Downloadable EMS Forms - Northeast EMS

Are you looking for...
EMS License
Reciprocity Info?

(63k, Adobe Acrobat)

Northeast EMS
354 Hogan Rd.
Bangor, ME 04401

TEL
FAX (207) 974-4880
(207) 974-4879

Downloadable EMS Forms

Below are links to current Maine EMS forms in Adobe Acrobat format. Many of these forms are available for download courtesy of Maine EMS. If necessary, you may download the current version of Adobe Acrobat by clicking on the button below.

Maine EMS CEH Approval Request Form (94 k)
www.northeastems.org/upload/cehrequest.pdf
This is the form used to apply for CEH's for a continuing education program. It must be filled out completely and include a program outline. You must mail or fax both items to Northeast EMS at least 7 days prior to the date of the program for proper processing.
NEEMS CEH Roster (12 k)
www.northeastems.org/upload/roster.pdf
This form is used by CEH instructors to record course details and attendance information.
Northeast EMS CEH Evaluation (9 k)
www.northeastems.org/upload/evaluation.pdf
This form is used by participants to evaluate CEH programs and instructors.
Maine EMS Inspection Form (50 k)
www.maine.gov/dps/ems/docs/inspform.pdf
This is the form used during the annual ambulance and first responder inspections.
Personnel License Application Forms
www.state.me.us/dps/ems/docs/index.html#LicenseApp
This is the application form used for initial and renewal personnel licenses.