| Alabama | Fingerprints, state + FBIAlabama State Law Enforcement Agency (ALEA) | Fingerprints, state + FBIFieldPrint |
| Alaska | Background check, no fingerprints | Fingerprints, state + FBIAlaska Department of Public Safety; Board forwards the applicant fingerprint card to DPS |
| Arizona | Fingerprints, state + FBI | Background check at the state's discretion |
| Arkansas | Background check (method not stated) | Fingerprints, state + FBI |
| California | FingerprintsCalifornia Department of Justice, via Live Scan or FD-258 card | Fingerprints, state + FBILive Scan or fingerprint card (Hard Card) |
| Colorado | Fingerprints, state + FBIIdentoGO or Colorado Fingerprinting (CBI-approved collection vendors) | Fingerprints, state + FBI |
| Connecticut | You self-report convictions; no fingerprint step | You self-report convictions; no fingerprint step |
| Delaware | Background check (method not stated)Delaware State Bureau of Identification (SBI), which relays the FBI check | Fingerprints, state + FBIIdentoGO |
| District of Columbia | You self-report convictions; no fingerprint step | FingerprintsFieldprint |
| Florida | Background check, no fingerprints | FingerprintsFDLE-approved Livescan service provider |
| Georgia | Fingerprints, state + FBIGeorgia Applicant Processing Service (GAPS), fingerprinting by Idemia/IdentoGO, service code 2TGJY5 | FingerprintsGAPS/Idemia |
| Hawaii | You self-report convictions; no fingerprint step | Fingerprints, state + FBIFieldprint Inc. |
| Idaho | Background check (method not stated)Idaho Department of Health and Welfare Background Check Unit (BCU), pay code JFPUZW | Fingerprints |
| Illinois | You self-report convictions; no fingerprint step | Fingerprints |
| Indiana | You self-report convictions; no fingerprint step | Fingerprints, state + FBIIdentoGo |
| Iowa | FingerprintsFieldprint | FingerprintsFieldprint |
| Kansas | Fingerprints | FingerprintsKansas Board of Nursing / KBI processing; collection provider varies |
| Kentucky | Background check (method not stated)Viewpoint Screening, via the KBEMS-specific link only | Fingerprints, state + FBIIdentoGO |
| Louisiana | Fingerprints, state + FBIIdentoGO (Idemia) Livescan, Bureau of EMS service code 27N4S2; results go from Louisiana State Police to the Bureau | Fingerprints, state + FBIIdentoGO; Louisiana State Police and FBI checks |
| Maine | Background check (method not stated) | Fingerprints, state + FBIIdentoGo |
| Maryland | Fingerprints through your EMS agency, not the licenseMaryland CJIS Central Repository and the FBI, requested by the fire department, rescue squad or licensed ambulance service | Fingerprints, state + FBI |
| Massachusetts | Background check, no fingerprintsMassachusetts DCJIS criminal offender record information (CORI) check, run by OEMS | Background check, no fingerprintsMassachusetts DCJIS criminal offender record information (CORI) check plus a Sex Offender Registry check, through the Board of Registration in Nursing |
| Michigan | You self-report convictions; no fingerprint step | Fingerprints, state + FBI |
| Minnesota | You self-report convictions; no fingerprint step | Fingerprints, state + FBIMinnesota Bureau of Criminal Apprehension (BCA) and FBI, through the Board of Nursing |
| Mississippi | Fingerprints, state + FBIMSDH SAFER registration, then electronic fingerprinting at MSDH county health departments or two traditional cards | Fingerprints, state + FBI |
| Missouri | FingerprintsIDENTOGO | Background check (method not stated) |
| Montana | You self-report convictions; no fingerprint step | FingerprintsMontana Department of Justice |
| Nebraska | Fingerprints, state + FBINebraska State Patrol (Live Scan at NSP locations, or ink cards) | Fingerprints, state + FBINebraska State Patrol processing; authorized fingerprint collection service may vary |
| Nevada | FingerprintsNevada Department of Public Safety, through the state EMS Fingerprint Request Form | Fingerprints, state + FBI |
| New Hampshire | Fingerprints, state + FBINH Department of Safety, State Police Criminal Records Unit | Fingerprints, state + FBI |
| New Jersey | Fingerprints, state + FBINew Jersey State Police and FBI, through the Department of Health | Background check (method not stated) |
| New Mexico | Fingerprints, state + FBIDPS or a DPS-designated vendor | FingerprintsIdemia/IdentoGo |
| New York | You self-report convictions; no fingerprint step | You self-report convictions; no fingerprint step |
| North Carolina | FingerprintsSBI fingerprint card or Live Scan at an agency approved by the NC Department of Public Safety | Fingerprints, state + FBISBI/FBI |
| North Dakota | Background check at the state's discretion | Fingerprints, state + FBI |
| Ohio | Fingerprints, state + FBIOhio Bureau of Criminal Investigation (BCI), reason code 109578 | Fingerprints, state + FBIOhio Bureau of Criminal Identification and Investigation (BCI), which requests records from the FBI |
| Oklahoma | You self-report convictions; no fingerprint step | Fingerprints, state + FBIOklahoma State Bureau of Investigation and Federal Bureau of Investigation |
| Oregon | Fingerprints, state + FBIFieldprint | FingerprintsFieldprint Inc. |
| Pennsylvania | Background check, no fingerprintsPA State Police PATCH | Fingerprints, state + FBIIdentoGO |
| Rhode Island | Background check (method not stated)Rhode Island Attorney General's Bureau of Criminal Identification (BCI) | Fingerprints, state + FBIRhode Island Bureau of Criminal Identification / Department of Attorney General |
| South Carolina | Fingerprints, state + FBISLED (state) and FBI (national), fingerprint-supported | Fingerprints |
| South Dakota | Fingerprints, state + FBISouth Dakota Division of Criminal Investigation, through the Board of Medical and Osteopathic Examiners | Fingerprints, state + FBISouth Dakota Division of Criminal Investigation and FBI, fingerprint cards sent by the Board of Nursing |
| Tennessee | Background check (method not stated)The State of Tennessee's contracted background-check vendor named in the licensure application materials | Fingerprints, state + FBIIdentoGO |
| Texas | Fingerprints, state + FBIIdentoGO | Fingerprints, state + FBI |
| Utah | Fingerprints, state + FBIUtah Bureau of Criminal Identification (BCI), via DACS fingerprints at a Utah LiveScan location | Fingerprints |
| Vermont | Background check (method not stated)The applicant's primary EMS agency screens VCIC and the Vermont abuse registries; out-of-state agencies use their home-state database or NCIC | Fingerprints, state + FBI |
| Virginia | Fingerprints, state + FBIFieldprint (Virginia Office of EMS contractor); results via the Central Criminal Records Exchange | Fingerprints, state + FBIFieldprint |
| Washington | Background check, no fingerprints | Fingerprints, state + FBIWashington State Patrol and FBI |
| West Virginia | Fingerprints, state + FBIWest Virginia State Police and FBI, through WVOEMS | Fingerprints, state + FBIIdentoGO |
| Wisconsin | You self-report convictions; no fingerprint step | Background check (method not stated) |
| Wyoming | FingerprintsWyoming Division of Criminal Investigation (DCI) | FingerprintsDCI |