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How to become a certified EMT or Paramedic in Vermont. NREMT certification required. EMT training: 120-150 hours. Total initial EMT cost: Course + $104 (NREMT) + state fees (not publicly posted). Verified 2026-03-21. Data verified 2026-03-21. Source: LicenseMap (getlicensemap.com).
EMT / Paramedic
Some information on this page has not been fully verified.
77% of data points are verified against official sources. 9 fields based on preliminary research. 5 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
Course + $104 (NREMT) + state fees (not publicly posted)
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 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.
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.
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
| 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) |
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
$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.
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.
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.
Explore requirements for other professional licenses in Vermont.
How this state compares to 50 others for this profession
Salary
#25 of 51
Cost
#14 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
$38,110
25th percentile
Median
$39,520
-4% vs. national avg ($41,340)Experienced
$45,110
75th percentile
Wage Distribution (Annual)
880 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+251% salary growth potential
You are here
EMT
$39,520
EMT-Basic course (120-150 hours) + NREMT
You are here
EMT
EMT-Basic course (120-150 hours) + NREMT
$39,520
Paramedic program (1-2 years) + NREMT-P
$53,010
Master's in PA Studies + PANCE
$138,610
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.
Source: Vermont Department of Health, EMS Division — Licensing Requirements
2–6 weeks
Estimated processing time
Source: Vermont Department of Health, EMS Division — Licensing Requirements
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Vermont requires NREMT certification for EMS providers. EMT training requires 120-150 hours. All certification is managed through the Vermont Department of Health, EMS Division.
Requirements vary by state and local jurisdiction. Always verify current requirements with your state EMS office.