State EMS Offices administer all EMR and EMT exams. The National Registry Exam Coordinator Manuals and User Guides are provided as a reference to candidates and educational institutions.


The first and last names printed on your identification must match exactly the first and last names on your Psychomotor Authorization to Test (ATT).


When you arrive at the test center, you will be required to present one form of acceptable identification. If you arrive at the test center without acceptable identification, you may be turned away and required to reregister and pay another exam fee.

All forms of identification must be valid and meet the following requirements:

  • government-issued
  • non-expired
  • name (in Roman characters)
  • recent photograph
  • signature

Examples of acceptable forms of identification:

  • passport books and cards
  • driver’s license
  • State or Territorial identification card
  • permanent residence card
  • military identification card
All National Registry cognitive examination materials are copyrighted.
  • Candidates are not permitted to disclose or discuss with anyone, including instructors, information about the examination questions or answers seen in your examination. (This includes posting or discussing questions on the internet and social media websites).
  • Reconstructing exam items using your memory of your exam or the memory of others is prohibited.
  • Candidates are not permitted to seek help from anyone in answering examination question.
  • Candidates are not permitted to remove examination materials or notes about the examination from the testing center.
Note: If you witness any of the above behavior, or any irregular behavior that may be in violation of the National Registry Candidate Policies, report it to the National Registry immediately by calling 614-888-4484.
Late arrivals to a psychomotor exam are generally not permitted.
Extenuating circumstances, such as inclement weather conditions, may be considered, and the candidate may be granted permission to begin the psychomotor examination late. If admitted into the examination, candidates arriving late must be allowed to complete the entire portion of the psychomotor examination he/she needs. No candidate may be permitted to complete only a portion of the psychomotor examination he/she needs. If the facility cannot ensure that the candidate will complete all portions of the psychomotor he/she needs, the candidate must be dismissed from the psychomotor examination and instructed to make arrangements to complete the psychomotor examination at a later date. Late admission to a psychomotor exam is at the discretion of the National Registry Exam Representative.
A candidate who violates National Registry policies or the test center's regulations or rules, or engages in irregular behavior, misconduct and/or does not follow the test administrator's warning to discontinue inappropriate behavior, may be dismissed from the test center. Examination fees for candidates dismissed from a test center will not be refunded. Additionally, examination results may be withheld or canceled. The National Registry of EMTs may take other disciplinary action such as denial of National EMS Certification and/or disqualification from future National Registry exams. Behaviors that are considered to constitute irregular behavior or misconduct include but are not limited to:
  • Giving or receiving assistance of any kind during an exam;
  • Using, accessing, or attempting to access any prohibited items. Prohibited items are any devices or materials that will be helpful in taking the National Registry exam. Examples of aids that are prohibited include electronic devices (e.g. cell/mobile/smart phones, tablets, smart watches, etc.), hand-held calculators, conversion tables, dictionaries, etc.;
  • Attempting to take the examination for someone else;
  • Accessing or attempting to access such study materials at any time after the start of the examination administration;
  • Failing to follow testing regulations or the instructions of the test administrator; or
  • Creating a disturbance of any kind.