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⚠️ Important: This comparison is based on published state licensing requirements and may not reflect recent changes. Reciprocity and transfer rules change frequently and are evaluated on a case-by-case basis by state licensing boards. This tool is for research purposes only and does not constitute legal or professional advice. Always contact West Virginia Office of Emergency Medical Services (WVOEMS) directly to confirm current transfer requirements before submitting any applications or fees.
Everything you need to know about transferring your emt / paramedic license from Maryland to West Virginia
West Virginia accepts reciprocity applications with current NREMT certification. West Virginia is NOT an EMS Compact member state. Continuous NREMT maintenance is mandatory. A 120-day temporary permit is available while background check processes.
| Requirement | Maryland (MD) | West Virginia (WV) |
|---|---|---|
| Education Requirements | High school diploma or GED | High school diploma or GED |
| Exam Requirements | Not available | Not available |
| Experience Requirements | Not available | Not available |
| Fees | emt course cost: $800-$2,000; paramedic course cost: $7,000-$15,000; nremt exam fee: $80; state application fee: $25; renewal fee: $25; total initial emt cost: $800 (program) + $104 (NREMT exam); total initial paramedic cost: $7,000 (program) + $104 (NREMT exam); confidence: high; sources: https://www.miemss.org/home/ems-providers; https://www.miemss.org/home/renewal-certification | nremt exam fee: $80; state application fee: $15; state license fee: $75; renewal fee: Aligned with NREMT; background check fee: Varies; total initial emt cost: Course + $104 (NREMT) + $75 (state cert) + background check; total initial paramedic cost: Course + $104 (NREMT) + $75 (state cert) + background check; confidence: high; sources: https://www.wvoems.org/wvoems-department/personnel-certification; https://www.nremt.org/resources/state-ems-offices/WV |
| Renewal / CE Requirements● | Period: 3 years; Fee: $25 | Period: 2 years (NREMT recertification); 4 years (SETS application to state); Fee: $15 |
Data verified as of 2026-03-21. Requirements may have changed since verification.
Gather required documentation (education transcripts, experience logs, exam scores).
These steps are general guidance based on common transfer processes. Your state may have a different process. Always follow the instructions provided by your state licensing board.
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