2026 data Missouri board official source

Missouri Emergency Medical Technician (EMT) License Requirements

State-board requirements, fees, and renewal cycle drawn from official regulator records.

Provides emergency medical care and transportation. Requires NREMT exam.

What the Missouri data shows for Emergency Medical Technician (EMT)s

Missouri's path to emergency medical technician (emt) licensure runs through 147 hours of approved instruction and a passing score on NREMT Certification Exam, plus a criminal history screening before applicants younger than 18 can be licensed. Missouri folds the credential into its broader occupational licensing statute, which classifies the training track as "EMT Training Course".

Budget $76 to get started, plus $67 at each renewal on a 2-year cycle. Renewal isn't the end of the cost: 36 hours of continuing education are due every 2-year cycle, a recurring time commitment worth planning for.

On reciprocity, emergency medical technician (emt)s should know: Interstate EMS Compact: 30+ states.

Licensing Ease Score

B-
Licensing Ease Score
66/100
Emergency Medical Technician (EMT) · Missouri

A higher score means this specific license is LESS burdensome to obtain and maintain here than the national requirement corpus, based on education hours, fees, continuing education, and experience requirements, not an overall judgment of the profession or the state.

Education & Training B
147 hours
Documented education/training hours required
Initial Fee B
$76
One-time application/license fee
Renewal Burden B
$34/yr
$67 every 2 years
Continuing Education F
18.0 hrs/yr
36 hours every 2 years
Experience Required A+
None required
Supervised work experience required before licensure

Licensing Requirements in Missouri

Education / Training Hours
EMT Training Course
147 hours
Exam Requirement
NREMT Certification Exam
Required
Initial License Fee
$76
Renewal Fee
$67
Renewal Cycle
Every 2 years
Continuing Education
36 hrs/cycle
Criminal History Check
Required
Minimum Age
18 years
Data sources: NCSL Occupational Licensing Database, Institute for Justice, state licensing boards. Verify current requirements with Missouri licensing authorities before making career decisions.

Frequently Asked Questions

What license do I need for Emergency Medical Technician (EMT) in Missouri?
In Missouri, the license path calls for 147 education/training hours, a passing score on NREMT Certification Exam, and a $76 initial fee. A criminal background check is required as well.
How do I get certified as an Emergency Medical Technician (EMT) in Missouri?
Missouri licenses emergency medical technician (emt)s who complete its requirements (147 education hours) and a passing exam. Verify the latest details with the Missouri licensing board.
Can I transfer my Emergency Medical Technician (EMT) license to Missouri from another state?
Here's how reciprocity typically plays out for emergency medical technician (emt)s: Interstate EMS Compact: 30+ states. Many occupations are additionally covered by interstate licensing compacts that ease cross-state moves. Check with the Missouri licensing board for how this applies to you.
Does Missouri require a background check for Emergency Medical Technician (EMT) licensing?
Yes, Missouri requires a criminal background check as part of the emergency medical technician (emt) licensing process. Disqualifying offenses and review criteria are determined by the state licensing board.
What are the continuing education requirements for Emergency Medical Technician (EMT) in Missouri?
Licensed emergency medical technician (emt)s in Missouri must complete 36 hours of continuing education every 2 years. The renewal fee is $67.

What to do with this emergency medical technician (emt) license

Emergency Medical Technician (EMT) in Missouri, with a documented reciprocity path, is one requirement row in an emergency medical technician (emt)-wide, 50-state comparison.

Requirements shown are compiled from NCSL and Institute for Justice research; verify current rules with the Missouri licensing board before making career decisions.

Source: NCSL Occupational Licensing Database, Institute for Justice License to Work (3rd Ed.), state licensing board websites

According to the National Conference of State Legislatures and the Institute for Justice, the PlainCredential comparison corpus (current as of May 15, 2026) maps 4,947 state licensing requirement records; see the methodology.