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How to become a certified EMT or Paramedic in New Hampshire. NREMT certification required. EMT training: 120-150 hours. Total initial EMT cost: $900 (program) + $104 (NREMT exam) + $48.25 (licensure) + $47 (LiveScan background). Verified 2026-03-21. Data verified 2026-03-21. Source: LicenseMap (getlicensemap.com).
EMT / Paramedic
Governing Authority
New Hampshire Division of Fire Standards and Training & Emergency Medical Services
Official website →Most information on this page has been verified.
82% of data points are verified against official sources. 7 fields based on preliminary research. 4 fields need verification. We recommend confirming details with your state's licensing authority. See sources below · Report incorrect data
Yes
NREMT Required?
120-150
EMT Training Hours
4 levels
Certification Levels
$900 (program) + $104 (NREMT exam) + $48.25 (licensure) + $47 (LiveScan background)
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, vital signs, oxygen administration, BVM ventilation, CPR/AED, splinting, bleeding control, assisted medication administration (epinephrine auto-injector, nitroglycerin, albuterol), emergency childbirth, and spinal motion restriction
NREMT Required
Yes
Additional Requirements
Training Hours
350 hours
Scope of Practice
All EMT-Basic skills plus IV/IO access, fluid administration, supraglottic airway devices, blood glucose monitoring, CPAP, and limited medication administration per protocol
NREMT Required
Yes
Additional Requirements
Training Hours
1,200 hours
Scope of Practice
All AEMT skills plus endotracheal intubation, cardiac monitoring/12-lead ECG, manual defibrillation/cardioversion, transcutaneous pacing, needle chest decompression, surgical cricothyrotomy, comprehensive medication administration, and RSI where authorized
NREMT Required
Yes
Additional Requirements
Training Program Requirements
Verified120-150
EMT Training Hours
1,200
Paramedic Hours
Notes
New Hampshire EMT training is approximately 180 hours and is available in hybrid format. NH LiveScan fingerprinting must be completed in-state only; out-of-state fingerprints are not accepted. Fingerprints older than 30 days are not accepted. RespondNH portal is used for applications.
Exam Requirements
VerifiedRequired
NREMT Certification
Required
Cognitive Exam
Required
Psychomotor Exam
No
State-Specific Exam
NREMT Details
New Hampshire requires NREMT for both initial certification and recertification. NREMT cognitive exam is CAT format, 70-120 questions for EMT, 2-hour time limit, $104/attempt, scaled score of 950/1500 to pass, up to 6 attempts with 15-day wait between attempts. Psychomotor exam is administered by the state. New Hampshire is an EMS Compact member state with universal reciprocity provisions.
State Exam Details
No separate state exam; NREMT used for certification
Passing Score
NREMT uses computer adaptive testing (CAT) with 70-120 questions for EMT level, 2-hour time limit. Scaled passing score is 950/1500. No fixed percentage.
Retake Policy
NREMT allows up to 6 attempts with a 15-day waiting period between attempts. After 3 failed attempts, 24 hours of remedial training required. $80 per attempt.
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 New Hampshire must operate under the authority of a licensed physician medical director. Each EMS agency must have approved protocols.
Minimum Age
Education
Background Check
Drug Screening
CPR/BLS Certification
Immunizations Required
Driver's License Required
| Fee | Amount |
|---|---|
EMT Course Cost Varies by program and institution | $900-$2,000 |
Paramedic Course Cost Varies by program and institution | $7,000-$14,000 |
NREMT Exam Fee NREMT EMT cognitive exam fee (increased from $70 in 2025) | $80 |
State Application Fee Approximate licensure fee | $80 |
State License Fee Included in application fee | $48.25 |
Renewal Fee Per 2-year renewal cycle | $48.25 |
Total Initial EMT Cost Does not include textbooks or equipment | $900 (program) + $104 (NREMT exam) + $48.25 (licensure) + $47 (LiveScan background) |
Total Initial Paramedic Cost Does not include textbooks or equipment | $7,000 (program) + $104 (NREMT exam) + $48.25 (licensure) + $47 (LiveScan background) |
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
$80
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.
Out-of-State Reciprocity
VerifiedAccepts Out-of-State Credentials
NREMT-Based Reciprocity Available
Reciprocity Type
NREMT-based; EMS Compact member state
Transfer Details
New Hampshire is an EMS Compact member state with universal reciprocity provisions. Out-of-state EMTs from compact states can practice under their home-state license. Non-compact applicants need current NREMT. NH LiveScan fingerprinting must be completed in New Hampshire only; out-of-state fingerprints are NOT accepted. Fingerprints older than 30 days are not accepted.
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.
New Hampshire requires NH LiveScan fingerprinting that MUST be completed in-state only; out-of-state fingerprints are not accepted, and fingerprints older than 30 days are rejected. NH is an NOT an EMS Compact member with universal reciprocity provisions. The RespondNH portal is used for all applications. Training is available in hybrid format.
NH LiveScan fingerprinting MUST be completed in New Hampshire only; out-of-state fingerprints are not accepted.
Fingerprints older than 30 days are not accepted.
RespondNH portal is used for all EMS applications and renewals.
Training is available in hybrid format.
NREMT is required for both initial certification and recertification.
New Hampshire is NOT an EMS Compact member state.
Explore requirements for other professional licenses in New Hampshire.
How this state compares to 50 others for this profession
Salary
#16 of 51
Cost
#36 of 51
Processing
#1 of 51
Based on May 2024 Bureau of Labor Statistics OEWS data for Emergency Medical Technicians (SOC 29-2042)
Entry Level
$38,610
25th percentile
Median
$45,170
+9% vs. national avg ($41,340)Experienced
$48,780
75th percentile
Wage Distribution (Annual)
1,070 employed in this state
Note: BLS EMT category includes EMT-Basic level. Paramedics (EMT-P) are classified separately under SOC 29-2043 with higher wages.
Source: BLS OEWS – Emergency Medical Technicians (May 2024)
National employment projections for 2024-2034
Projected Growth
+8.8%
High DemandNew Jobs
+12,900
over 10 years
Annual Openings
19,600
per year (avg.)
147,300 currently employed nationwide (2024)
Source: BLS Employment Projections 2024-2034 (September 2025)
Emergency Medicine Career Ladder+204% salary growth potential
You are here
EMT
$45,170
EMT-Basic course (120-150 hours) + NREMT
You are here
EMT
EMT-Basic course (120-150 hours) + NREMT
$45,170
Paramedic program (1-2 years) + NREMT-P
$60,540
Master's in PA Studies + PANCE
$137,330
Salary data from BLS OEWS May 2024 for this state. Career paths represent common advancement routes — actual progression may vary. Bureau of Labor Statistics — Occupational Outlook Handbook
Government fees and exam costs to obtain your initial license
Note: These are government licensing fees only. Education/training program costs (tuition, books, etc.) are not included as they vary widely by institution.
Estimated total: ~null weeks
Timeline estimated from licensing requirements on this page.
2–6 weeks
Estimated processing time
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New Hampshire requires NREMT certification for EMS providers. EMT training requires 120-150 hours. All certification is managed through the New Hampshire Division of Fire Standards and Training & Emergency Medical Services.
Requirements vary by state and local jurisdiction. Always verify current requirements with your state EMS office.