Alabama
Licensure & Recertification Requirements for EMR, EMT, AEMT & Paramedics
Alabama follows NREMT requirements for EMS recertification.
Important Update: Beginning January 2025, all EMS personnel in Alabama must complete one (1) hour of additional training on caring for individuals with sensory needs. A free, Alabama-approved module is available here.
Please see below for information on state specific requirements associated with your provider level:
Alabama EMR Recertification
Nationally Registered EMRs are required to renew their certification every two years by September 30th of their expiration year.
NREMT Requirement = 16 CEUs
- The National Component (NCCP) requires EMRs to complete eight (8) hours of approved continuing education.
- One and a half (1.5) hours of Airway/Respiratory/Ventilation
- Two (2) hours of Cardiac
- One (1) hour of Trauma
- Two and a half (2.5) hours of Medical
- One (1) hour of Operations
- State Component requires four (4) hours that are flexible but must be directly related to EMS patient care.
- This component is intended to include any required agency and/or state EMS office specific education. If this does not apply to you, the hours match the individual component requirements.
- Individual Component requires four (4) hours that are flexible but must be directly related to EMS patient care.
- New to 2025 NCCP guidelines, 10% of the sixteen (16) total required hours must focus on pediatric topics.
- EMRs need one point six (1.6) hours specific to pediatric education
- The National Component (NCCP) requires EMRs to complete eight (8) hours of approved continuing education.
Suggested Refresher Courses
- NREMT & AL Certified: 16 hour EMR Refresher Course
State of Alabama EMR Resources
NREMT EMR Resources
Alabama EMT Recertification
Nationally Registered EMTs are required to renew their certification every two years by March 31st of their expiration year.
NREMT Requirement = 40 CEUs
- The National Component (NCCP) requires EMTs to complete twenty (20) hours of approved continuing education.
- Four (4) hours of Airway/Respiratory/Ventilation
- Five (5) hours of Cardiac
- Three (3) hours of Trauma
- Six (6) hours of Medical
- Two (2) hours of Operations
- State Component requires ten (10) hours that are flexible but must be directly related to EMS patient care.
- This component is intended to include any required agency and/or state EMS office specific education. If this does not apply to you, the hours match the individual component requirements.
- Individual Component requires ten (10) hours that are flexible but must be directly related to EMS patient care.
- New to 2025 NCCP guidelines, 10% of the forty (40) total required hours must focus on pediatric topics.
- EMTs need four (4) hours specific to pediatric education
Suggested Refresher Course
- NREMT & AL Certified: 40 Hour EMT Recertification Course
State of Alabama EMT Resources
NREMT Resources
Alabama AEMT Recertification
Nationally Registered AEMTs are required to renew their certification every two years by March 31st of their expiration year.
NREMT Requirement = 50 CEUs
- The National Component (NCCP) requires EMTs to complete twenty-five (25) hours of approved continuing education.
- Five (5) hours of Airway/Respiratory/Ventilation
- Six (6) hours of Cardiac
- Four (4) hours of Trauma
- Seven (7) hours of Medical
- Three (3) hours of Operations
- State Component requires twelve and a half (12.5) hours that are flexible but must be directly related to EMS patient care
- This component is intended to include any required agency and/or state EMS office specific education. If this does not apply to you, the hours match the individual component requirements.
- Individual Component requires ten (10) hours that are flexible but must be directly related to EMS patient care.
- New to 2025 NCCP guidelines, 10% of the fifty (50) total required hours must focus on pediatric topics.
- AEMTs need five (5) hours specific to pediatric education
Suggested Refresher Course
- NREMT & AL Certified: 50 Hour EMT Recertification Course
State of Alabama EMT Resources
NREMT Resources
Alabama Paramedic Recertification
Nationally Registered paramedics are required to renew their certification every two years by March 31st of their expiration year.
NREMT Requirement = 60 CEUs
- The National Component (NCCP) requires paramedics to complete sixty (60) hours of approved continuing education.
- Six (6) hours of Airway/Respiratory/Ventilation
- Seven (7) hours of Cardiac
- Five (5) hours of Trauma
- Eight (8) hours of Medical
- Four (4) hours of Operations
- State Component requires fifteen (15) hours that are flexible but must be directly related to EMS patient care.
- This component is intended to include any required agency and/or state EMS office specific education. If this does not apply to you, the hours match the individual component requirements.
- Individual Component requires fifteen (15) hours that are flexible but must be directly related to EMS patient care.
- New to 2025 NCCP guidelines, 10% of the sixty (60) total required hours must focus on pediatric topics.
- Paramedics need six (6) hours specific to pediatric education
Suggested Refresher Course
- NREMT & AL Certified: 60 Hour EMT Recertification Course
State of Alabama EMT Resources
NREMT Resources
Page last updated: November 24, 2025.
We strive to keep this page as accurate and up to date as possible, especially given the frequent changes to state recertification requirements. If you notice any discrepancies or outdated information, please contact Allyson at moscheraa@impactems.com so we can make the necessary updates.
Alabama Initial EMS Certifications
NREMT
The National Registry is accredited by the National Commission for Certifying Agencies (NCCA), the accreditation body of the Institute for Credentialing Excellence. The National Registry maintains NCCA accreditation for each of our four certification levels: (1) Emergency Medical Responder (2) Emergency Medical Technician (3) Advanced Emergency Medical Technician (4) Paramedic. The National Registry, established in 1970 as a non-profit organization, is the Nation’s Emergency Medical Services Certification organization. The mission of the National Registry of Emergency Medical Technicians has always been centered on protecting the public and advancing the EMS profession.
