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EMT/Paramedic Licensing in New Hampshire

Review current requirements, exam details, renewal cycle, and salary outlook for emt/paramedic in New Hampshire, including See agency and board contact links.

Last verified: Feb 18, 2026

Current

Application Fee

See agency

Exam Requirement

Both state and third-party exams required

Renewal Cycle

See board renewal rules

Licensing Blueprint for EMT/Paramedic in New Hampshire

Estimated timeline: 1-18 years

Core Requirements

  1. 1

    Must be at least 18 years of age

  2. 2

    Must complete a criminal background check

  3. 3

    Applicant must be affiliated with a licensed New Hampshire EMS unit

  4. 4

    Training programs which will qualify applicant for certification and licensing:

  5. 5

    Emergency Medical Responder

  6. 6

    Emergency Medical Technician

  7. 7

    Advanced Emergency Medical Technician

  8. 8

    Paramedic

  9. 9

    Must be at least 18 years of age - Must complete a criminal background check - Applicant must be affiliated with a licensed New Hampshire EMS unit - Training programs which will qualify applicant for certification and licensing: - Emergency Med

  10. 10

    Education: Specific course required.

  11. 11

    Experience: No experience required.

  12. 12

    Background/Criminal Review: Background check required.

  13. 13

    Physical Requirement: No physical requirements.

  14. 14

    License Type: State License.

  15. 15

    They also administer first aid such as the application of splints, treatment of wounds, administration of artificial resuscitation, giving initial care to poison and burn victims, and assisting in childbirth.

  16. 16

    - Must complete a criminal background check.

  17. 17

    - Training programs which will qualify applicant for certification and licensing:.

  18. 18

    Examination: New Hampshire EMS practical examination and National Registry of EMT (NREMT) computer-adaptive testing is required for certification.

  19. 19

    Continuing Education: Biennial requirements (once certified) must equal 72 hours as per National Registry policy for each of the following levels:.

Exam and processing details

  • New Hampshire EMS practical examination and National Registry of EMT (NREMT) computer-adaptive testing is required for certification

Continuing education and program notes

  • Biennial requirements (once certified) must equal 72 hours as per National Registry policy for each of the following levels:

Application Snapshot

  1. Licensing Authority

    NH Department of Safety • Division of Fire Standards and Training and Emergency Medical Services

  2. Current Filing Fee

    See agency

  3. Renewal Cycle

    See board renewal rules

  4. Salary Position

    $60,540 median (4% above national)

  5. State Salary Rank

    #17 of 50 states

Step-by-Step Process (7)

  1. 1. Confirm eligibility prerequisites (Must be at least 18 years of age; Must be at least 18 years of age - Must complete a criminal background check - Applicant must be affiliated with a licensed New Hampshire...).
  2. 2. Complete required education or training: Specific course required.
  3. 3. Document required supervised experience: No experience required.
  4. 4. Pass required examination steps: Both state and third-party exams required New Hampshire EMS practical examination and National Registry of EMT (NREMT) computer-adaptive testing is required for certification.
  5. 5. Prepare supporting documentation (background check: Background check required; Must complete a criminal background check; Must be at least 18 years of age - Must complete a criminal background check - Applicant must be affiliated with a licensed New Hampshire...).
  6. 6. Submit the application to NH Department of Safety~Division of Fire Standards and Training and Emergency Medical Services and monitor board communications.
  7. 7. Maintain post-licensure compliance (continuing education: Continuing education required to maintain license).

Salary Insights in New Hampshire

With a median salary of $60,540, EMT/Paramedics in New Hampshire earn 4% above the national median of $58,410. New Hampshire ranks #17 among 50 states. The typical licensing timeline is 1-18 years.

State Hiring Climate (QCEW)

Steady

QoQ Employment Change

+1.3%

Average Weekly Wage

$1,490

Median annual salary

$60,540

Hourly estimate

$29.11
4% above national median

Difference: +$2,130

Percentile Distribution

Annual compensation
  • P1010th percentile$49,020
  • P2525th percentile$57,230
  • P50Median$60,540
  • P7575th percentile$69,160
  • P9090th percentile$82,040

State vs National Median

State: $60,540
National: $58,410

Total employment: 400 | Annual openings: N/A

EMT/Paramedic Salary Ranking

#17 of 50 statesfor EMT/Paramedic median salary
RankStateMedian Salary
#1Washington$100,780
#2New Jersey$80,100
#3Connecticut$75,400
#4Oregon$73,380
#5California$72,180

Nearby States Comparison

EMT/Paramedic licensing across the region
StateMedian SalaryEducationExamTimeline
New Hampshire$60,540Specific course requiredBoth state and third-party exams required1-18 years
Maine$59,800Specific course requiredState exam requiredVaries by board
Vermont$53,010Specific course requiredThird-party exam requiredVaries by board
Massachusetts$64,010Specific course requiredThird-party exam requiredVaries by board

License by Endorsement

Transfer requirements are state-specific. Use this quick matrix as a planning signal, then verify final endorsement rules with each board.

StateReciprocity ScoreTierNotes
New Hampshire50LowState-specific exam conditions may apply. Documented experience may be required.
Maine62MediumState-specific exam conditions may apply. Background check or criminal history review is indicated.
Vermont50LowState-specific exam conditions may apply. Documented experience may be required.
Massachusetts50LowState-specific exam conditions may apply. Documented experience may be required.
  • License status indicator: Active.
  • Continuing education indicator: Continuing education required to maintain license.
  • Reciprocity and transfer rules vary by state board. Verify directly with the agency.

Official Licensing Agency

Official website verified

NH Department of Safety • Division of Fire Standards and Training and Emergency Medical Services

33 Hazen Drive, Concord, NH, 03305

Phone: 6032234200

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Audiologist$88,410Degree requiredVaries by board

FAQ

How long does it take to become a EMT/Paramedic in New Hampshire?

Most applicants finish the licensing path in about 1-18 years, but timing can change based on education track, exam scheduling, and board processing.

What exams are required for EMT/Paramedics in New Hampshire?

New Hampshire lists Both state and third-party exams required as part of the licensure process for EMT/Paramedics.

What education do you need to become a EMT/Paramedic in New Hampshire?

The board typically expects Specific course required for EMT/Paramedic licensure in New Hampshire.

What is the typical EMT/Paramedic salary in New Hampshire?

The median annual salary for EMT/Paramedics in New Hampshire is $60,540. Salaries range from $49,020 (10th percentile) to $82,040 (90th percentile).

How does the EMT/Paramedic salary in New Hampshire compare to the national average?

EMT/Paramedics in New Hampshire earn 4% above the national median of $58,410, with a state median of $60,540.

How many EMT/Paramedics work in New Hampshire?

New Hampshire employs approximately 400 EMT/Paramedics according to BLS data.

Can I transfer my EMT/Paramedic license to New Hampshire from another state?

Transfer requirements vary by board. License status indicator: Active. Continuing education indicator: Continuing education required to maintain license. Reciprocity and transfer rules vary by state board. Verify directly with the agency.

Who is the licensing agency for EMT/Paramedics in New Hampshire?

The licensing agency is NH Department of Safety / Division of Fire Standards and Training and Emergency Medical Services. Review agency details at https://www.nh.gov/safety/divisions/fstems/ems/.

How often do you renew a EMT/Paramedic license in New Hampshire?

Current guidance indicates a renewal cycle of See board renewal rules.