A service fee of 2.29% will be charged for all credit card transactions and $1.35 for all debit card transactions. Fees are effective July 1, 2024.
To order any of the forms listed, complete the order request or contact the SJCEMSA office at 209-468-6818.
| Services | Fee |
|---|---|
| Mobile Intensive Care Nurse Authorization | $252 |
| Paramedic Accreditation (Initial and lapsed) | $676 |
| Paramedic Intern Authorization | $101 |
| Emergency Medical Technician (EMT) Certification * | Initial $248 Renewal $210 |
| * fee includes a $173 county fee and additional fees imposed by the State of California: Initial applicant or applicants requiring a Livescan background fingerprinting $75 and renewal applicant $37. | |
| EMT - Psychomotor Skill Verification | $114 |
| Emergency Medical Responder (EMR) Certification | $82 |
| Emergency Medical Dispatcher (EMD) Accreditation | $73 |
| Items | Fee |
|---|---|
| Replacement Card | $31 |
| Late Application | $56 |
| Copying fee | $0.10 per page |
| Training Program Applications & Monitoring | Fee |
|---|---|
| Paramedic Training Program Application | $44,200 |
| Paramedic Training Program Annual Monitoring | $46,280 |
| EMT Training Program Application | $18,902 |
| EMT Training Program Annual Monitoring | $15,496 |
| Continuing Education Provider Application | $13,624 |
| Continuing Education Provider Annual Monitoring | $9,724 |
| Public Safety First Aid & CPR Training Program Application and Annual Monitoring | $1,518 |
| ALS/BLS Provider CE Biennial Monitoring | $3,172 |
| Tactical First Aid/Tactical Emergency Medical Support (TEMS) First Responder Operational (FRO) Level Training Program Application and Monitoring | $1,518 |
| Tactical LifeSaver/TEMS Technician Level Training Program Application and Monitoring | $1,518 |
| Providers | Fee |
|---|---|
| Non-Emergency Ambulance Annual Permit | $18,512 |
| Air Ambulance Annual Permit | $22,360 |
| Forms | |
|---|---|
| Inter-facility Transfer Form | $40.00 (Set of 100) |
| First Responder Form | $27.00 (Box of 500) |
| Refusal of Service Form | $27.00 (Box of 500) |
| Interim Patient Care Reports | $27.00 (Box of 150) |
| Triage Tags Box | $328.00 (Box of 500) |
| Advanced Life Support Treatment Protocols Book | $17.00 Each |
| Basic Life Support Treatment Protocols Book | $12.00 Each |
| Triage Tags Individual | $0.66 Each |
To order any of the forms listed above, complete the order request or contact the SJCEMSA office at 209-468-6818.