Open a jurisdiction to review its dated requirements and official sources. Use the compact tables to compare which states participate.
All 51 jurisdictions · Compact status table · Plan the crossing: offshore · 911 ground · IFT
Can I work a 13-week contract here on my home-state licence?
Yes — privilege alone covers a contract here
The Commission states privilege carries no time limit and is not restricted to declared emergencies, so a 13-week contract is covered provided the medic holds an unrestricted licence in another Member State, is affiliated with an agency authorised in Delaware, and practises under a physician medical director.
The Commission states privilege carries no time limit and is not restricted to declared emergencies, so a 13-week contract is covered provided the medic holds an unrestricted licence in another Member State, is affiliated with an agency authorised in Delaware, and practises under a physician medical director. Confidence is medium and quote_supports is partial because this is the Commission speaking nationally, not Delaware speaking about Delaware. It is reversed for anyone who already holds a Delaware licence of any status — see compact.privilege.home_state_licenses.
EMS Compact Commission · emscompact.gov · verified 4 Oct 2026 · Partly supported
Requirements include source links and review dates. Expand each source quotation for the supporting text. Unverified and incomplete information is labelled alongside the relevant requirement.
The items most likely to cost you a start date.
Adds a requirement
Delaware EMT certification is issued on completion of National Registry requirements and affiliation with a Delaware EMS provider, with reciprocity delivered as a Delaware State Fire School course on behalf of the State Fire Prevention Commission rather than by the Office of EMS.
Two consequences for a traveller. The credential cannot be obtained before you have a Delaware employer, and the reciprocity route is a scheduled class with seats rather than a form — so the lead time is the Fire School's calendar. Delaware is a compact member and the Commission has announced its full NEMSCD integration, so a medic from another Member State can avoid this path entirely.
State EMS office · statefireschool.delaware.gov · verified 9 Aug 2026
Upon presentation of required paperwork, State of Delaware EMT certification may be issued to individuals successfully completing NREMT requirements and individuals must be affiliated with a Delaware EMS provider.
statefireschool.delaware.gov · State EMS office
The office that issues the card, and the law it issues it under.
2 of 5 answered from a source · 3 written up as absences
Who actually issues an EMS licence in Delaware?
Delaware Office of Emergency Medical Services
Partly supported
Name as published in the National Registry's State EMS Offices directory, which is the Registry reporting what Delaware told it rather than Delaware naming itself on its own site. Replace with a claim sourced from the state's own page when that page is read.
Delaware Office of Emergency Medical Services
nremt.org · National Registry of EMTs
Where is Delaware's EMS licensing office online?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Delaware's own EMS office pages have not been read.
Where do I actually submit an application in Delaware?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Delaware's own EMS office pages have not been read.
Who do I call or email about Delaware licensure?
Unverified
(302) 223-1350
quoted text not found on the live page (NaN Oct 2026). The displayed value has not been confirmed as current.
Partly supported
From the National Registry's State EMS Offices directory, which carries the Registry's own warning: 'Information provided on this page is for convenience. Always verify information directly with the State EMS Office.'
Which statute or rule governs EMS licensure in Delaware?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Delaware's own EMS office pages have not been read.
Levels, term, and what your National Registry does and does not buy you.
1 of 6 answered from a source · 5 written up as absences
What levels does Delaware issue, and what does my cert become there?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Delaware's own EMS office pages have not been read.
How long does a Delaware licence last before renewal?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Delaware's own EMS office pages have not been read.
Do I need National Registry to get licensed in Delaware?
Yes
National Registry and affiliation with a Delaware EMS provider are stated together — neither alone gets you certified.
Upon presentation of required paperwork, State of Delaware EMT certification may be issued to individuals successfully completing NREMT requirements and individuals must be affiliated with a Delaware EMS provider.
statefireschool.delaware.gov · State EMS office
Do I have to keep National Registry current to keep a Delaware licence?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Delaware's own EMS office pages have not been read.
Does Delaware make me sit its own exam?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Delaware's own EMS office pages have not been read.
What criminal history bars me from licensure in Delaware?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Delaware's own EMS office pages have not been read.
The EMS Compact — formally REPLICA, the Recognition of EMS Personnel Licensure Interstate Compact. Enacted, in force, and verifiable status are separate dated facts, plus what privilege covers.
7 of 10 answered from a source · 3 written up as absences
What do I have to satisfy for compact privilege to apply in Delaware?
Partly supported
These are the Commission's national conditions, not a Delaware statement. Whether Delaware imposes anything further has not been established from a Delaware source — see compact.privilege.state_specific_restrictions.
Be at least 18 years of age. Section 4.B.1 2 Hold a current, unrestricted license in at least one EMS Compact participating state, as an EMT, AEMT, Paramedic, or a state-recognized level between EMT and Paramedic. Section 4.B.2 3 Affiliate with an EMS agency in the remote state that provides EMS medical direction. Section 4.B.3 4 Adhere to the Commission's Professional Code of Conduct . Rules 4.0(E) and 4.6 Then, as you practice: follow the local scope of practice, protocols, and laws of the state you are working in, under Rule 4.4 of the Commission's administrative rules.
emscompact.gov · EMS Compact Commission
Which situations does compact privilege cover in Delaware?
Not established in the cited source
No Delaware enumeration of covered circumstances located. The Commission frames privilege as applying at all times rather than by enumerated circumstance, but that is a national statement and has not been confirmed against Delaware rule.
When do I need full Delaware licensure instead of privilege?
Not established in the cited source
Not stated by Delaware or by the Commission for Delaware specifically. The only universal exclusion the Commission states is that privilege never applies in a state where you already hold a licence — see compact.privilege.home_state_licenses.
Can I work a 13-week contract in Delaware on my home-state licence?
Yes — privilege alone covers a contract here
Partly supported
The Commission states privilege carries no time limit and is not restricted to declared emergencies, so a 13-week contract is covered provided the medic holds an unrestricted licence in another Member State, is affiliated with an agency authorised in Delaware, and practises under a physician medical director. Confidence is medium and quote_supports is partial because this is the Commission speaking nationally, not Delaware speaking about Delaware. It is reversed for anyone who already holds a Delaware licence of any status — see compact.privilege.home_state_licenses.
Does it expire? There is no time limit. Your Privilege to Practice remains valid as long as you continue to meet eligibility requirements: an active, unrestricted EMS license in a participating Home State, affiliation with an EMS agency authorized in the remote state, practice under a local EMS Medical Director in compliance with the remote state's laws and rules, and adherence to the Professional Code of Conduct . Does it only apply during emergencies? No. The Compact applies at all times, not only during declared emergencies.
emscompact.gov · EMS Compact Commission
I have an old or inactive Delaware card — can I still use compact privilege here?
The Commission states that even an inactive license makes that state a Home State, and that a Home State is not a Remote State, so Compact privilege does not apply there. This is the Commission speaking nationally; this source does not establish whether the state offers inactive status or its reactivation pathway, so both remain unknown.
In this scenario, although the EMS practitioner holds an inactive license from Kansas, the state is still considered a Home State, since the individual holds a license there, rather than a Remote State. The EMS Compact uniquely allows an individual to have multiple Home States, which are not defined by residency or workplace affiliations. Consequently, the Privilege to Practice is only authorized in Remote States, provided the EMS Practitioner meets the provisions outlined by the EMS Compact. As Kansas is not a Remote State for this practitioner, the Privilege to Practice does not apply here.
emscompact.gov · EMS Compact Commission
Does Delaware add anything on top of the compact?
Not yet verified
Whether Delaware imposes registration, notification, a fee, or a medical-director attestation on privilege holders has not been established. The state's own administrative code has not been read for compact provisions, and silence on the state EMS office's public pages is not evidence of absence.
Where does an employer verify my privilege for Delaware?
Partly supported
Quick Verify is embedded on the Commission homepage and keyed to the 12-digit National EMS ID, which is neither your state licence number nor your NREMT number.
Quick Verify allows EMS clinicians, agencies, and the public to validate a clinician
emscompact.gov · EMS Compact Commission
Has Delaware passed the EMS Compact into law?
Unverified
quoted text not found on the live page (NaN Oct 2026). The displayed value has not been confirmed as current.
source_quote is a table row, pipe-joined. The Commission publishes an effective date but no separate enactment date, so enacted_date is null rather than guessed.
Delaware | 16 DE Code § 98A-100 (2017) | September 15, 2017
emscompact.gov · EMS Compact Commission
Is Delaware's compact law actually in effect yet?
Unverified
quoted text not found on the live page (NaN Oct 2026). The displayed value has not been confirmed as current.
source_quote is a table row, pipe-joined. has_delayed_implementation_clause is false because the Commission lists a past effective date, not because the statute was read for a deferral clause.
Delaware | 16 DE Code § 98A-100 (2017) | September 15, 2017
emscompact.gov · EMS Compact Commission
Can my Privilege to Practice actually be verified in Delaware?
The Commission's state-specific Commissioner page identifies Delaware as fully integrated with NEMSCD. This establishes current database integration, distinct from enactment and statutory effect. The page does not publish the initial connection date, so connected_date remains null.
The route in when privilege does not cover you.
1 of 9 answered from a source · 8 written up as absences
Will Delaware recognise my out-of-state certification at all?
Yes
Partly supported
Delaware runs EMT reciprocity as a COURSE rather than as a paperwork process, delivered by the Delaware State Fire School on behalf of the State Fire Prevention Commission. Confidence is medium because the quote is a document title on the Fire School's EMS education page rather than a statement of the pathway.
Emergency Medical Technician Reciprocity Course Description
statefireschool.delaware.gov · State EMS office
What does Delaware call its out-of-state pathway?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Delaware's own EMS office pages have not been read.
Where do I start a reciprocity application for Delaware?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Delaware's own EMS office pages have not been read.
What does Delaware require from an out-of-state applicant?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Delaware's own EMS office pages have not been read.
What does it cost to get licensed in Delaware from out of state?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Delaware's own EMS office pages have not been read.
How long will Delaware take to process my application?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Delaware's own EMS office pages have not been read.
What background check does Delaware require, and how do I do it from out of state?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Delaware's own EMS office pages have not been read.
Can I start working in Delaware before full approval?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Delaware's own EMS office pages have not been read.
Does my National Registry have to be current to apply in Delaware?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Delaware's own EMS office pages have not been read.
The renewal clock and what it costs in hours.
2 of 7 answered from a source · 5 written up as absences
How often do I recert in Delaware?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Delaware's own EMS office pages have not been read.
How many CE hours does Delaware want, and in what?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Delaware's own EMS office pages have not been read.
Can I use NCCP hours to recert in Delaware, or does it want its own?
NCCP hours are accepted
Partly supported
Delaware recertifies through the National Registry's NCCP model and adds its own 30-hour refresher on top of the individual CE component. Recorded as accepts_nccp on that basis; confidence is medium because the Fire School explains how to use NCCP rather than stating Delaware's own acceptance rule.
For recertification with the National Registry of EMTs® under the National Continued Competency Program , there are new steps for your to recertify.
statefireschool.delaware.gov · State EMS office
What does Delaware require at renewal that other states do not?
Partly supported
Delaware layers its own 30-hour refresher on the NCCP scheme rather than accepting NCCP alone.
Individual continuing education hours, along with your Delaware 30-hour Refresher
statefireschool.delaware.gov · State EMS office
Does Delaware make me take a refresher course to recert?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Delaware's own EMS office pages have not been read.
My Delaware cert expired — can I still get it back?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Delaware's own EMS office pages have not been read.
Where do I find CE that Delaware will accept?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Delaware's own EMS office pages have not been read.
Where a service record shortens the path.
0 of 4 answered from a source · 4 written up as absences
Does Delaware have a faster route for military training or veterans?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Delaware's own EMS office pages have not been read.
What does Delaware's military pathway actually get me?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Delaware's own EMS office pages have not been read.
Where does Delaware document its military pathway?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Delaware's own EMS office pages have not been read.
Does Delaware extend its military pathway to spouses?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Delaware's own EMS office pages have not been read.
DEA rewrote the narcotics rules for EMS in February 2026. Registration moved from the medical director to the agency itself, and the rule spells out storage, restocking and standing-order administration. These rules are federal and read the same in every state.
10 federal facts, quoted from the Federal Register · 1 of 2 Delaware facts answered from state law
What changed, and when did it take effect?
The DEA final rule implementing the Protecting Patient Access to Emergency Medications Act of 2017 (PPAEMA). It amends 21 CFR parts 1300, 1301, 1304 and following to create the EMS agency registration and the storage, delivery and recordkeeping rules below.
Who holds the DEA registration an ambulance operates under?
Before this rule most services ran narcotics under their medical director's practitioner registration. The registration now belongs to the agency, as its own DEA business-activity category.
the Act directs the Attorney General (and thus the Administrator) to allow a registered EMS agency to obtain a single registration for each State in which the EMS agency administers controlled substances, rather than requiring the agency to obtain a separate registration for each location at which it operates within that State.
Does one DEA registration cover operating in another state?
The fact that matters most to a traveler: compact privilege can carry your licence across a border, but it does not carry your agency's DEA registration. An agency running trucks in two states registers twice.
EMS agencies that wish to operate in multiple States must register with DEA in each State in which they operate.
Can a medic administer controlled substances without the medical director present?
Federal law now says yes, but only where state law agrees: EMS professionals are only allowed to make such administrations if authorized by State law. Whether your state's law does is the per-state question at the end of this section.
the Act allows emergency medical services professionals to administer controlled substances outside the physical presence of a medical director or authorizing medical professional pursuant to a valid standing or verbal order.
How do narcotics have to be stored in the vehicle?
EMS vehicles storing controlled substances must be locked when parked outside of an enclosed registered or designated location, with the controlled substances stored in a securely locked, substantially constructed cabinet or safe that cannot be readily removed.
Does a hospital-based agency need its own registration?
Hospital-based means owned or operated by a hospital. If you work for a hospital service, the drug box stays on the hospital's paper.
The CSA, as amended by the Act, expressly allows hospital-based EMS agencies to operate under the hospital's registration rather than obtaining their own separate registration.
Can the truck restock controlled substances from a hospital?
the Act allows non-hospital-based EMS agencies to receive controlled substances from a hospital for the purpose of restocking an EMS vehicle following an emergency response.
What does the DEA registration cost an agency?
this rule reflects the current fee of $888 so that, as intended, the fee for EMS registrants is the same as that for other dispensers of controlled substances.
Do municipal and fire-based services pay the fee?
Even if the EMS agency is not operated by a government fire department, if the EMS agency itself is operated by the local government, it would also be exempt from application fees.
When does an existing service have to move to the new registration?
DEA recommends agencies contact their local field office to complete the transition.
The three options for EMS agencies to transition are: (1) transition immediately on the effective date established by DEA; (2) transition at the expiration of their current registration; or (3) transition three to six months prior to their renewal date.
Does Delaware law let a medic push scheduled drugs on standing orders, the way the DEA rule assumes?
Partly supported
The statute establishes standing orders as the operating instrument but never names controlled substances, so the quote supports the mechanism rather than the drug class. Delaware also frames paramedic practice more tightly than most states: 16 Del. C. § 9807(a) says a paramedic may provide services 'under the supervision of a physician, or in any context where voice contact by radio or telephone is monitored by a physician', and § 9807(b) reaches the protocol only when direct voice communication 'fails or is technically impossible' and the patient's life is in immediate danger. A traveller should read Delaware as an online-medical-control state with statewide standing orders behind it, not as a pure standing-order state.
"Statewide ALS treatment protocol" means written and uniform treatment and care plans for emergency and critical patients statewide that constitute the standing orders of paramedics. The treatment protocol for advanced life support must be approved and signed by the State EMS Medical Director
delcode.delaware.gov · State statute
Does Delaware require its own controlled-substance registration for EMS agencies?
Conflicting or incomplete source information
Delaware does run a state controlled-substances registration separate from DEA — 16 Del. C. § 4732(a) requires biennial registration by 'any pharmacy, distributor, manufacturer, practitioner ... researcher or other controlled substance registrant who has or proposes to engage in activities accordingly within this State', issued by the Secretary of State through the Controlled Substance Advisory Committee. What could not be established is whether an EMS agency is one of those registrant classes. The Division of Professional Regulation enumerates its categories twice and EMS appears in neither: practitioners are 'physicians, physician assistants, advanced practice registered nurses, podiatrists, dentists, optometrists, and veterinarians' and facilities are 'pharmacies, distributors, manufacturers, hospitals, clinics, researchers, laboratories and provider pharmacies'. The facility CSR page and the Committee's forms page carry no ambulance, EMS, or paramedic application, and 16 Del. C. ch. 98 (Paramedic Services) does not use the phrase 'controlled substance' anywhere. Recorded ambiguous rather than false because the statutory catch-all 'other controlled substance registrant' could be read to reach an EMS agency and no Delaware authority says either way.
Questions not yet settled from a primary source.
Delaware's paramedics are county-employed and the Fire School page covers EMT only. What does an out-of-state paramedic do, and does the Office of EMS at DHSS run a separate process? dhss.delaware.gov returns 403 to automated clients.
opened 9 Aug 2026 · blocks licensure.levels, reciprocity.requirements, reciprocity.fee
The Commission's NEMSCD legend singles out Delaware as partial, EMT-level-only data, while the table marks Delaware with a full submitting-data tick and a Commission news item announces Delaware's completed integration. Which is current?
opened 9 Aug 2026 · blocks compact.operationally_connected
dhss.delaware.gov refuses automated retrieval, so the Delaware Office of EMS pages are unread. Retrieve them from a browser session.
opened 9 Aug 2026 · blocks regulator.url, reciprocity.requirements, recertification.cycle_years