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Get Michigan Ems App 502 Form

Application being processed for licensure. This is a two-page application. Be sure to complete both pages/sides before submitting and sign and date your application. 1. Mark the box for the appropriate level of license (MFR, EMT, Specialist/AEMT, or Paramedic) for which you are applying and submit the correct fee for that level. EMS-APP-502 (4/13) 2. Enter your personal identifying information, i.e. name, social security number, address, etc. 3. If you have a yes answer to question number 1 o.

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