Reciprocity Application Form

Updated and simplified form

Step 1 of 2

Before submitting your request please update your profile information at www.respondnh.org or if you do not have a profile please create one before submitting your request.

Personal Information

Name(Required)

First Middle Last

RespondNH EMS License # or NELP #(Required)

If you do not have an account, you can create one at: www.respondnh.org

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Date of Birth(Required)

Phone

Last 4 of SSN(Required)

This is used to verify Pro Board accredited certifications.

Select One

Equivalency

I have a certification that is accredited by The Pro Board, IFSAC, or the Department of Defense (DoD) with an accreditation seal clearly visible.

The NH Fire Academy will grant direct equivalency for these certifications. You WILL NOT receive a certificate from the Division. You will have your training certificate recorded on your RespondNH student transcript database.

There is NO FEE for equivalency.

Reciprocity

I have a certification that is IS NOT accredited by a nationally or internationally recognized accreditation organization, and would like to have my training records evaluated for reciprocity.

I understand that I will need to provide documentation of the following:

Subject areas covered;
Actual hours of instruction;
Content of subject areas;
Terminal performance objectives, which means the required demonstration by the student of the competencies required; and
Date of completion.

I understand that I will need to meet prerequisites and complete all testing associated with the certification and level.

There are FEES associated with certification testing.

Select One

I have an accredited certificate.

I would like my training evaluated for reciprocity.

Personal Information

Select One

Equivalency

Reciprocity

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