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Indiana Department of Homeland Security

IDHS > About IDHS > Certification > Emergency Medical Services > Training Institution Certifications & Forms for PI’s Training Institution Certifications & Forms for PI’s

BLS/ALS Training Institution Information

Rules and regulations

Paramedic Training Institution Information

Rules and regulations    

Training Institution Applications

Training Institution application
Roster of Primary Instructors
Coordinators manual

General Course Applications

Course Application
Course Completion letter 
Report of Training
Practical Skills Reservation

EMR Forms & Information

Course Checklist 
EMR Examination Report Form (Skills Sheets)

Statement of Remediation
Didactic
Skills

EMT Forms & Information

Course Checklist
Practical Skills Examination Report Form (Skills Sheets)

Statement of Remediation
Didactic
Skills

Advanced EMT

Course Checklist

Paramedic Training Forms & Information

Course Checklist

Primary Instructor (PI) Forms & Information

To become an Indiana PI instructor, there are certain processes that you must follow. Below is an outline of those processes.

Pre-Requisites (836 IAC 4-5-1)

  1. Must have been certified, registered, or licensed as an EMT for no less than one year before being admitted to PI course.
  2. Must have at least 1 year of experience in pre-hospital setting.
  3. Before entering a class, potential PI should have a Training Institution who will affiliate him/her.
    a. Must submit a letter of intent from that Training Institution with initial course paperwork.
        i. No formal form. TI must simply draft a letter.
  4. Must be at least a current Indiana EMT.

Course and After Course

  1. Before entering a class, potential PI should have a Training Institution who will affiliate him/her for the internship portion of the course.
    a. If the Training Institution who is teaching the class will have each student intern at their institution or will be setting up internships, then they must fill out this form on every student.
    b. All students should have this form turned upon class starting. This should be submitted to State with initial course roster.
  2. Within one (1) year of the completion of the class, the candidate must successfully pass the EMT written and Practical skills exams.
  3. Student must successfully pass the course.
  4. Student must successfully pass the primary instructor state exam
  5. Once everything is successfully completed, candidate must fill out this form and return it an all the other required documents to the Office of EMS to obtain full certification.

Procedure Guide for Completing EMS Course Paperwork
Standards/ Prerequisites
PI Curriculum
PI pre-testing verification
PI course completion
Statement of Remediation
PI Internship Checklist
PI Internship Checklist Part 2
PI Internship Affiliation 

Emergency Vehicle Operators Course

Course Checklist

Instructor Manual

Instructor Guidelines

Participant Manual

Extrication Forms & Information

Course Checklist