EMS License Requests

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Fire Department
Posts: 1176
Joined: 11 Oct 2017, 00:33
Contact:

Image Los Santos County Emergency Medical Services
EMS License Requests

Licensing Information
Please use these forms to request a license to be issued, given the requirements listed in this document are met.

The following licenses are recognized by the State of San Andreas:
  • First Aid/CPR/AED (( Currently not in use ))
    • May be issued to anyone upon completion of a course hosted by approved First Aid instructors.
  • Emergency Medical Responder
    • More advanced than First Aid, issued to non-EMS first responders such as police officers and sheriff's deputies upon completion of an approved EMR or BLS course. Employees that occupy administrative positions, do not qualify for this certification.
  • Emergency Medical Technician
    • Minimum level to staff an ambulance, issued to Fire, EMS, and select law enforcement personnel.
  • Advanced Emergency Medical Technician
    • Bridge between basic and advanced life support, also called limited advanced life support.
  • Paramedic
    • Highest field certification, issued to select individuals upon completion of an approved Paramedic course.
The licenses are issued and maintained by the State. (( OOCly managed by the LSFD. ))

License eligibility criteria:
  • With the exception of First Aid, the license holder must be affiliated with an agency that is authorized to practice medicine.
  • Prior to obtaining a license, an individual must take a course held by authorized trainers and pass an official examination.
  • An individual must not be convicted of any felony or other crime directly related to public health.
License revocation criteria:
  • The conviction of, plea of guilty or plea of no contest to, a felony or any criminal offense which is directly related to public health.
  • Limitation, suspension, revocation or other disciplinary action by a licensing or authorizing agency relating to practice, or the ability to practice safely and effectively, as an EMS professional or the voluntary surrender of a licensee in connection with or in lieu of any such disciplinary action.
  • Unauthorized release of the personally identifiable information of any patient or any other breach of confidentiality.

(( OOC Information ))
All licenses are maintained by FD Command through our CAD website, but are reflected on the MDC under licenses, as well as in-game under /licenses, as shown below:
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OOC Rules:
  • With the exception of First Aid, an individual must be in a legal faction for an EMS license to be considered valid.
    • Upon the departure of a legal faction, the license will be automatically revoked by the system.
    • If the individual returns to any legal faction, you may use the form in this request for the license to be reissued.
  • Once an individual has obtained any license, they will not be required to complete the course again if they namechange.
    • Please use the appropriate form in this document to request for a license to be transferred to a new character.
    • You must have an appropriate IC reason if it's a Paramedic or AEMT license.

Forms
Please select the correct form for your situation and post it in this thread.

1. New Certification Request
Used to request a new license upon completion of a course. This is required if the course was completed by a non LSFD trainer.

Code: Select all

[divbox=white][b][u]Certification Request[/u][/b]
[b]Name:[/b]
[b]Agency:[/b]
[b]License:[/b] First Aid/EMR/EMT/AEMT/Paramedic
[b]Trainer:[/b]
[b]Date of Training:[/b]
[b]Proof:[/b] (( Screenshot of an award, attendee roster, or letter from an authorized trainer is all acceptable. ))[/divbox]
2. Re-Certification Request
Used to request that a license is re-issued after being revoked previously for any reason. (( Use this if you left and then returned to a legal faction. ))

Code: Select all

[divbox=white][b][u]Re-Certification Request[/u][/b]
[b]Name:[/b]
[b]Agency:[/b]
[b]License:[/b] First Aid/EMR/EMT/AEMT/Paramedic
[b]Date Originally Issued:[/b] 
[b]Reason for Revocation:[/b][/divbox]
3. (( Transfer Request ))
(( Used to request a license on a new character, after having already completed the training on a previous character. ))

(( Individuals certified as EMTs or Paramedics by the Los Santos Fire Department prior to January 1st, 2023 are ineligible to transfer their license at that level and their character is required to undergo training again. They are however eligible to transfer EMT or Paramedic certifications obtained prior to that date at the EMR level. ))

Code: Select all

[divbox=white][b][u](( Transfer Request ))[/u][/b]
[b]Old Name:[/b]
[b]New Name:[/b]
[b]Faction:[/b]
[b]License:[/b] First Aid/EMR/EMT/AEMT/Paramedic
[b]Date Originally Issued:[/b] 
[b]Reason for Transfer:[/b] 
[b]Proof of Training:[/b] Screenshot of an award, attendee roster, or letter from an authorized trainer is all acceptable.[/divbox]
4. (( Instructor Requests ))
Instructors from Authorised Agencies can use this form to request EMR licenses for their Agency.

Code: Select all

[divbox=white][b][u](( Transfer Request ))[/u][/b]
[b]Instructor Name:[/b]
[b]Instructor Agency:[/b]
[b]License:[/b] First Aid/EMR/EMT/AEMT/Paramedic
[b]Date of Training:[/b] 
[b]List of Students:[/b] 
[/divbox]
Red
Civilian
Posts: 8
Joined: 21 Oct 2020, 22:54
Contact:

Re-Certification Request
Name: Andrea Schmid
Agency: LSSD
License: EMT
Reason for Revocation: Conducted paramedic training NOV/29/2020 w/ Jess Williams. Medic cert was voluntarily surrendered JAN/9/2021 upon resignation from LSSD ESD but retaining EMT cert was requested/approved. With the recent updates to facilitate better tracking of issued licenses, and after reaching out to Williams, requesting updated cert as an EMT.
Last edited by Claire Stuart on 13 Jul 2021, 10:00, edited 1 time in total.
Reason: Handled
Sophie Carricker
Retired
Posts: 136
Joined: 21 Aug 2020, 19:21
Contact:

(( Transfer Request ))
Old Name: Sophie Carricker
New Name: Rachel Manning
Faction: LSPD
License: EMT
Reason for Transfer: Manning is a former 68W within the United States Military, now a Police Officer within the LSPD, realistically the qualifications would allow for her to practice medicine, EMT is fine, considering the MA Agreement.
Proof of Training: Awards Archive for Sophie Carricker. Linked in Signature.
Last edited by Claire Stuart on 13 Jul 2021, 10:03, edited 1 time in total.
Reason: EMT issued
Leopold Gauthier
Retired
Posts: 204
Joined: 04 Jul 2019, 10:54
Contact:

Certification Request
Name: Leopold Gauthier
Agency: LSFD
License: EMT
Trainer: N/A, Retired
Date of Training: 28/JUL/2019
Proof: ACCESS
Last edited by Gerald Berwick on 15 Jul 2021, 08:43, edited 1 time in total.
Reason: Issued
spacer Dr. Leopold "Loop" Gauthier, MD, BMA, AMA - #17786
spacer
EMT - Station 7, Shift A
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Jimmy Bufalino
Retired
Posts: 65
Joined: 08 Aug 2020, 20:03
Contact:

Re-Certification Request
Name: Jimmy Bufalino
Agency: LSFD
License: Paramedic
Reason for Revocation: Resignation.
Last edited by Gerald Berwick on 15 Jul 2021, 08:44, edited 1 time in total.
Reason: Issued
Marcus Kelley
Posts: 21
Joined: 03 Oct 2020, 19:59
Contact:

(( Transfer Request ))
Old Name: Lydia Jackson
New Name: Dylan Medina
Faction: Los Santos Police Department
License: EMR
Reason for Transfer: -
Proof of Training: https://gyazo.com/fdb6a10a41ac56e1287d4758ae33f5d8
Last edited by Jess Williams on 22 Jul 2021, 03:56, edited 1 time in total.
Reason: Issued
Jessica Amber
Retired
Posts: 29
Joined: 04 Jan 2020, 06:36
Contact:

(( Transfer Request ))
Old Name: Antoine Vallois
New Name: Cedric Nativel
Faction: Los Santos Police Department
License: EMR
Reason for Transfer: -
Proof of Training: LINK
[+] Proof
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Last edited by Alejandro Nieves on 22 Jul 2021, 04:38, edited 1 time in total.
Reason: Issued.
Jessica Amber
- Retired -
Volunteer Firefighter
Los Santos Lifeguard
[+] Volunteer
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[+] Lifeguard
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Carlos Carvalho
Part-Time Firefighter
Posts: 208
Joined: 11 Jan 2021, 01:46
Station Assignment: Headquarters
Contact:

(( Transfer Request ))
Old Name: Matthew Leyton
New Name: Wesley Lansbury
Faction: LSPD
License: EMT
Proof of Training: Access
Last edited by Gerald Berwick on 24 Jul 2021, 21:17, edited 1 time in total.
Reason: EMR Issued
Mia Schultz
Civilian
Posts: 166
Joined: 31 Oct 2020, 22:23
Primary Assignment: Professional Standards Division
Station Assignment: Headquarters
Contact:

(( Transfer Request ))
Old Name: Mia Schultz
New Name: Liliana Walker
Faction: LSPD
License: EMR
Proof of Training: ACCESS
Last edited by Claire Stuart on 24 Jul 2021, 22:09, edited 2 times in total.
Reason: Issued
Elena Ocasio
Part-Time EMT
Posts: 1047
Joined: 07 Oct 2017, 21:29
Primary Assignment: Emergency Operations
Station Assignment: Station 52
Contact:

(( Transfer Request ))
Old Name: Samantha Lee
New Name: Laura Green
Faction: PD
License: EMR
Proof of Training: Access
Last edited by Gerald Berwick on 24 Jul 2021, 22:10, edited 1 time in total.
Reason: Issued
Emergency Medical Technician Elena Ocasio
Los Santos Fire Department — "Serving with Courage, Integrity and Pride"
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