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PLEASE READ BEFORE SUBMITTING
PASSWORD RESET REQUEST

VERIFY YOU ARE USING CORRECT USER NAME OR EMAIL ADDRESS:

EMS Providers, Affiliated Members, and Physicians: Use your VA Certification Number as your Username.

Agency Update Users:
- Use first letter of first name and your full last name as Username (e.g Kenny Smith is ksmith)
OR
- Your email address (legacy users)

All other users: Use your email address as your Username.

I have read and understand the information above.

PASSWORD RESET INSTRUCTIONS

1) When you submit your request, you will select either the email address or phone number associated with your account to receive a two-factor authentication.

2) Once authenticated, your password reset instructions will be sent to the email address associated with your EMS Portal Account.

3) Once you have submitted your request for a password reset, you will receive an email indicating your password has been reset. This is the system creating a temporary password.

4) You will then receive a second email with your temporary password. Please check your junk/spam folder if you do not see this second email. It may be a couple of minutes after the initial email.

5) This temporary password is valid for 7 days. Use this temporary password to enter your EMS Portal Account. You will be asked to create a new password once you have gained access to the portal.

I have read and understand the password reset instructions above.

Continue to Password Reset

Download Password Reset Guide

Note: If you do not know or can no longer access the email address associated with your EMS portal account or if you are unable to reset your password after submitting the password request, then please complete the Education Support Request to request additional assistance. Please allow up to 2 business days for a response and do not submit duplicate requests.
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EMS Interstate Compact (REPLICA) Application

EMS Interstate Compact (REPLICA) Agency Application

Date of Application:*
Agency Applying for EMS Interstate Compact (REPLICA) Staffing:*
Agency OEMS License #:
Agency Administrative Contact:*
First Name Last Name
Phone:*
Email:*
Requesting to utilize EMS Interstate Compact (REPLICA) providers from:*
Month
Day
Year
to*
Month
Day
Year
All fields must be completed for each EMS Interstate Compact (REPLICA) provider to be hosted.
*
First Name Last Name Home State License # License Level License Expiration Date Contact Number *National EMS I.D. #
* Your National EMS I.D. number is the 12-digit numerical number found on your National Registry account. It is NOT your National Registry number.

First Name	Last Name	Home State	License #	License Level	License Expiration Date	Contact Number	*National EMS I.D. #

EMS Interstate Compact (REPLICA) Agency Application

All fields must be completed for each EMS Interstate Compact (REPLICA) provider to be hosted.