PDF
Word
EMS State Background Form - Arkansas
EMS State Background Form is a legal document that was released by the Arkansas Department of Health - a government authority operating within Arkansas.
FAQ
Q: What is the EMS State Background Form?
A: The EMS State Background Form is a document used in Arkansas to gather background information from individuals seeking to become Emergency Medical Technicians (EMTs) or Paramedics.
Q: Why is the EMS State Background Form required?
A: The EMS State Background Form is required to ensure the safety of patients by identifying any criminal history or disciplinary actions that may disqualify an individual from working in the EMS field.
Q: Who is required to complete the EMS State Background Form?
A: Anyone applying for an EMT or Paramedic license in Arkansas is required to complete the EMS State Background Form.
Q: What information is collected on the EMS State Background Form?
A: The EMS State Background Form collects information about an individual's criminal history, including convictions and pending charges, as well as any previous disciplinary actions taken against their EMS license.
Form Details:
- Released on August 23, 2021;
- The latest edition currently provided by the Arkansas Department of Health;
- Ready to use and print;
- Easy to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Arkansas Department of Health.
Download EMS State Background Form - Arkansas
1
2
