Loading...
Loading...
⚠️ 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 North Dakota Department of Health and Human Services, Division of EMS directly to confirm current transfer requirements before submitting any applications or fees.
Everything you need to know about transferring your emt / paramedic license from South Dakota to North Dakota
North Dakota is a member of the EMS Compact (since April 2019), allowing inter-state practice privileges. Also accepts NREMT certification for traditional reciprocity. Must be affiliated with ND licensed EMS operation or have ND physician medical direction.
| Requirement | South Dakota (SD) | North Dakota (ND) |
|---|---|---|
| Education Requirements● | High school diploma or GED | No high school diploma requirement specified (minimum age 16) |
| Exam Requirements | Not available | Not available |
| Experience Requirements | Not available | Not available |
| Fees | nremt exam fee: $80; state application fee: $20; state license fee: $25; renewal fee: $25; background check fee: $30; total initial emt cost: Course + $104 (NREMT) + ~$25 (state app) + $30 (background check); total initial paramedic cost: Course + $104 (NREMT) + ~$25 (state app) + $30 (background check); confidence: high; sources: https://doh.sd.gov/healthcare-professionals/ems-trauma-program/ems-licensing/; https://www.nremt.org/resources/state-ems-offices/SD | nremt exam fee: $80; state application fee: $25; state license fee: ~$100-$115; renewal fee: $25; total initial emt cost: ~$100-$115 (state licensure) + $104 (NREMT exam) + course tuition; total initial paramedic cost: ~$100-$115 (state licensure) + $104 (NREMT exam) + program tuition; confidence: high; sources: https://www.hhs.nd.gov/ems-personnel-certification-and-licensure; https://www.hhs.nd.gov/public-health-information/emergency-preparedness-and-response/ems-personnel-renewal-requirements |
| Renewal / CE Requirements● | Period: 2 years; Fee: $20 | Period: 2 years; Fee: $25 |
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.
Get ready for the NREMT (EMT Certification Exam) with realistic practice tests from Exam Edge.
Get Started →Ad | GetLicenseMap may earn a commission