British Columbia EMA Licence Payment

PART A: Application Information

Please Note: if you are making a payment on someone's behalf please enter their information below

PART B: Payment Options

You Owe: $0

Personal information on this form is collected by the EMA Licensing Board under the authority of the Freedom of Information and Protection of Privacy Act Section 26(c) Emergency Health Services Act (section 6) and the Emergency Medical Assistant Regulation. This information will be used to issue an EMA licence and maintain a permanent register of licensed EMA's. If you have any questions about the collection of this information contact our office at PO Box 9625 Stn Prov Govt, Victoria B.C., V8W 9P1, phone 250 952-1211. This information is protected from unauthorized use and disclosure in accordance with the Freedom of Information and Protection of Privacy Act and may be disclosed only in accordance with that Act.

Please ensure you have provided a valid email address. If your submission is successful, you will receive a copy of this submission form via email immediately. If you do not receive a copy of this submission form via email your submission was not successful and you will need to resubmit the form.



HLTH 3700 - Last Revised: September 25, 2019