Skip to Main Content

Share

  1. Facebook
  2. Twitter
  3. Pinterest
  4. Delicious
  5. Blogger
  6. LinkedIn

Site Tools

  1. Home
  2. My Account
  3. Printer Friendly
  4. Email Page
  5. Contact Us
  6. Hear This Page
  7. RSS
  8. Site Map
  9. Translate Page
  10. Notifications
  11. Documents
  12. Help
Open2

Click to Home

  1. Site Search
  2. Legislation
  1. Site Search
Search
  1. Legislation
Search
  1. Government
  2. Services
  3. Doing Business
  4. Explore
  5. How Do I...
  1. Photo of Downtown Tacoma
  2. Photo of Mount Rainier from Midland
  3. Photo of Mount Rainier from Puyallup
  4. Photo of Chambers Bay
  5. Photos of Steilacoom, Anderson and Ketron Island Ferry
  6. Photo of Lake Tapps and Mount Rainier
  7. Photo of Foothills Trail
  1. Home
  2. Government
  3. Departments A-G
  4. Emergency Management
  5. Emergency Medical Services (EMS)
  6. Publications & Reports
  7. EMS Forms

Emergency Medical Services (EMS) Forms

  • EMS Office Forms 


EMR / EMT / Paramedic Application Forms and Documents
  • Acknowledgement of Receipt of 2017 Pierce County
  • EMR and EMT Initial Checkoff 3-2019
  • EMR and EMT In-State Transfer Checkoff 10-2020
  • EMR and EMT Reciprocity Checkoff 6-2020
  • PM Upgrade or Initial - WA Trained - Checkoff 1-2019
  • PM In-State Transfer Checkoff 10-2020
  • PM Reciprocity Checkoff 6-2020
EMS Evaluator (ESE) Renewal
  • WA DOH EMS Evaluator (ESE) Partial Online Renewal Option
  • Pierce County EMS MPD Specific Reminders for ESE Renewal
  • Skills Competency for ESE Renewal Only Form
Paramedic Continuing Education / Skills Record
  • First Certification Period
  • Subsequent Certification Periods
  • Paramedic Reciprocity Skills Verification
Miscellaneous Forms
  • Pierce County AED Registration Form
  • Pierce County OTEP Summary Form
  • Revised Washington State DOH Training, CME and Skills Maintenance Documentation
  • Personal Status Changes
  • Protocol Change Request Form
  • Suggest Topics for EMS Conference
  • Ambulance/Aid Equipment List
  • Physicians Order for Life Sustaining Treatment (POLST)
     To order POLST forms or brochures visit the WSMA website




      1. EMS_clean

         Pierce County EMS Office



        2501 S. 35th St. Suite D
        Tacoma, WA 98409

        For emergencies:
        Call 9-1-1

        Ph: (253) 798-7722
        Fx: (253) 798-2200

        Contact Us



        Hours


        Monday - Friday
        8 a.m. – 4 p.m.


        DEM FacebookEmergency Information BlogPierce County Twitter

      1. EMS Council
      2. EMS Forms
      3. Other Publications
      Pierce County

      Contact Us

      1. Pierce County
        930 Tacoma Avenue S
        Tacoma, WA 98402
        Contact Us

      Using This Site

      1. Site Map
      2. Home
      3. Accessibility
      4. Privacy
      5. Copyright Notices
      /QuickLinks.aspx
      1. Government Websites by CivicPlus®
      /QuickLinks.aspx
      Facebook
      Twitter
      Instagram
      YouTube
      Arrow Left Arrow Right
      []
      Slideshow Left Arrow Slideshow Right Arrow