Forms

The EMA Licensing Branch has developed forms to streamline the process for licence applications, exam requests, contact information updates, first responder course results, out-of-province transfers, and continuing competence requirements.

General Forms

7107

Contact Information Change/Update

If you have changed your name or address or if you have employer information to add or update, please submit this form to notify the EMA Licensing Branch of these changes.

9733

Request for Reinstatement

If your licence has expired you are no longer licensed to practice as an EMA in British Columbia. Use this form to request your previous licence be reinstated.

NOTE: EMA First Responders are not required to use this form, instead the EMA First Responders should follow the instructions in the  First Responder (EMA FR) Initial, Renewal and Reinstatement Licensing Requirements Policy

3734

Request for Licence Extension

If you are unable to complete the licence renewal process prior to your licence expiring, use this form to request an extension of up to 60 days.

9736

Expression of Intent (Relinquish Your Licence)

If you no longer wish to practice as an EMA, use this form to notify the EMA Licensing Branch that you wish to give up your licence.

7121

Replacement Licence

If your licence has been lost, stolen etc., you can request a replacement licence by completing this form.

Examinations and Course Results

7115

Request for Evaluation

Use this form to request a written, practical and/or jurisprudence exam.

7114

Request for Exemption for an Unattended Practical Examination

If you were unable to attend your practical exam with less than 7 days notice to the branch, use this form to request that the exam date not be counted as an attempt at the exam process by supplying the reasons you were unable to attend the scheduled exam.

3737

First Responder Course Results

You can use the first responder course results form to submit course results directly to the EMA Licensing Branch and your recognized training agency.

Licensing

9700

Application for Licence

Use this form to apply for an emergency medical assistant (EMA) licence.

9701

Application for Entry to Practice Exam

Use this form to be scheduled for your COPR entry to practice written exam.

3706

Verification of Registration

All applicants that are authorized to practice outside of B.C. are required to complete a verification of registration form for each jurisdiction they are authorized to practice in. The applicant should complete part A of this form and the registering body should complete part B and submit to our office.

3740

Practitioner Educational Prior Learning Equivalency Assessment

International applicants should have their training agency complete this form before transferring to B.C.

3741

Practitioner Essential Competencies Comparison

International applicants should complete this form to determine their practitioner competency comparison to B.C. Emergency Medical Assistants (EMAs). It must be signed off by the Medical Director or Medical Oversight for the applicant’s current employer. A separate cover letter from the current Medical Director must be included which attests to the competencies indicated by the applicant before EMA Licensing will review the application.

3726

Licence for Student Request

Authorized training agencies can use this form to notify the branch of upcoming class practicums and and on car sessions requiring student licences at the PCP, ACP, ITT, and CCP levels.

Continuing Competence

3735

Adjudication Request

EMAs in shortfall for continuing competence requirements should complete this form to request adjudication. Please make sure that you submit your supporting documentation along with the form.

Training

3739

Training Recognition Application Package

Training Institutions applying for the board’s recognition for any training program are required to submit the training recognition application package to the branch for review and recommendation. Programs are initially recognized for a maximum of two years and program renewals for a maximum of five years.

3742

Program Change Application

Training Institutions making any of the following changes to a program currently recognized by the EMA Licensing Board are required to submit the program change application: 

  • A significant (up to 25%) change to the medical content of a program. Changes in excess of 25% of total medical content require the submission of the entire Training Program Recognition Application. Change in intellectual property licensing agreement
  • Change in medical oversight
  • Change in training institution ownership
  • Change training institution location and/or course delivery mechanism
  • Change to subcontractor agreement(s)
  • Change in clinical placement or preceptorship agreement