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Tony Pagano
(317) 233-0208
Address: Indiana Government Center South
302 W. Washington St., Room E239
Indianapolis, IN 46204-2739

IMPORTANT INFORMATION REGARDING RECORDING OF SOCIAL SECURITY NUMBERS
For any of the following applications that request a Social Security Number, please disregard and instead provide a Driver's License or State Identification Number.

• Verify an Individual's EMS Certification

Certification Applications

• Application for Emergency Medical Technician (PDF)
• EMT Basic Application for Reciprocity (PDF)
• EMT Basic-Advanced Application for Reciprocity (PDF)
• EMT Intermediate Application for Reciprocity (PDF)
• Paramedic Application for Reciprocity (PDF)
• First Responder Application for Reciprocity (PDF)
• Candidates for Recertification (PDF)
• Application for Approval of Emergency Training Course (PDF)
• Application for EMS Training Institution
• Practical Skills Examination Reservation (PDF)
• EMT Basic Advanced Skill Sheet (PDF)
• EMT Basic Skill Sheets (PDF)
• First Responders Skill Sheets (PDF)
• Mandatory/Lead Evaluators Acknowledgement (PDF)
• Primary Instructor Candidate Student Teaching Internship Checklist
• Primary Instructor Verification of Course Completion (PDF)
• Roster of Primary Instructors (PDF)
• Report of Training (PDF)
• Statement of Remediation of EMT-B Curriculum (PDF)
• Statement of Remediation of EMT-BA Curriculum (PDF)
• Statement of Remediation of EMT-B Curriculum for Primary Instructor Prerequisite (PDF)
• Statement of Remediation of First Responder Curriculum (PDF)
• Statement of Remediation Indiana EMT-BA Skills (PDF)
• Statement of Remediation of Indiana EMT-Basic Skills (PDF)
• Statement of Remediation of Indiana First Responder Skills (PDF)
• Statement of Remediation of Primary Instructor Curriculum (PDF)
• Stork Club Membership Application (PDF)

Recertification Applications

• Basic Continuing Education Form (PDF)
• Basic-Advanced EMTechnician Continuing Education Form (PDF)
• Report of EMT - Paramedic Continuing Education Form
• First Responder Recertification Application (PDF)
• Primary Instructor Activity Report (PDF)
• Drivers Certification Activity Reporting Form (PDF)
• Application for Green Light Permit (PDF)

Additional Information

• Online Continuing Education Offerings
• Domestic Preparedness Campus Courses

• Primary Instructor Course Packet
• Procedures for Obtaining EMS Reciprocity (PDF)
• Levels of EMS Personnel Certification (PDF)
• Annual Emergency Response Conference Awards Application Forms

• 2008 Fireworks Permit Application
• Amusement & Entertainment Permit Application
• Create A Preparedness Plan
• File Building Plans Online
• Fire Course & Testing Online Application
• IDHS Website Customer Survey
• Indiana Homeland Security Districts Map
• Indiana Homeland Security Foundation
• IDHS Training Opportunities