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Out-of-State Certification in South Carolina

Thinking of making the move to South Carolina? Already certified in another state? Here's how to transfer your EMT certification.

South Carolina offers reciprocity for EMTs, AEMTs, and Paramedics currently certified in another U.S. state or through the National Registry. The process allows qualified professionals to obtain a South Carolina credential without repeating initial training. If you're not Nationally Registered, you may still apply and receive Provisional Certification valid for up to one year.

How to Apply for EMS Certification in South Carolina via Reciprocity

Step 1: Verify Eligibility

Make sure you:

  • Hold a current EMT, AEMT, or Paramedic certification from another U.S. state or the National Registry.
  • Hold a valid CPR card (AHA, ARC, or ASHI accepted).
  • Paramedics only: Must also have a current ACLS certification (AHA or ASHI accepted).

Step 2: Create Your SC Profile

Before submitting any forms, create a profile in the South Carolina EMS Credentialing Information System (CIS):

  • Visit https://apps.emspic.org/CIS/Go
  • Select South Carolina and click Enter Public CIS
  • If your name doesn't appear in the system, register using “Profile > Register to use CIS”
  • Keep your six-digit SC number—it will become your certification number

    Step 3: Submit the Reciprocity Application

    Download and complete the Reciprocity Application form.

    Attach:

    • A copy of your current EMT, AEMT, or Paramedic license/certification
    • A copy of your CPR card (and ACLS card if applying as a Paramedic)
    • If NOT Nationally Registered, complete the Out-of-State Verification form and send it to the state that issued your certification

      Mail or fax all materials to:

      SC DHEC EMS Division
      2600 Bull Street
      Columbia, SC 29201
      Fax: 803-545-4989

      Step 4: Complete the Required Background Check

      All applicants must complete a criminal background check before certification can be issued.

      South Carolina Residents:
      Schedule your fingerprinting appointment through the SC IdentoGO website.

      Out-of-State Applicants

      Download the Non-Resident Background Check Instructions for step-by-step guidance on submitting your fingerprints by mail.

        Important Notes:

        • The Department will accept certification applications up to 180 days (6 months) prior to license expiration without penalty.
        • Be prepared to show valid identification and your completed fingerprint application form at your appointment.

          Criminal Background Check Privacy Rights

          South Carolina complies with federal and state privacy laws regarding criminal background checks for certification. Review your rights below:

          Have questions? Contact the SC DHEC EMS Division at 803-545-4204 or visit scdhec.gov/ems for assistance with your reciprocity application.

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          CONTACT US

          SC EMS Association
          PO Box 360
          Winnsboro, SC 29180

           
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