EMS and Trauma Forms

Forms for EMTs and EMT Candidates

Please browse these categories to locate your application or form.

NOTE: Some forms are in PDF format only, others can be completed online.

Please see Ambulance Licensing for all ambulance forms.

• Finger Print Form
• Reciprocity Request
• Probationary Quarterly Report (pdf)
• Re-exam Application (pdf)
• Complaint form (pdf)

College Use Only

• Application to Conduct Course (pdf)

Ordering Pre Hospital Care Paper Forms

• Pre Hospital Care Report Order Form (pdf)
• Instructions for Pre Hospital Care Report Order Form (pdf)

Oregon Trauma Registry Data Request Forms

• Oregon Trauma Registry Request Flow Chart (pdf)
• NEW 2017 OTR Inclusion Criteria (pdf))
• Scientific Merit Pre-IRB Review Tool (pdf)
• Oregon Trauma Registry Data Use and Confidentiality Agreement (pdf)

Oregon EMS Data Registry Request Forms

• Data Request and Confidentiality Agreement (pdf)