Form EMS-60 Advanced Life Support Application for Provider Recertification - New Jersey

Form EMS-60 Advanced Life Support Application for Provider Recertification - New Jersey

What Is Form EMS-60?

This is a legal form that was released by the New Jersey Department of Health - a government authority operating within New Jersey. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form EMS-60?
A: Form EMS-60 is the Advanced Life Support Application for Provider Recertification in New Jersey.

Q: Who is required to fill out Form EMS-60?
A: This form must be filled out by providers seeking recertification for advanced life support (ALS) in New Jersey.

Q: What information is required on Form EMS-60?
A: The form requires information about the provider's personal details, certification history, clinical experience, and continuing education.

Q: How often do I need to recertify using Form EMS-60?
A: Recertification using Form EMS-60 is required every three years.

Q: Are there any fees associated with Form EMS-60?
A: Yes, there is a recertification fee that must be paid along with the submission of Form EMS-60.

Q: What is the deadline for submitting Form EMS-60?
A: The completed form must be submitted to the New Jersey Department of Health before the provider's current certification expires.

Q: Are there any additional documents required with Form EMS-60?
A: Yes, providers must include copies of their current CPR, PALS, and ACLS certifications when submitting Form EMS-60.

Q: What happens after submitting Form EMS-60?
A: After submitting Form EMS-60 and the required documentation, the provider's application will be reviewed, and if approved, a new recertification will be issued.

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Form Details:

  • Released on July 1, 2012;
  • The latest edition provided by the New Jersey Department of Health;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form EMS-60 by clicking the link below or browse more documents and templates provided by the New Jersey Department of Health.

Download Form EMS-60 Advanced Life Support Application for Provider Recertification - New Jersey

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