Get accredited as a paramedic in San Francisco

Get a new accreditation, or re-accreditation, to work as a paramedic.

What to do

Once approved, your accreditation, no matter if a new one or a re-accreditation, is valid from approval until the expiration of your current California State EMT-P license. To make sure your accreditation does not lapse, apply for renewal at least 60 days in advance of your expiration date.

Be employed by an ALS provider in San Francisco

To apply for accreditation, you must be employed by an approved ALS provider in San Francisco.

As part of your application, they will have to verify:

  • Your employment
  • That you completed your orientation training and field evaluations

Make sure your employer signs off on the 3rd page of the application before you submit it.

Gather digital or printed copies

As part of your application, submit digital or printed copies of your:

  • State driver’s license
  • California State Paramedic License
  • Advanced cardiovascular life support (ACLS) certification
  • Basic life support (BLS) CPR card from the American Heart Association, American Red Cross, or ASHI
  • Pediatric advanced life support (PALS) or pediatric education for prehospital professionals (PEPP) certification

If you are applying by DocuSign or email, your digital copy must be in a .PDF format.
For mailed or in person applications, submit printed copies with your application.

Learn more about where to train in San Francisco and California.

Submit your application

Once we get your application with all necessary attachments and payment if required, processing normally takes up to 30 calendar days.

You will have to make sure your employer signs off on the 3rd page of application before you submit it.

Apply online

If you apply online, have all digital copies of all required documents in a .PDF format.

Send your application via email

Download the paramedic application.

You can fill it out digitally. Save the filled form in the .PDF format.

You can also print the form, fill it out, then scan the filled form into the .PDF format.

Once you have the form filled and all documents in the .PDF format, send the form and documents as attachments to:

Write “Initial paramedic” or “Paramedic renewal” as the Subject header.

Include your name and contact information in the body of your email.

Mail your application or bring it in person

Download the paramedic application.

Fill it out. Make sure you have printed copies of required documents.

Send your application and required paper copies via United States Postal Service mail to:

EMS Agency
Attention: Certification
333 Valencia Street, Suite 210
San Francisco, CA 94103

You can also bring your application in person to this address. Application hours are Monday through Friday, 8 am to 4 pm.

Send payment if required

If you are renewing and your accreditation is still valid, no fee is required.

If this is a new application, or your accreditation has lapsed, make your payment of $40 once you have submitted your application.

Pay online.

Or send a check or money order to our office, made out to The City and County of San Francisco.

All payments are non-refundable.

What to do next

If you used DocuSign, check your email regularly for a response from DocuSign.

If you do not receive a response from DocuSign, or if you have any questions, email us at

Last updated March 15, 2023