Monthly Fire Testing Registration Form

Exam Date Requesting*
Time*
- 09:30 AM Arrival 09:15 AM
- 6:30 PM Arrival 6:15 PM (WRITTEN ONLY)
Legal Name*
First Last
This must be the name that is in your Respond NH account
NELP or NH EMS License Number*
This number is found in your Respond NH Account. If you do not have a respond NH account Please create one here https://www.respondnh.org/lms/public/portal#/login
Date of Birth*
MM slash DD slash YYYY
Email*

Please enter the email address associated with your Respond NH account.
Cellphone*
Course*
What area are you looking to test. Be as detailed as possible.
On My Time/ Reciprocity Test/ Alabama Fire College
Select an option from Drop Down.
Practical and/or Written*
Testing Accommodations*
We must have a record of you needing accommodations. If we do not, you will need to submit documentation to FSTEMS@dos.nh.gov
Testing Fees*
I agree. We will contact you to collect payment after the 1st of the month.
Testing Fee’s Price Written Exam: $30.00 Practical Exam (1 or 2 Stations): $30.00 Entire Practical: $75.00 Written & 1 or 2 Practical Stations: $60.00 Written & Full Practical: $105.00
PAYMENT MUST BE COLLECTED BEFORE THE EXAM