEMT). Include any relevant identification numbers and expiration dates.
4. Indicate whether you are applying for initial certification, recertification, or a change in your certification level.
5. If you are applying for recertification or a change in certification level, submit copies of any required documentation, such as CPR certification, continuing education credits, or updated training records.
6. Review the form to ensure all information is accurate and complete before submitting it.
7. Sign and date the form to certify the accuracy of the provided information.
8. Submit the completed form to the appropriate governing body or certification agency.
9. Keep a copy of the filled-out form for your records.

Who needs 718 - emt aemt?

1. 718 - emt aemt form is typically needed by individuals who are seeking certification or recertification as an Emergency Medical Technician (EMT) or Advanced EMT (AEMT).
2. This form is required by certification agencies and governing bodies in the field of emergency medical services to ensure that individuals meet the necessary qualifications and standards to provide pre-hospital care.
3. Both new applicants and current EMTs or AEMTs may need to fill out this form depending on their specific circumstances, such as obtaining initial certification, recertifying their existing certification, or transitioning to a different certification level.

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