Skip Ribbon Commands
Skip to main content


Emergency Medical Services
 
Applications 
 

Applications may be completed online; however, they must be printed, signed and mailed to the Department for processing along with the required supporting documents to:
 
Department of Health and Human Services
Division of Public Health – Licensure Unit
PO Box 94986
Lincoln NE  68509-4986
 
Applications for initial licensure
 
Applications for reinstatement of a license from expired or inactive status or following voluntary surrender

• pdf icon Provider
• pdf icon Instructor
 
Applications for reinstatement of a license following disciplinary action may be obtained by contacting the Department at 402-471-2299.
 
 
 
​         

 

Documents in PDF PDF format require the use of Adobe Acrobat Reader
which can be downloaded for free from Adobe Systems, Inc.