Loading...
Loading...
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
Course + $104 (NREMT) + state fees (not publicly posted)
EMT Initial Cost
Tied to NREMT expiration cycle (2 years for EMT/AEMT, 2 years for Paramedic); VEFR expires December 31 two years after initial certification
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 therapy, 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 and cardioversion, transcutaneous pacing, needle chest decompression, surgical cricothyrotomy, comprehensive medication administration, and rapid sequence intubation where authorized
NREMT Required
Yes
Additional Requirements
Training Program Requirements
Verified120-150
EMT Training Hours
1,200
Paramedic Hours
Notes
Vermont EMT training programs must meet NHTSA National EMS Education Standards. A challenge pathway is available for RNs, PAs, and military personnel. Vermont also offers a VEFR (Vermont Emergency First Responder) certification. Agency affiliation is required for licensure.
Browse EMT study materials on Amazon →(affiliate link)
Exam Requirements
VerifiedRequired
NREMT Certification
Required
Cognitive Exam
Required
Psychomotor Exam
No
State-Specific Exam
NREMT Details
Vermont requires NREMT certification for initial licensure and mandates that NREMT be maintained for the entire duration of a Vermont EMS career. The Vermont license expires 3 months after NREMT expiration. 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. Psychomotor exam is administered by the state.
State Exam Details
No state-specific exam. NREMT cognitive and/or psychomotor exam required for certification.
Passing Score
NREMT uses Computer Adaptive Testing (CAT). EMT exam has 70-120 questions with a 2-hour time limit. A scaled passing score of 950/1500 is required. Cost is $80 per attempt.
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)
Browse study guides
EMT Exam Prep Books
Affiliate link — we may earn a commission at no extra cost to you.
Difficulty rating based on education, exam, and experience requirements. Individual experience may vary.
Prepare with realistic NREMT (EMT Certification Exam) practice tests from Exam Edge →(affiliate link)See our discount
NREMT Cognitive Exam
Questions
120 questions
Time Limit
2 hours
Passing Score
NREMT uses Computer Adaptive Testing (CAT). EMT exam has 70-120 questions with a 2-hour time limit. A scaled passing score of 950/1500 is required. Cost is $80 per attempt.
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
Prepare for your NREMT Certification Exam with Mometrix study guides, flashcards, and practice tests.
Affiliate link — we may earn a commission at no extra cost to you.
Study guides and practice tests for the NREMT certification exam.
Browse Study Guides on Amazon →As an Amazon Associate, we earn from qualifying purchases.
Shop essential tools and supplies to get started in your career.
As an Amazon Associate, we earn from qualifying purchases.
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 Vermont must operate under the authority of a licensed physician medical director. Each EMS agency must have approved protocols. Agency affiliation is required for all EMS licensees.
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 |
|---|---|
NREMT Exam Fee NREMT EMT cognitive exam fee (increased from $70 in 2025) | $80 |
State Application Fee Vermont does not publicly post EMS certification fees | $50 |
State License Fee Vermont does not publicly post EMS certification fees | Not publicly posted |
Renewal Fee Vermont does not publicly post EMS certification fees | Not publicly posted |
Total Initial EMT Cost Approximate total; fees not publicly posted by Vermont | Course + $104 (NREMT) + state fees (not publicly posted) |
Total Initial Paramedic Cost Approximate total; fees not publicly posted by Vermont | Course + $104 (NREMT) + state fees (not publicly posted) |
Use our licensing cost calculator to estimate your total investment including education and exam fees.
Calculate your licensing ROI →
See how quickly your license investment pays for itself.
Renewal & CE Requirements
VerifiedTied to NREMT expiration cycle (2 years for EMT/AEMT, 2 years for Paramedic); VEFR expires December 31 two years after initial certification
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
$50
Vermont does not publicly post EMS certification fees; renewal tied to NREMT maintenance
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
Vermont accepts reciprocity applications with current NREMT certification. Vermont is NOT an EMS Compact member state. Agency affiliation is required. RN/PA/Military challenge pathway is available for eligible healthcare professionals.
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 Vermont with other states →
See how requirements, costs, and timelines differ across all 50 states.
Vermont requires NREMT certification to be maintained for the entire VT EMS career, and the state license expires 3 months after NREMT expiration, creating a unique renewal timeline tied directly to NREMT. Agency affiliation is required for licensure. An RN/PA/Military challenge pathway is available. Vermont offers a VEFR (Vermont Emergency First Responder) certification. Fees are not publicly posted by the state.
Vermont requires NREMT certification to be maintained for the entire duration of a Vermont EMS career.
Vermont EMS license expires 3 months after NREMT expiration, creating a unique renewal timeline.
Agency affiliation with a licensed Vermont EMS agency is required for licensure.
Vermont offers an RN/PA/Military challenge pathway for eligible healthcare professionals.
Vermont also offers a VEFR (Vermont Emergency First Responder) certification.
Fees are not publicly posted by the state.
Vermont is NOT an EMS Compact member state.
EMT requirements in nearby states
| State | Total Cost | |
|---|---|---|
| Vermont (you) | Course + $104 (NREMT) + state fees (not publicly posted) | |
| Massachusetts | $1,000 (program) + $104 (NREMT exam) + $150 (state certification) | → |
| New Hampshire | $900 (program) + $104 (NREMT exam) + $48.25 (licensure) + $47 (LiveScan background) | → |
| New York | ~$25 (state exam) or $104 (NREMT alternative) + course tuition | → |
Other professional licenses in Vermont
See how Vermont compares: EMT License Fees by State — Cheapest to Most Expensive →
Vermont is not currently a member of the EMS Compact (REPLICA). EMT licensees must apply through standard reciprocity or endorsement. See which states are in the REPLICA →
Related Guides
Explore requirements for other professional licenses in Vermont.
Not sure this is the right career? Take a 2-minute quiz →
Answer 6 quick questions and we'll match you with the best-fit licensed profession.
Official Sources
EMT requirements in Vermont verified against Vermont Department of Health (EMS Office / EMS Division), March 2026.
Moving to Vermont? Use our free Transfer Tool to see what you need →
Already licensed elsewhere? See how to transfer your EMT license to Vermont →
Transfer your EMT license from Vermont to: Massachusetts → | New Hampshire → | New York →
Vermont requires NREMT certification for EMS providers. EMT training requires 120-150 hours. All certification is managed through the Vermont Department of Health (EMS Office / EMS Division).
Requirements vary by state and local jurisdiction. Always verify current requirements with your state EMS office.
EMT Schools in Vermont
Compare approved training programs, costs, and requirements.