Contact for Change information on your EMS certification card or request a duplicate card
Office of Emergency Medical Services
Phone
eLicensing Login & Payment Help
Call Office of Emergency Medical Services, eLicensing Login & Payment Help at (617) 973-0935
Online
Continuing education
Email Office of Emergency Medical Services at oems.coned@state.ma.us
The Details of Change information on your EMS certification card or request a duplicate card
What you need for Change information on your EMS certification card or request a duplicate card
If you are requesting a name change for your EMT certification
- Download the Name Change Request l (DOCX)
- Provide court documentation to verify your name change, such as a marriage certificate or legal name change form
- Fax or mail your Name Change form and official documentation. We cannot recommend emailing sensitive information such as Date of Birth.
If you are requesting a duplicate wallet card
- Please submit your request below and please complete all sections.
- Duplicate cards are free of charge
- Cards are printed in batches once per week and mailed to the address of record
How to change your address
- If you need to change the address that is listed on your card, you can do so online through the eLicensing portal
How to submit Change information on your EMS certification card or request a duplicate card
Mail your completed form and any necessary documents to:
Office of Emergency Medical Services
67 Forest Street
Marlborough, MA 01752
Fax your completed form and any necessary documents to (617) 753-7320 with the header "ATTN: EMS Certification"
- Only for Duplicate Card requests. Please complete all sections using the link below.
Contact for Change information on your EMS certification card or request a duplicate card
Address
67 Forest St., Marlborough, MA 01752
Phone
eLicensing Login & Payment Help
Call Office of Emergency Medical Services, eLicensing Login & Payment Help at (617) 973-0935
Online
Continuing education
Email Office of Emergency Medical Services at oems.coned@state.ma.us
Fax
(617) 753-7320
Address
67 Forest Street, Marlborough, MA 01752