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.
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| 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.
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| 7121 |
Replacement Licence If your licence has been lost, stolen etc., you can request a replacement licence by completing this form.
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Examinations and Course Results
| 7115 |
Request for Evaluation Use this form to request a written, practical and/or jurisprudence exam.
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| 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.
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| 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.
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9701 |
Application for Entry to Practice Exam Use this form to be scheduled for your COPR entry to practice written exam.
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| 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. |
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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. |
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| 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:
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