BLS Eligibility to Test Application

Exam Information
Please refer to the BLS exams section of our website to see a current list of BLS exams.
Exam Date Requested*
Month
Day
Year
Location*
Exam Attempt*
Level*
EMR stations to retest*
To select multiple stations hold the control key on your keyboard.
EMT stations to retest*
To select multiple stations hold the control key on your keyboard.
Previous Test Date
MM slash DD slash YYYY
Previous Test Location
Candidate Information
Legal Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Cellphone*
Email*
Date of Birth*
MM slash DD slash YYYY
Course Information
Course #:
Course Instructor:
Course Completion Date*
MM slash DD slash YYYY
Course Location:
AFFIRMATION – “I understand that I must also register for the examination with the exam vendor in order to be able to test."*
- I Understand
- I DO NOT Understand
If you have any additional questions please contact your Education Specialist.

We are committed to training, educating, and certifying emergency and community responders to protect the citizens and visitors of New Hampshire.

Who We Are