The North Dakota Emergency Medical Services (EMS) System is responsible for licensing and certifying EMS agencies and personnel, regulating their operations, setting care standards, monitoring compliance, ensuring public safety, and providing resources for agencies and personnel.
EMS Statute and Rule
North Dakota Century Code (N.D.C.C.):
- N.D.C.C. 11-28.3 Rural Ambulance Service Districts
- N.D.C.C. 23-07.5 Bloodborne Pathogen Testing
- N.D.C.C. 23-12-08 Public Health, Miscellaneous Provisions
- N.D.C.C. 23-27 Emergency Medical Services Operations Licenses
- N.D.C.C. 23-27.1 Emergency Medical Services Personnel Licensure Interstate Compact
- N.D.C.C. 23-46 Emergency Medical Services
- N.D.C.C. 57-40.6 Emergency Services Communications Systems
- N.D.C.C. 57-15-50 County Emergency Medical Service Levy
- N.D.C.C. 57-15-51 City Emergency Medical Service Funding
- N.D.C.C. 57-15-51.1 Funding for Township Emergency Medical Service
North Dakota Administrative Code (N.D.A.C.):
EMS Advisory Council (EMSAC)
The North Dakota EMS Advisory Council (EMSAC) was established as part of North Dakota Century Code Chapter 23-46-02.
EMSAC Meeting Agendas and Minutes
Meetings are conducted on the third Thursday of every third month.
- *Thursday, January 23, 2025, from 10:00 AM - 4:00 PM - Please note the date change from the original date of January 9, 2025.
- Thursday, April 10, 2025, from 10:00 AM - 4:00 PM - Cancelled
- Thursday, July 17, 2025, from 10:00 AM - 4:00 PM
- Thursday, October 16, 2025, from 10:00 AM - 4:00 PM
EMSAC meetings are currently being held as a combination of in-person and virtual meetings via Teams. Meeting invites sent out before each meeting will contain the meeting link.
EMS System Forms
Forms on the website are the most current at this time. Some forms will be updated to 2025. Continue using any forms listed here until new forms are listed.
- EMS Course Forms and Applications
- EMS Agency Medical Director Form
- EMS Agency Squad Leader Form
- Quick Response Unit Equipment Checklist
- BLS Ambulance Equipment Checklist
- ALS Ambulance Equipment Checklist
- Air Ambulance Equipment Checklist
- Ambulance Collision Report
- Course Notification for Licensed Training Institutions (To be used by LICENSED TRAINING INSTITUTIONS only)
- EMS Agency and Personnel Licensure
EMS Resources
- Special Fuel Tax Claim For Refund By EMS (Office of the State Tax Commissioner)
- First Responder Mental Health Outreach Program Flyer
- Prehospital Blood Transfusion Initiative Coalition: January 10, 2025 Memo
- North Dakota Ambulance Service Self-Assessments: Attributes of a Successful Rural Ambulance - North Dakota 2016
EMS Education
- NREMT: Removal of Distributive Education Limits as of September 30, 2022
- EMS Course Forms and Applications
- Continuing Education and Training Opportunities (Including NCCR)
- Upcoming EMS Courses
- North Dakota EMS Personnel Renewal Requirements
- Instructor Resources
- Training Institution Information
- EMS Testing
- 2020 EMT Portfolio
- 2024 EMR Portfolio
EMS Grants
PRS Grant Resource Documents
- How to Complete a Training Grant Application in PRS (EMS) (PDF)
- How to Complete a Training Grant Application in PRS (EMS) (PowerPoint)
- How to View a Completed Application in PRS (EMS) (PDF)
HHS (EMS Unit) Grants
- North Dakota Rural EMS Assistance Grant - 2024 - 2025 Grant Award List
- Training Grant
Other Grants (not offered by HHS)
- Nothing listed at this time.
EMS Agency and Personnel Licensure
- EMS Agency Licensure
- EMS Personnel Certification, and Licensure
- North Dakota EMS Personnel Renewal Requirements
- EMS Personnel / Agency Registry (Big Picture) - *Emails were sent to EMS personnel on 9/22/2023 explaining the new login process. Upon your initial access to the new Big Picture system you will need to create a new password.
- Personnel Access: Please follow instructions located HERE. At this time personnel have the ability to update personal information and print their certificate/license. The ability to renew certifications/licensure is not available yet. Please email any issues or questions to dems@nd.gov.
- Squad Leader Access: Please follow instructions located HERE. At this time squad leaders have the ability to review their personnel and vehicle rosters and print agency license. The ability to add/remove personnel or vehicles is not yet available Please email any needed changes to: dems@nd.gov.
Reference Links
The Division of Emergency Medical Systems, Health Resources and Response Section of the North Dakota Department of Health does not assume responsibility for the content obtained from the external hyperlinks accessed from this website. Any links to external sources are outside of our domain. Information on external websites does not necessarily reflect the views and opinions of the Division of Emergency Medical Systems, Health Resources and Response Section or North Dakota Department of Health. Links on this website do not constitute an endorsement or recommendation.
ND EMS Job Openings
Dickinson Fire Department is looking for dedicated Paramedics to join our growing team! Is a combination role of EMS and fire suppression for you? We would to meet you! Apply today! (posted 06/12/2025)
- Top-tier pay and excellent benefits
- A culture that values teamwork, growth, and community
- Modern equipment, continuous training, and strong support from leadership
- Be part of something meaningful. Serve with pride. Grow with purpose. Thrive with DFD.
- Apply HERE today and ignite your career.
The job opportunities listed on this website are provided as a service to the EMS community — both for EMS personnel seeking employment and for agencies in need of staffing. These postings are submitted by individual agencies and are not created, endorsed, or sponsored by the North Dakota EMS Unit. The content, accuracy, and details of each posting are the sole responsibility of the submitting agency.
Listings are offered for informational purposes only and as a convenience to facilitate workforce connection within the EMS system. Inclusion of a posting does not imply verification or endorsement by the North Dakota EMS Unit.
Job postings will remain on the website for 30 days from the date of posting unless otherwise requested. EMS agencies wishing to submit, update, or remove a posting may do so by contacting dems@nd.gov.