AAEM Recertification Submission Form

AAEM Recertification Submission Form

Please utilize this form to submit your renewal certification packets. Ensure you send a copy to yourself at the end of the form. You will receive email updates from the SmartSheet system as to where your certification review is in the process.

If you were attempting to submit your initial certification or obtain a new, higher-level certification, that form can be accessed through this link.

The AAEM Certification Committee utilize the Certification Program Rules and Regulations when reviewing applications. Incomplete or improper submission of this application will result in a denial of certification. Questions, comments, and appeals can be sent in writing/email to certification@aaem.us. More information on the recertification process can be found on the AAEM Recertification Page.

Payments (if not paying online) for certification review may be sent to:

Jefferson County EMA

C/O Chris Tate, Certification Chair

709 19th St. N.

Birmingham, AL 35203

Applicant First Name*

Applicant Last Name*

Applicant Title*

Please choose from one of the options below or add your own as desired.

Select or enter value

Organization*

Work Phone Number*

Cell or Other Number*

Email*

Applicant Street Address*

City*

State*

Select

County*

Zip Code*

EM Affiliation*

Select or enter value

EM Student?*

Select

Current Certification Level*

Select

Certification Level Sought*

Select

AAEM Member?*

Yes

Member Only Review Fees

Members will have login credentials to the ACCA website which houses our online payment system. If you don't have access, please contact the ACCA at 334-263-7594 for assistance.

Select

Non-Member Review Fees

Non-member certification review fees are higher than member fees. If you would like to become a member and take advantage of all the benefits our organization provides, please click here to learn more. Once your membership goes through, then restart your application form. You will then be eligible for the reduced-cost of certification review.

Select

Certification Fees*

If you would like to pay online through the ACCA website, right click link to the appropriate payment level below and select 'open in new tab':

Recertification:

Members $25

Non-Members $100

Select

Fees Paid?

Check, PO or Confirmation #

Supporting Documentation Upload Section

Helpful videos on how to combine files and upload your supporting documentation:

Certification Packet and Supporting Documentation*

Certification packets must include the Certification Workbook and all supporting documents, in the format detailed below, to be considered complete. Failure to submit the following information as requested will result in a request to resubmit.

Upload your documentation in the following SEPARATE file sections/titles.

Example: All the certificates you have for Renewal Training Certs should be combined into one large single PDF file; that file should be saved as "Renewal Training Certs" (i.e. save them with the titles highlighted/listed below) then uploaded here:

1) Certification Workbook -filled out completely per the instructions on the certification level sought

(Workbook can be found on the AAEM certification page)

---- next file ---

2) Added Core Courses - core courses added, in sequential order, after your initial awarding of certification IF ANY

---- next file ---

3) Renewal Training Certs - EM-related certificates or transcript

*Place IS certificates in sequential order first

---- next file ---

4) Disaster Credit - documentation for approved disaster work

---- next file ---

5) Higher Education transcript copy

---- next file ---

6) Other supporting documentation not previously listed

Drag and drop files here or

Before you submit, do you have your files properly separated, labeled, and uploaded above?

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