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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 Alabama Department of Public Health, Office of EMS and Trauma directly to confirm current transfer requirements before submitting any applications or fees.
Everything you need to know about transferring your emt / paramedic license from Mississippi to Alabama
Alabama accepts current NREMT certification for reciprocity. As an EMS Compact member state, Alabama recognizes EMS personnel licensed in other compact states. Applicants must hold current NREMT certification at the level being applied for and submit a state application.
| Requirement | Mississippi (MS) | Alabama (AL) |
|---|---|---|
| Education Requirements● | High school diploma or GED; TABE score of 10 or ACT score of 16 required | 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-$14,000; nremt exam fee: $80; state application fee: $35; state license fee: $50; renewal fee: $15; total initial emt cost: $800 (program) + $104 (NREMT exam) + $35 (state cert) + $50 (SAFER background); total initial paramedic cost: $7,000 (program) + $104 (NREMT exam) + $35 (state cert) + $50 (SAFER background); confidence: high; sources: https://msdh.ms.gov/page/47,0,307,374.html; https://msdh.ms.gov/page/47,6197,307,374.html | emt course cost: $1,000-$2,500; paramedic course cost: $8,000-$15,000; nremt exam fee: $80; state application fee: $10; state license fee: $10; renewal fee: Aligned with NREMT recertification cycle; background check fee: Varies; total initial emt cost: $1,000-$2,500 (program) + $104 (NREMT) + $10 (state app) + background check; total initial paramedic cost: $8,000-$15,000 (program) + $104 (NREMT) + $10 (state app) + background check; confidence: high; sources: https://www.alabamapublichealth.gov/ems/; https://www.alabamapublichealth.gov/ems/licensure.html |
| Renewal / CE Requirements● | Period: 2 years; Fee: $35 | Period: 2 years; Fee: Aligned with NREMT recertification cycle |
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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