Application for Relicensure for Critical Care Air Ambulance

1. The 2024 – 2026 re-licensure process for North Dakota ambulance services is being completed through the online Big Picture system. There is not an option for a paper application.
2. Complete the agency application and submit to the ND EMS Unit. An application is not considered complete until all necessary documents are uploaded, payment is submitted online, and all approvals are received.
3. If at any point during the application process, you need to leave your computer, hit the ‘Save for Later’ button to save the progress and come back later to finish. It is strongly suggested to hit the ‘Save for Later’ button often during the process to avoid the system timing out and losing your progress. Upon returning to the system, click the ‘Resume Application’ button to continue where you left off.
4. Completed applications will be processed by the ND EMS Unit in a timely manner.
5. Once the application has been approved by the ND EMS Unit, an email will be sent to the agency email address. This email will include a link to print the updated agency certificate.

Note

• Electronic submission of EMS run data is a requirement of licensure.
• EMS Operations holding multiple licenses will be relicensed with only one license.

• Equipment List for each vehicle utilized by your service
• Transport plan approved by your medical director (A template is located on the DEMS website)
• A copy of a one-month call schedule identifying two responders responsible for each shift
• A copy of a locally approved warning lights and sirens use policy (View a model on the DEMS website
• ND EMS Website
• ND EMS Agency Rules
• Instructions for obtaining a password for the ND EMS Big Picture System
• ND EMS Big Picture Dashboard
• An EMS registration form or an ALS license application must be uploaded for each NEW member being added to the agency roster during the re-licensure process
• All listed documents can be found HERE

Due to the Big Picture system change, as part of the first online renewal application process, you will be required to enter all information for each vehicle in service (primary and backup) by your agency. Subsequent renewal applications will be auto filled with the entered vehicle roster and available for updating.

During the application process, there will be one page to delete members and one page to add members to your agency roster. Directions for each step are located within the application.

1. In order to complete the application, the current squad leader will be required to log in with the following details.
1. ND EMS ID Number
2. Password
3. EMS Agency ID Number

1. If you have forgotten your password, click on the Forgot Password link to be directed to the reset password page.
2. Input your ND EMS ID Number in the Username field.
3. You must choose Email or Phone.
1. Email: You will be required to input an active email address. The entered email address must match the email address in your individual record in the EMS database.
2. Phone: You will be required to input an active phone number. The entered phone number must match the phone number in your individual record in the EMS database.
4. Click the Continue button.
5. You will receive a text or email notification containing a link. Click on this link to reset your password.
6. On the Reset Password page, you will be required to input your password twice for confirmation.
7. Click on the Update Password or Continue button. “Your password has been changed” message will appear.
8. Return to the login page and proceed using your new password.

Do not use your browser’s back button during the online application process. To change an answer on a previous page, or to review your application before submitting, use the “Save for Later” button to save your application, log back in, and click the “Resume Application” button to make changes, complete, or review the application. Click the “Exit” button at the bottom of the page to exit the process at any time.

If you will be away from your computer for any period of time during the process, it is strongly advised to click on the “Save for Later” button at the bottom of the page to minimize the risk of losing data you have input into the system. You can then log in at a later time through the “Resume Application” button.