Form EMS-62 is the New Jersey Department of Health certificate that volunteer EMT candidates give to their training school so the state’s EMT Training Fund pays their tuition instead of them. You complete four sections, collect digital signatures, and submit the typed form to your training agency at enrollment. Once the agency accepts a valid EMS-62, it cannot charge you tuition for the covered course.1Cornell Law Institute. New Jersey Administrative Code 8:40A-2.1
Who the Form Is For
Two things have to be true before the form will do anything for you. First, you need to be a current member of, or an applicant to, a volunteer ambulance, first aid, or rescue squad. Second, the school teaching your EMT-Basic certification or recertification course has to appear on the OEMS EMT Training Fund Eligible Agency List. If your program isn’t on that list, the fund won’t pay, no matter how perfectly the form is filled out.1Cornell Law Institute. New Jersey Administrative Code 8:40A-2.1
You cannot use the fund for more than one initial EMT education program in the same calendar year.2New Jersey Department of Health. Emergency Medical Technician (EMT) Training Fund Certificate of Eligibility for EMT Education
Download the Current Form
Get the current version from the New Jersey Department of Health’s EMS forms page. As of July 2025, it lives at nj.gov/health/forms/ems-62.pdf.3New Jersey Department of Health. Health Department Forms – Basic Course Reimbursement Information and Forms The entries must be typed. Handwritten forms are rejected.2New Jersey Department of Health. Emergency Medical Technician (EMT) Training Fund Certificate of Eligibility for EMT Education
Filling Out the Four Sections
Section I: Student Information
Enter your legal name, date of birth, email, phone numbers, and residential address. Fill in the mailing address fields separately if yours is different. This section also asks for your six-digit New Jersey EMS ID, assigned through the NJEMS system. If you don’t have one yet, register at njems.njlincs.net to get the ID.2New Jersey Department of Health. Emergency Medical Technician (EMT) Training Fund Certificate of Eligibility for EMT Education
The form does not ask for a Social Security Number. If a school asks you for one on its own enrollment paperwork, that’s the school’s requirement, not the state’s.
Section II: Course Information
Write the training agency or instructor name, the course title, the New Jersey EMS class approval number, and the class start and end dates. The class approval number is assigned by OEMS to your specific course. Get it from your instructor directly, because a wrong or missing number will stall the form.
Section III: Squad Information
Identify your sponsoring volunteer squad: name, phone, email, physical address, and mailing address. Add your head or chief officer’s name, phone, and email. No separate squad provider number is needed. The officer’s attestation in the next section is the verification that you belong to an active volunteer organization.2New Jersey Department of Health. Emergency Medical Technician (EMT) Training Fund Certificate of Eligibility for EMT Education
Section IV: Attestation and Signatures
All signatures must be digital. Three may be required:
- The head or chief officer of your squad signs to confirm your membership. This cannot be the same person as the candidate.
- You sign to acknowledge the fund’s terms.
- A parent or guardian signs only if you are under 18.
Knowingly providing false information on the form is a crime under N.J.S.A. 2C:21-4(s).2New Jersey Department of Health. Emergency Medical Technician (EMT) Training Fund Certificate of Eligibility for EMT Education
Where and When to Submit It
Give the completed form to your training agency or EMT instructor. Do not send it to the state. The school handles reimbursement with OEMS from there.2New Jersey Department of Health. Emergency Medical Technician (EMT) Training Fund Certificate of Eligibility for EMT Education
There is no statewide calendar deadline on the form itself, but training agencies set their own enrollment cutoffs and some want the EMS-62 at the moment you apply. At RWJBarnabas Health, for instance, accepted students get a discount code that zeros out tuition once the form is verified.4RWJBarnabas Health. Costs for the EMT Initial Training Classes Submit early and ask your school about its specific process.
What the Fund Does Not Pay For
Tuition is covered. Several related costs are not:
- Textbooks and materials, which some schools require you to buy separately. One squad’s policy notes that book costs may be reimbursed by the squad after you finish, but that is squad-specific and not guaranteed by the state fund.5Keyport-Port First Aid and Rescue Squad. EMT Training Fund Procedures
- Registration or administrative fees charged on top of tuition. RWJBarnabas Health, for example, charges a $450 registration fee that all students pay regardless of training fund status, covering the textbook and online learning platform.4RWJBarnabas Health. Costs for the EMT Initial Training Classes
- Background checks required by clinical rotation sites, typically about $30, billed directly to you.4RWJBarnabas Health. Costs for the EMT Initial Training Classes
- The $104 National Registry cognitive exam fee you’ll pay after the course.6National Registry of Emergency Medical Technicians. EMT Candidate Handbook – Certification Process
The Payback Clause if You Leave Your Squad
Read this part of the form before you sign. If you stop being a volunteer in good standing at any point during your initial three-year certification period, the head of your squad is required to seek reimbursement from you for every dollar the fund spent on your training, testing, and certification.2New Jersey Department of Health. Emergency Medical Technician (EMT) Training Fund Certificate of Eligibility for EMT Education That obligation is baked into the signatures you provide in Section IV. Confirm you intend to stay with your squad through at least that first certification cycle before you submit the form.