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EMT & Paramedic Certification

Certification Exams

On this page:

Overview of Utah EMS Certification Exams

Following is a chart of the written and practical exams required for initial certification, recertification, and reciprocity certification at the various EMS certification levels.

EMRWritten100 questions / 2 hrs100 questions / 2 hrs100 questions / 2 hrs
PracticalMedical, TraumaMedical, TraumaMedical, Trauma
EMT-BWritten100 questions / 2 hrs100 questions / 2 hrs100 questions / 2 hrs
PracticalMedical, TraumaMedical, TraumaMedical, Trauma
EMT-IWritten150 questions / 3 hrs150 questions / 3 hrs150 questions / 3 hrs
PracticalNone2 Scenarios2 Scenarios
EMT-IAWrittenNot Available175 questions / 3 hrs150 questions / 3 hrs
PracticalNot AvailableNoneMega, Trauma, Pediatric
ParamedicWrittenNREMTNoneNREMT (2007+)
PracticalNREMT2 ScenariosMega, Trauma, Pediatric
EMDWritten25 questions / 1 hr25 questions / 1 hrNAEMD

We strongly encourage you to study before taking the certification exam(s). Please see the "Course Materials" area of the Training page for objectives, curricula, and study guides.

Written Exams

What to Expect

The Utah written EMS exams are designed to assess a candidate’s breath and depth of knowledge. The content of each question is tied directly to an objective from the corresponding National Standard Curriculum. The test is conducted on computers. Test results are displayed as soon as the candidate completes the test, and an e-mail will be automatically sent to the candidate with a breakdown of what lessons he/she missed questions from. Each candidate has three attempts to pass the test. Failing three times will require the candidate to either test at a lower certification level or retake the entire course.


The first place we recommend candidates to go for preparation for the written exam is to their course coordinator or their training officer. They should be able to guide you in your preparation for the written test. BEMS also has a Written Exam Study Guide, which includes a comprehensive overview of the written exam, tips for test taking, and detailed strategies for preparing for the exams. If a candidate continues to struggle on their written tests after using all the strategies outlined in the study guide, they can call Jim Hansen at 801-273-6628 for additional preparation guidance.


Before you can schedule your written test, you must first submit an Application for Certification, Recertification, and Reciprocity; photo; Acknowledgement of Bureau of EMS Policies and Procedures; Declaration of Understanding of Technical, Academic, and Physical Standards; and fees. These requirements are outlined on the Initial Certification, Recertification, and Reciprocity Certification pages.

Written testing is available Monday–Thursday 8:00 a.m.–6:00 p.m. Some testing centers have slightly different hours that may vary depending on the time of year.

Written Exam Locations

The Utah written exams are administered by computer at the following locations:

  • Bureau of EMS, Salt Lake City
  • Bridgerland Applied Technology College, Logan
  • College of Eastern Utah, Price
  • Dixie State College, St George (additional $20 fee)
  • Mountainland Applied Technology College, American Fork (additional $5 fee for non-MATC students)
  • Snow College, Ephraim
  • Utah State University—Moab Center, Moab
  • Utah State University—Uintah Basin Region, Vernal
  • Utah Valley University, Orem (additional $5–15 fee)
  • Weber State University—Davis, Layton (additional $20 fee)

To schedule your written test, please call the Bureau of EMS at 801-273-6666. Once you have scheduled a written exam, you will receive an e-mail with test login information. You must take this with you along with picture ID when you go to test.

A mobile testing lab is also available. Please contact the Bureau of EMS to schedule exams.

Practical Exams

Practical exams test your ability to perform the skills you have learned as an EMS professional by presenting you with a scenario.

For initial certification exams administered by the Bureau of EMS, please contact the Bureau of EMS to schedule.

For recertification exams, which are administered by training officers in local EMS agencies or recertification testing and training agencies, contact your training officer or view the list of upcoming recertification practical exams that are open to personnel outside of the agencies hosting the exams.

Test Team

The Test Team administers the practical exam for EMS personnel seeking certification in Utah. Test Team members are employed by the Bureau of EMS.

Questions? Contact the Bureau of EMS at ems@utah.gov or 801-273-6666.

Updated July 16, 2014