The NREMT Cognitive Exam Policies

Late Arrivals/No Shows: Plan on showing up to the testing center 30 minutes early in order to start your test on time. If you do not show up or you are late you will have to re-register and pay another exam fee. You can cancel or reschedule your exam time up to 24 hours prior to your test time without forfeiture of your payment. You can appeal the No Show for extenuating circumstances such as: Medical emergencies for you or your immediate family, death of an immediate family member, called into work if you are an EMS professional, county or statewide weather or natural disaster emergency. In order to appeal you must submit a statement to NREMT that contains: first and last name, mailing address and phone number, NREMT candidate number, date and location of scheduled exam, explanation of why you missed the exam, and your handwritten signature. You must also submit documentation including: medical providers note with date of incident, obituary or documentation of death, work order or letter from supervisor on letterhead with supervisor’s signature, weather or county report at time of exam. You will be contacted by mail within 30 days with a decision.

Retest Policy: After you successfully complete an approved program you are given three attempts to pass the cognitive exam. If you are unsuccessful you can retest 15 days after the last attempt. After 3 unsuccessful attempts you must provide proof of remedial training. The amount of training required depends on the level you are testing for. EMR: must complete a full education program. EMT: 24 hours or completion of the 20 hour National Continued Competency Program (NCCP). AEMT: 36 hours or completion of the 25 hour National Continued Competency Program (NCCP). Paramedic: 48 hours or completion of the 30 hour National Continued Competency Program (NCCP). Not sure what a NCCP is? Click HERE for more information, and choose the level of exam you’re preparing for. After this is completed you are given three more attempts to pass. If unable to pass after 6 attempts then the state approved education program must be repeated. Be sure to check out for online Continuing Education hours and Refresher Programs if you are in need of one.

Authorization to Test Expiration Date: Once you receive your Authorization to Test Letter it is valid for up to 90 days. If you do not take your test within the 90-day time frame, you’ll have to reapply and pay another application fee. You will not receive a refund for expired ATT Letters. So long story short, don’t procrastinate! Get this test done and behind you so you can get out into the field where the real education begins!

Exam Review Policy: If you are concerned that your test results are not accurate you are able to request that the test be reviewed. This must be made in writing within 30 days of the exam result and must contain a check or money order to cover the processing and handling of the review. This fee is 75 dollars for a Scoring Confirmation Report and 150 dollars for an Item by Item Review. Once the test is reviewed you will receive a report. The difference between the two reports are: CBT Exam Scoring Confirmation Report has information about: total time used, minimum and maximum time on scored questions, total number of questions, number of questions correct, number of questions incorrect, number of unscored questions that includes pilot questions, a non-disclosure statement, a summary of percent correct or incorrect by time spent, and a verification of performance i.e. passing, near passing, and below passing. An Item by Item Review is a detailed review of each test delivered and is recommended if you feel that you received duplicate questions or outdated content. The review will have an analysis by a staff member who is knowledgeable in delivery of out of hospital care. You must state a reason for the review, and the review will only cover questions relevant to your request, and you will also receive a CBT Exam Scoring Confirmation Report. If you truly feel the need to complete this, then go for it. But our honest opinion is this, instead of spending the time to go through this process, your energy would be better spent studying for your retake. Buckle down on studying by using your textbooks, membership, and other materials from class.

Acceptable Identification: The name on your identification must match exactly with the name on your application. You must provide two forms of identification to the testing center that are unexpired. One must be government issued and contain a photograph and signature such as a state issued ID or Driver’s License, Military Identification Card, or a Passport. The second form must include your name and signature such as a US Social Security Card or a Bank Debit or Credit Card. If your identification does not meet these standards then you will be turned away and you must re-apply and pay another application fee.

Exam Confidentiality: You are not permitted to discuss or disclose any parts of the test to anyone including instructors. All NREMT cognitive examination materials are copyrighted. You cannot post or discuss questions on the internet or social media. You cannot reconstruct questions using your memory or the memory of others. You cannot obtain help from others to answer the questions, and you cannot remove exam materials or notes from the testing center. If you witness this you can report it to the NREMT. At we take this very seriously. Do not attempt to send us any test questions. If you have a question on a certain topic that you were tested on, we recommend reviewing the information contained in your textbook and class notes. Try taking some quizzes on your EMTprep membership that cover that focus area. This will help you cement your understanding of that topic by reviewing it from multiple sources. Surrounding yourself with the material in different formats will help you narrow down the information.

Grounds for Dismissal or Cancellation of Results: If you violate the testing center rules, NREMT policies, or engage in misconduct or do not follow administrators’ warnings you will be removed from the testing center. Actions that may result in removal include: giving or receiving assistance with questions, using or attempting to use any prohibited items including cell phones, tablets, smart watches, calculators, conversion tables, or dictionaries, attempting to take the exam for someone else, accessing or attempting to access study materials after the exam has started, failing to follow regulations or instructions of the test administrator, creating a disturbance, or tampering with or attempting to use the computer for anything other than taking the test. For more information, visit this website to learn more: