For information: 360-447-2068|training@kitsapcountyems.org

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KITSAP ONBOARDING FORM

KITSAP ONBOARDING FORMTamarah Hoffman2026-03-09T15:45:50-07:00

Welcome to Kitsap County EMS!

To get you started, please complete the Incoming Provider Information Form below so we can set up your training and system access. Once your form is submitted, please allow a few days for it to be reviewed to ensure everything needed was included. If you haven’t heard back within a week, feel free to contact the office. Please keep in mind there is only one of me processing these, so a little patience is appreciated.

If everything is submitted correctly, I will set up your KCEMS Vector account, onboarding materials, core training, and OTEP training if you are being placed into the OTEP program. If additional information is needed, or if you had trouble with the form, you can send documents directly to [email protected].

If you have any questions at any point, please feel free to call or email me. I’m happy to help.

Tamarah Hoffman
Kitsap County EMS Training Coordinator

Please enable JavaScript in your browser to complete this form.

Name *

First, Middle Initial, Last

Email *

Phone *

Will your primary district will be in Kitsap? *

Who will be your primary district. *

Please fill in your primary district. In will do your training in your primary district. You will be responsible for only certain items in KCEMS, such as onboarding and core training.

Do you already have an Vector Account *

YES - please link my fire account to my KCEMS account
NO
I have a secondary account with an non-Kitsap county agency

What do you want to do with this other account? *

Are you secondary with Kitsap and wish to link your KCEMS with your primary account? Is this an old agency that needs to be inactivated? LET US KNOW.

What is your level of certification? *

Paramedic
AEMT
EMT

Do you have a Washington Credential? *

Yes, I have a WA credential. Attach credentials.
No. Applying for initial certification. (This includes reciprocity providers)

WA Credentials *

Click or drag files to this area to upload. You can upload up to 3 files.

Before your DOH application is signed off, you must pass the protocol test.

Protocol test

I understand I cannot provide independent patient care, until I have passed my protocol test, received my DOH credential and appear on my agency roster.
I understand passing score for the protocol test is 80%.
If I fail the test, per policy I must wait 7-21 days to retake the test again.
I understand this test is a proctored closed book exam, which I need to contact my medical officer to administer.

What date do you wish to take your protocol test?

Please contact your medical officer or shift captain to proctor this closed book exam in a testing environment.

Complete your onboarding and core training

All providers practicing in Kitsap County must complete their level of core training. When onboarding, please attach to this form, the following documentation.

Do you have a current CPR Card?

Yes, please attach
No

CPR Card *

Click or drag files to this area to upload. You can upload up to 2 files.

Do you have a current ACLS Card

Yes, please attach
No

ACLS Card *

Click or drag a file to this area to upload.

Do you have a current PALS Card

Yes, please attach
No

PALS Card *

Click or drag files to this area to upload. You can upload up to 2 files.

If you have a current WA credential, it is important to upload your prior training. This will determine if you will be placed into the OTEP or CME program. If you are currently working on getting your past training, please leave a message.

Past Training

Click or drag files to this area to upload. You can upload up to 17 files.

Please upload only training within your current recertification period.

Message

Custom Captcha *

What is 7+4?

Contact Info

PO Box 551, Montesano, WA 98563

Phone: 360-660-5702 ( Office)

Mobile: 360-447-2068 ( training)

Email: [email protected]

Web: www.kitsapcountyems.org