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EMT / Paramedic
Some details on this page are not yet confirmed against an official source. See sources below or contact the licensing board to verify.
Yes
NREMT Required?
120-150
EMT Training Hours
4 levels
Certification Levels
$1,000-$2,500 (program) + $104 (NREMT) + $25 (state app)
EMT Initial Cost
2 years
Renewal Period
40 hrs
EMT CE Hours
Training Hours
60 hours
Scope of Practice
Basic emergency care including bleeding control, CPR, AED use, oxygen administration, and basic patient assessment
NREMT Required
Yes
Additional Requirements
Training Hours
120-150 hours
Scope of Practice
BLS care including patient assessment, oxygen therapy, splinting, spinal immobilization, assisted medication administration (epinephrine, nitroglycerin, albuterol), and emergency childbirth
NREMT Required
Yes
Additional Requirements
Training Hours
350 hours
Scope of Practice
EMT-Basic scope plus IV access, fluid resuscitation, advanced airway devices (supraglottic), blood glucose monitoring, and limited medication administration
NREMT Required
Yes
Additional Requirements
Training Hours
1,200 hours
Scope of Practice
Full ALS care including endotracheal intubation, cardiac monitoring/defibrillation, IV/IO access, comprehensive medication administration, needle decompression, surgical cricothyrotomy, synchronized cardioversion, and advanced patient assessment
NREMT Required
Yes
Additional Requirements
Training Program Requirements
Verified120-150
EMT Training Hours
1,200
Paramedic Hours
Notes
Delaware EMT training programs must be approved by the State Fire Prevention Commission. Paramedic programs must be accredited by CoAEMSP/CAAHEP. A sponsor signature from an EMS agency is required for certification, which is unique to Delaware's fire commission-based EMS management.
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Exam Requirements
VerifiedRequired
NREMT Certification
Required
Cognitive Exam
Required
Psychomotor Exam
No
State-Specific Exam
NREMT Details
Delaware requires NREMT certification for both initial certification and recertification at all EMS levels. The NREMT cognitive exam is a Computer Adaptive Test (CAT) with 70-120 questions for EMT level, a 2-hour time limit, and costs $104 per attempt. A scaled passing score of 950/1500 is required. Candidates are allowed 6 attempts with a 15-day waiting period between attempts.
Passing Score
$80 per attempt (EMT level)
Retake Policy
NREMT allows 6 attempts with a 15-day waiting period between attempts. After the 3rd failed attempt, candidates must complete 24 hours of remedial training. After 6 failed attempts, full course completion is required.
Didn't pass on the first try? Learn what to do if you fail the NREMT.
Overall licensing difficulty: 1/100
Study recommendation: 1–2 weeks of focused review is usually sufficient
Practice with realistic exam questions
NREMT (EMT Certification Exam)
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EMT Exam Prep Books
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Difficulty rating based on education, exam, and experience requirements. Individual experience may vary.
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NREMT Cognitive Exam
Questions
120 questions
Time Limit
2 hours
Passing Score
$80 per attempt (EMT level)
Format
Computer adaptive testing (CAT)
Cost of failing
Retake fee: $80Invest in preparation to pass the first time.
How long should you study? Most candidates study 2–4 weeks before taking the NREMT Cognitive Exam.
Study Materials & Exam Prep — NREMT Certification Exam
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Study guides and practice tests for the NREMT certification exam.
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What Each Level Can Do
VerifiedOnline Medical Direction (Real-Time)
Real-time physician contact via radio or phone for consultation on patient care decisions beyond standing orders
Offline Medical Direction (Standing Orders)
Standing orders and protocols developed by the EMS medical director that authorize specific treatments without real-time physician contact
Protocol Requirements
All EMS providers in Delaware must operate under the authority of a licensed physician medical director. Each EMS agency must have approved protocols through the State Fire Prevention Commission.
Minimum Age
Education
Background Check
Drug Screening
CPR/BLS Certification
Immunizations Required
Driver's License Required
Not sure if you need a emt license? Check whether your state requires one.
| Fee | Amount |
|---|---|
EMT Course Cost Varies by program and institution | $1,000-$2,500 |
Paramedic Course Cost Varies by program | $8,000-$15,000 |
NREMT Exam Fee NREMT EMT cognitive exam fee (increased from $70 in 2025) | $80 |
State Application Fee State application/certification fee | $25 |
State License Fee Included in application fee | $25 |
Renewal Fee Per 2-year renewal cycle | $25 |
Total Initial EMT Cost Approximate total; does not include textbooks, uniforms, or equipment | $1,000-$2,500 (program) + $104 (NREMT) + $25 (state app) |
Total Initial Paramedic Cost Approximate total; does not include textbooks, uniforms, or equipment | $8,000-$15,000 (program) + $104 (NREMT) + $25 (state app) |
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Renewal & CE Requirements
Verified2 years
Renewal Period
40 hrs
EMT CE Hours
60 hrs
Paramedic CE Hours
Required
Skills Verification
NREMT Recertification Accepted for State Renewal
CE Topics
Renewal Fee
$25
Per 2-year renewal cycle
Regulatory Board
EMS certifications must be renewed on schedule. Most states require continuing education covering patient assessment, trauma care, cardiac emergencies, and applicable protocol updates.
For a deeper dive into CE requirements and deadlines, see our emt license renewal guide.
Out-of-State Reciprocity
VerifiedAccepts Out-of-State Credentials
NREMT-Based Reciprocity Available
Reciprocity Type
NREMT-based; NOT an EMS Compact member state
Transfer Details
Delaware accepts current NREMT certification for reciprocity. As an EMS Compact member state, Delaware recognizes EMS personnel licensed in other compact states. Applicants must obtain a sponsor signature from a Delaware EMS agency.
Additional Requirements for Transfer
EMT/Paramedic reciprocity is often facilitated through NREMT certification. States that require NREMT typically allow easier transfer for certified providers. Always verify current reciprocity policies with your state EMS office.
See all EMS Compact (REPLICA) member states & eligibility details →
Moving to another state? Use our Transfer Tool to see what you need →
Compare Delaware with other states →
See how requirements, costs, and timelines differ across all 50 states.
Delaware is unique in that EMS is managed by the State Fire Prevention Commission rather than a health department. A sponsor signature from a Delaware EMS agency is required for certification. The minimum age is 17 for state certification (18 for NREMT registration). State CE requirement is only 12 hours per 2-year cycle, significantly lower than most states. Delaware is an EMS Compact member state.
Delaware EMS is managed by the State Fire Prevention Commission, not a health department, which is unique among states.
A sponsor signature from a Delaware EMS agency is required for certification.
The minimum age for state certification is 17, though NREMT registration requires age 18.
State CE requirement is only 12 hours per 2-year cycle, which is lower than many other states (though NREMT recertification with 40 hours is also accepted).
Delaware is an EMS Compact (REPLICA) member state, allowing cross-state EMS practice.
EMT requirements in nearby states
| State | Total Cost | Timeline | |
|---|---|---|---|
| Delaware (you) | $1,000-$2,500 (program) + $104 (NREMT) + $25 (state app) | — | |
| Maryland | $800 (program) + $104 (NREMT exam) | 8–24 wks | → |
| New Jersey | $1,000 (program) + $104 (NREMT exam) | — | → |
| Pennsylvania | $104 | — | → |
Other professional licenses in Delaware
See how Delaware compares: EMT License Fees by State — Cheapest to Most Expensive →
✓ REPLICA Compact State — Delaware is a member of the EMS Compact (REPLICA). Licensed emts from other member states may be eligible for expedited practice privileges.
Related Guides
Explore requirements for other professional licenses in Delaware.
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Official Sources
EMT requirements in Delaware verified against Delaware State Fire Prevention Commission, Office of EMS, March 2026.
Moving to Delaware? Use our free Transfer Tool to see what you need →
Already licensed elsewhere? See how to transfer your EMT license to Delaware →
Transfer your EMT license from Delaware to: Maryland → | New Jersey → | Pennsylvania →
Delaware requires NREMT certification for EMS providers. EMT training requires 120-150 hours. All certification is managed through the Delaware State Fire Prevention Commission, Office of EMS.
Requirements vary by state and local jurisdiction. Always verify current requirements with your state EMS office.
EMT Schools in Delaware
Compare approved training programs, costs, and requirements.