Application for Relicensure for Basic Life Support Ground Ambulance

1. The 2026 - 2028 re-licensure process for North Dakota ambulance services is once again being completed through the online Big Picture system. There is no option for a paper application.
2. Complete the online application and submit. 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 recommended to click the ‘Save for Later’ button frequently 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. The ND EMS Unit will process completed applications in a timely manner.
5. Upon approval 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 patient care reports (run data) in compliance with NEMSIS 3.5 is a licensure requirement.

• New this year: Each EMS agency is required to have a Pediatric Emergency Care Coordinator (PECC). If you have not already assigned a PECC for your agency, you will be required to upload a PECC application as part of your agency’s renewal. PECC information applications are available on the EMS for Children webpage.
• An equipment list for each vehicle utilized by your service
• A transport plan approved by your medical director
• A copy of a one-month call schedule identifying two responders responsible for each shift
• 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
• ND EMS Website
• ND EMS Agency Rules (including templates, etc.)
• Instructions for obtaining a password for the ND EMS Big Picture System
• ND EMS Big Picture Dashboard

During this renewal process, the vehicle roster will be auto-filled with information currently in your agency record. Please update this information accordingly.

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

An EMS Registration Form or ALS License Application is required to be uploaded for each individual being added to your agency during the renewal process. Do not include forms for individuals already listed on your roster.

1. To complete the application, the individual listed as the current squad leader will be required to log in with the following details. If you have had a change of squad leader, the squad leader agreement must be submitted and updated prior to completing the application.
1. ND EMS ID Number
2. Password
3. EMS Agency ID Number (do not add zeros to the beginning of the number i.e. if your agency number is ‘3’, just enter ‘3’.

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.