Get Nj Ems-62 2019-2025

The NJ EMS-62 form is essential for individuals seeking reimbursement for EMT training expenses under New Jersey's Emergency Medical Technician Training Fund. This guide will provide clear and concise instructions to help users fill out the form accurately and efficiently online.

Follow the steps to complete the NJ EMS-62 successfully

1. Press the ‘Get Form’ button to access the NJ EMS-62 form and open it for editing.
2. In the designated fields, enter the student's first name, middle initial, and last name accurately.
3. Input the Student EMS ID number in the corresponding section.
4. Provide the student’s complete address, including street address, city, county, state, and zip code.
5. Specify the name of the eligible volunteer EMS agency the student belongs to.
6. Enter the course sponsor’s name in the provided field.
7. Fill in the course start date and course end date as per the EMT training schedule.
8. Indicate the course title that the student is enrolling in.
9. Include the New Jersey course approval number associated with the training.
10. Verify that all information provided is true and accurate by confirming the specified criteria regarding CPR documentation, membership status, and prior program attempts.
11. Enter the name of the Principal Officer, including first and last name, and their title.
12. Provide the Principal Officer’s telephone number and email address.
13. Ensure the Principal Officer signs the document with a blue ink original signature; do not use copies, stamps, scans, or electronic signatures.
14. Once all sections are complete, save your changes, and opt to download, print, or share the completed form.

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