SECTION FOUR: Colorado CE & Skills Requirements 2015 NREMT Renewal Requirements NREMT Changes as of 2016 CE Approval Guidelines OATH On-line Certification Program Accepted CPR and ACLS Cards Military Exemptions Criminal Background Checks Criminal Conviction Policy
COLORADO PROVIDER RECERTIFICATION Refresher and/or Continuing Education Hours and Category Requirements Colorado certification is valid for 3 years. If you have a current and valid NREMT certificate, you have exceeded Colorado s requirements and do not need to complete additional hours or skills when renewing your Colorado provider certification. Required CE Category EMT/ Advanced EMT Required Hours Preparatory 1 OB 2 Pediatrics 2 Trauma 6 Pt. Assessment 5 Airway 3 Medical/Behavioral 6 Elective 11 EMT Intermediate-99/ Paramedic Airway, Breathing, Cardiology 8 Medical 4 Trauma 3 OB 4 Pediatrics 4 Operation 2 Elective 25 Minimum 36 hours required for renewal Minimum 50 hours required for renewal CPR and ACLS Requirements in Colorado: 1. Hours for one CPR course and one ACLS course may be counted as CE towards the Elective category. Providers typically renew their CPR and ACLS card once during their 3-year certification cycle, which means BLS providers will most likely receive 8 hours of CE for CPR and ALS providers will most likely receive 8 hours of CE for ACLS. 2. The EMTS office DOES NOT accept on-line only ACLS or CPR cards. In order for an ACLS or CPR card to be accepted at the time of renewal in Colorado, the course attended must have provided an on-site, hand on skills competency component. Other Important tips about continuing education in Colorado: 3. Most CE sessions can be adapted to meet the needs of the provider. For example, CE for a two hour Pediatric Trauma session may be applied EITHER for two hours in the pediatric category OR for two hours in the trauma category. It MAY NOT be used to apply two hours to the Pediatrics category AND two hours to the trauma category. Sessions may also be split between categories. For example: one hour of CE in the pediatric category and one hour of CE in the trauma category. If a provider attends the same CE session more than one time, they may only receive credit for CE hours for one session. 4. College courses may be used for CE credit, as long as a state recognized education program determines them to be applicable to prehospital practice. Examples of appropriate college courses include (but are not limited to) Anatomy & Physiology, Microbiology, Psychology, etc. 1 college credit = 8 CE hours. 5. Hour-for-hour CE credit may be awarded for courses such as ATLS, AMLS, ENPC, PEPP, PALS, ITLS or PHTLS, TEMS, etc. 6. Hour-for-hour CE credit may be awarded for teaching EMS-related content or coursework. 7. EMS-related CE coursework above and beyond the minimum requirements for each of the main categories may be applied to the Elective category
COLORADO EMS PROVIDER RECERTIFICATION Suggested Classifications for Continuing Education* Preparatory/Operations Medical Airway, Breathing, Cardiovascular Anatomy and Physiology Abdominal/Gastrointestinal Disorders Airway Management /Airway Techniques Clinical Behavior / Judgment Cardiovascular Artificial /Mechanical Ventilation Clinical Assessment Diseases of the Eyes, Ears, Nose, and Throat Airway diagnostics (CPAP, SaO 2, ETCO 2 ) Cultural & Special Populations Considerations Endocrine Disorders Assessment & treatment of respiratory illnesses Decision-Making /Disposition Environmental Emergencies Cardiac Emergencies Documentation/Record Keeping Ex: heat/cold emergencies, altitude illness) EKG Interpretation EMS System Communication Genitourinary/Renal Monitoring End of Life Decisions / Termination of Care Gynecology Cardiac Medications/Treatments Life Span Development Hematology Medical Terminology Immunology Patient Assessment Medical Legal and Ethical Issues Infectious Diseases History Taking /Vitals Medication Administration Medical Overview Assessment Tools & Adjuncts /Monitoring Devices Pre-arrival Care (i.e. Hospice, Home Remedies) Neurology (Ex: altered mental status, CVA) Primary Assessment /On-going Assessment Prevention Education (i.e. Injury Prevention) Non-Traumatic Musculoskeletal Disorders Scene Size-Up Principles of Pharmacology Psychiatric Field impression/differential Diagnosis Professionalism ( i.e. Interagency Cooperation) Respiratory Therapeutic Interventions Public Health Issues (i.e. Reportable Diseases) Toxicology Resource Management Trauma Research /CQI/Data Collections & Analysis Obstetrics Abdominal and Genitourinary Trauma Scene Size-up (i.e. BSI & PPE, Crew Safety) Any Content Relative To Pregnancy: Childbirth, Chest Trauma System Design and Management Medical Or Trauma Topics On Pregnant Patients Environmental Emergencies (bites and stings) Team Management/Multitasking Gynecological Emergencies Extremity Trauma Therapeutic Communication Head, Facial, Neck, and Spine Trauma Workforce Education, Safety and Well-being Pediatrics Multisystem Trauma Can be medical or trauma content to include: Orthopedic Trauma / Sports injuries EMS Operations Child abuse Shock / Bleeding Air Medical /Specialty Transport Care of the newborn Soft Tissue Trauma Emergency Vehicle Operation Neonatal resuscitation Trauma in Specialty Populations Extrication and Rescue Childhood illnesses Hazardous Materials/Decontamination Incident Management /Special Operations Multiple Casualty Incidents /ICS Specialty Care (i.e. TEMS, USAR) Any CE hours in excess of minimum requirements may be used in the Elective category *These are ONLY recommendations.
NREMT PROVIDER RECERTIFICATION Refresher and/or Continuing Education Hours and Category Requirements National Registry certification is valid for two years. If you have a current and valid NREMT Certificate, you do not need to complete any additional CE hours or skills evaluations when renewing your Colorado Provider certification. Required Category Hours Required Category Hours EMT Paramedic Preparatory 1 Airway, Breathing, Cardiology 16 OB, Pediatrics 2 Medical 8 Trauma 4 Trauma 6 Pt. Assessment 3 OB/Pediatrics 16 Airway 2 Operational 2 Medical/Behavior 4 Electives/ Additional CE 24 Electives 8 Minimum 72 hours required Minimum 72 hours required for renewal Advanced EMT (EMT 1-99s must renew their Colorado certification using Colorado s CE and Skills Requirements) Airway, Breathing, Cardiology 12 Refresher Courses should meet the following minimum standards for National Registry renewals: EMT Refresher = 24 hours Intermediate Refresher = 36 hours Medical 6 Paramedic Refresher = 48 hours Trauma 5 OB/Pediatrics 12 Operational 1 Electives/ Additional CE 36 Minimum 72 hours required for renewal ACLS may be listed in the Cardiology category for NREMT Mandatory Core content PALS may be listed in the Pediatric category for NREMT Mandatory Core content CURRENT NATIONAL REGISTRY REQUIREMENTS FOR PROVIDER RECERTIFICATION (As of July 2015) 1. You may complete continuing education equivalent to a Refresher Course if one is not required by your state. 2. You may count education received in lectures, standardized courses (such as ABLS, ACLS, EMPACT, PEPP, PALS, PHTLS, ITLS, etc.), college courses, in service training, case reviews, conferences, etc. 3. Up to 10 hours of the refresher training can be by Distributive Education (online, video or magazine-based). 4. You must ensure that you cover every topic within the four divisions of the mandatory core content. 5. You must also cover each of the five divisions of the flexible core content; however, you are not required to cover each topic. NREMT Mandatory Core Content - 24 hours total Airway, Breathing and Cardiology - 8 hours Provide ventilatory support for a patient Attempt to resuscitate a patient in cardiac arrest Provide care to a patient experiencing cardiovascular compromise Provide post resuscitation care to a cardiac arrest patient Medical Emergencies - 3 hours Assess and provide care to a patient experiencing an allergic reaction Assess a patient with possible overdose Assess and provide care to a near-drowning patient
Trauma - 5 hours Perform a rapid trauma assessment Assess a patient with a head injury Assess and provide care to a patient with a suspected spinal injury Provide care to a patient with a chest injury Provide care to a patient with an open abdominal injury Provide care to a patient with shock/hypoperfusion Obstetrics and Pediatrics - 8 hours Assess and provide care to an infant or child with cardiac arrest Assess and provide care to an infant or child with respiratory distress Assess and provide care to an infant or child with shock/hypoperfusion Assess and provide care to an infant or child with trauma NREMT Flexible Core Content - 24 hours total Airway, Breathing and Cardiology - 8 hours Assess and provide care for respiratory distress in an adult patient Use oxygen delivery system components Perform techniques to assure a patent airway Assess and provide care to a patient experiencing non-traumatic chest pain/discomfort Medical Emergencies - 5 hours Assess and provide care to a patient with an altered mental status Assess and provide care to a patient with a history of diabetes Assess and provide care to a patient experiencing a seizure Assess and provide care to a patient exposed to heat or cold Assess and provide care to a patient experiencing a behavioral problem Trauma - 1 hour Provide care to a patient with a painful, swollen, deformed extremity Assess and provide care to a patient with a burn injury Assess and provide care for frostbitten or frozen extremities Obstetrics and Pediatrics - 8 hours Assess and provide care to an infant or child with suspected abuse or neglect Assess and provide care to an infant or child with a fever Assess and provide care to an obstetric patient Provide care to a newborn Provide care to a mother immediately following delivery of a newborn Operational Tasks - 2 hour Use body mechanics when lifting and moving a patient Communicate with a patient while providing care Additional EMS-Related NREMT Continuing Education - 24 hours 1. The following are maximum hours per course that can be applied towards Additional EMS Related Continuing Education hours: A maximum number of 12 hours can be applied from any one topic area. Hour-for-hour credit can be applied from each of the following courses: ABLS; ACLS, AMLS, EMPACT, EPC, PEPP, PALS,
PHTLD, ITLS, etc. 2. A maximum number of 12 hours can be applied from each of the following courses: Teaching CPR, Emergency Driving, Dispatch Training 3. A maximum number of 12 hours can be applied from Distributive Education (online, video, or magazine-based) towards this section and must be state or CECBEMS approved. 4. College Courses (1 college credit = 8 CEU): Hour-for-hour credit can be applied for college courses that relate to your role as an EMS professional (for example, but not limited to: anatomy, physiology, biology, chemistry, microbiology, pharmacology, psychology, sociology, statistics, etc.) 5. Hours from the following courses can be applied hour for hour with no maximum: Advanced Trauma Life Support, EMS Course Instruction, and Wilderness EMS Training. 6. Courses That Cannot Be Applied towards Additional NREMT Continuing Education Hours: Clinical Rotations, CPR, Emergency medical responder course, Home study programs, Instructor courses, Management/leadership courses, Performance of duty, Preceptor hours, Serving as a skill examiner, and/or Volunteer time with agencies.
R : NCCP Recertification The National Continued Competency Program: The New Recertification Since the 1980s, national EMS recertification has consisted of 72 clock hours of continuing education for each nationally certified EMS provider level. Recently, the EMS community across the nation has been changing entrylevel requirements with the adoption of the new National EMS Scope of Practice and implementation of the EMS Education Guidelines. Because entry-level requirements have changed, it was necessary to evaluate the recertification continued competency requirements. In 2012, the NREMT introduced a new recertification model, the National Continued Competency Program (NCCP). Constructed using methodology similar to that of the American Board of Medical Specialty requirements, the new NCCP model streamlines the recertification process into three strategic categories of continuing education: National, Local, and Individual. The NCCP offers numerous improvements that will impact EMS for the better for years to come. These changes allow a platform for evidenced-based medicine to reach EMS professionals all over the country, give state and local agencies the freedom to dictate a portion of the national recertification requirements and provide a foundation for the EMS professional to embrace life-long learning through self-assessment. The national component of the NCCP (the new refresher) will constitute 50% of the new recertification requirements at each level and will replace the traditional DOT refresher. Topics will be updated every four years and will reflect current trends in evidence-based medicine, scope of practice changes and position papers from numerous associations involved with EMS research. It will also serve to focus on those patient presentations that have a low frequency but high criticality. The local component of the NCCP will constitute 25% of the new recertification requirements at each level. The requirement for these hours will be decided by local entities, including the state, region or agency. These topics can include, but are not limited to, state or local protocol changes, tasks that require remediation based on QA/QI and topics chosen from run reviews. The local component allows national recertification requirements to be adapted to the needs of the state and local agencies. Methods to provide current continuing education such as monthly training, conferences, and in-service training will stay the same. Finally, the individual component of the NCCP will constitute the last 25% of the new recertification requirements at each level. Within this component, an individual is free to take any EMS-related education. As a result of the new NCCP recertification model, the total continuing education hours needed to recertify a national EMS certification have been reduced for EMTs, AEMTs and Paramedics (Table 1). As this model is implemented throughout the country, more information regarding the transition to the new recertification model will be provided. Table 1. NCCP Hour Requirements by Level (Every 2 Years) National (50%) Local (25%) Individual (25%) Total Hours Paramedic 30 15 15 60 AEMT 25 12.5 12.5 50 EMT 20 10 10 40 EMR 8 4 4 16 Copyright 2001-2015, National Registry of Emergency Medical Technicians
State Utilization of NCCP Optional NCCP State **Please contact your state EMS office for detailed state requirements. Information current as of July 1, 2015
Shortcut to Log-in page: www.oath.coems.info
The EMS office has created the following graphic to help explain how to create an account and renew your EMS provider certification in our new Online Application Tracking Hub (OATH) process. OATH is an email-based system, so make sure we have a current email address on file for you. No more paper applications will be accepted by our office. To log in to your OATH account anytime on your computer, phone or tablet, go to: https://colorado.emsbridge.com/licensure/public/colorado/ o o o If you are or ever have been certified in Colorado, your user name will be your Colorado certification number (use all 6 numbers). You can look your number up by clicking on Lookup. Your password will be your year of birth (all 4 numbers, i.e., 1980) and the last 4 of your social security number (no spaces). Click on the Log in button. From there, you can access and update your account any time you like. To actually renew your certification, chose one of the following options: Using National Registry to Renew When you re within 6 months of your Colorado certification expiration date, your will see a renewal application when you sign in to your OATH account. When prompted, enter your current NREMT number in the application. To complete your application, you must also; The State Continuing Education (CE) Method When you re within 6 months of your Colorado certification expiration date, you ll need to start by finding a state-recognized EMS education program in your area or by working with your agency s approved program representative to review and verify that you have completed all of the state s CE requirements. You will then; Upload a copy of a driver s license or other approved form of identification. This does not need to be notarized, just legible. Plus you will need to; Upload a copy of the front (and back if information is included) of a current CPR card for EMTs and AEMTs plus copies of a current ACLS card for EMT-Is and paramedics issued by one of the programs on the state s list of approved courses. (If you have completed a CPR or ACLS class but have not received a card, we will accept a letter from the instructor stating that you have completed the course). Paramedics wishing to receive a critical care endorsement must also upload proof of a current and valid Board of Critical Care Transport (BCCTPC) FP-C or CC-P certification (for more info on this certification, visit www.bcctpc.org). CE hours required to maintain BCCTPC certification may also be used to meet the State s CE requirements for paramedic renewal. Create your OATH account and complete a renewal application. For official verification of your CE, you ll be asked to choose your education program affiliation from a dropdown list (make sure the program you select ends in - Education Program ); an approved representative from the program you choose will receive an email asking them to digitally sign your renewal application. You must also; You will also need to complete a skills competency check-off; the skills competency attestation section of your OATH application can be routed to: 1.) your education program representative, 2.) the education program s medical director OR 3.) your service agency s medical director (You ll need to make sure your agency s medical director has set up his or her account in OATH). After you submit your requests, you will receive an email notification when your CE and skills requests have been approved. To complete your application, you will also need to; For a step-by-step tutorial, please visit the OATH page on our website at https://www.colorado.gov/pacific/cdphe/ems-oath
The Colorado EMTS Professional Standards section has reviewed and evaluated BLS/CPR and ACLS organizations and courses to ensure that they satisfy the requirements as stated in Colorado Board of Health Rules 6-CCR-1015-3, Chapter 1- EMS Rules. The approved BLS/CPR and ACLS organizations and courses are listed below. NOTE: The department does not accept on-line only courses or courses that offer any type of remote skills evaluation. You must have an on-site instructor providing a hands-on skill evaluation. For more information regarding on-line only courses, visit http://news.hsi.com/onlineonlycpr ALL EMS candidates seeking initial state certification or renewal of an existing state certification must submit evidence of completion of a current and valid professional healthcare provider-level Basic Cardiac Life Support (BLS CPR) from a national or local organization that has been reviewed and approved by the department. In addition, EMT-Intermediate and paramedic candidates seeking initial state certification or renewal of an existing state certification must submit evidence of completion of a current and valid Advanced Cardiac Life Support (ACLS) course from a national or local organization that has been reviewed and approved by the department. 1 Rev. July 2015
The following list of BLS CPR organizations and courses are currently recognized by the department. It is the responsibility of the individual provider to submit satisfactory evidence that organizations and courses not on this list should be recognized. Organization Basic Life Support (BLS) Cardiopulmonary Resuscitation (CPR) Courses American Heart Association (AHA) Courses Approved by the Department BLS for Healthcare Providers BLS for Healthcare Providers Renewal BLS Instructor BLS Training Center Faculty American Red Cross (ARC) BLS for Healthcare Providers CPR/AED for the Professional Rescuers and Healthcare Providers BLS for Healthcare Providers-Instructor CPR/AED for the Professional Rescuers and Healthcare Providers-Instructor Lifeguarding & Lifeguarding Review Lifeguarding with Bundle & Lifeguarding with Bundle Review American Safety & Health Institute (ASHI) BLS for Healthcare Providers CPR Pro for Healthcare Providers CPR Pro for the Professional Rescuer BLS Instructor American Academy of Orthopedic Surgeons (AAOS) Professional Rescuer CPR Professional Rescuer CPR Instructor ECSI Healthcare Provider CPR ECSI Healthcare Provider CPR Instructor American College of Emergency Physicians (ACEP) Professional Rescuer CPR Professional Rescuer CPR Instructor Department of Defense Fire & EMS Certification (DoD) Healthcare Provider CPR Healthcare Provider CPR Instructor Emergency Care and Safety Institute (The department does not accept on-line only courses. You must have an on-site instructor providing a hands-on skill evaluation.) Healthcare Provider CPR & AED Healthcare Provider CPR & AED Instructor 2 Rev. July 2015
Basic Life Support (BLS) Cardiopulmonary Resuscitation (CPR) Courses Cont. Emergency University (The department does not accept on-line only courses. You must have an on-site instructor providing a hands-on skill evaluation.) BLS Healthcare Provider CPR Back of card must have a BLS-skills completion date, instructor name and instructor signature EMS Safety Services CPR/AED for Professional Rescuers Emergency Response Instructor for Professional Rescuer CPR/AED National Safety Council BLS Healthcare and Professional Rescuer Instructor - PR designation Military Training Network (MTN) Health Provider Healthcare Provider Instructor BLS Instructor BLS Training Site Faculty Pro Trainings (ProCPR.org) (The department does not accept on-line only courses or courses that offer any type of remote skills evaluation. You must have an on-site instructor providing a hands-on skill evaluation.) ProCPR ProFirstAid Advanced Back of provider cards must an instructor name and instructor ID number ProCPR Instructor ProFirstAid Advanced Instructor 3 Rev. July 2015
The following list of ACLS organizations and courses are currently recognized by the department. It is the responsibility of the individual provider to submit satisfactory evidence that organizations and courses not on this list should be recognized. Advanced Cardiac Life Support (ACLS) Courses Organization Courses Approved by the Department American Heart Association (AHA) ACLS Provider ACLS Instructor ACLS for the Experienced Provider ACLS for the Experienced Provider Instructor ACLS Training Site Faculty ACLS Regional Faculty American Safety & Health Institute (ASHI) (Some cards may display the St. John s seal) ASHI ACLS for Healthcare Professionals ASHI ACLS Instructor American College of Emergency Physicians (ACEP) eacls Provider (Renewal cards only) eacls Instructor (Renewal cards only) Military Training Network (MTN) ACLS Provider ACLS Instructor ACLS Training Site Faculty 4 Rev. July 2015
A public service announcement from the Health & Safety Institute. Buyer Beware! Don t Be Fooled by Online-Only CPR or First Aid Certification Scams. They re everywhere on the Internet: seemingly legitimate organizations offering instant CPR or first aid certification for busy people who are required to hold current certification. And it often says right on those websites that online-only CPR or first aid certification is nationally accepted. It is not. No major nationally recognized training program in the United States endorses certification without practice and evaluation of hands-on skills. The only way these physical skills can be learned is by actually practicing them. Clarification of OSHA training requirements for basic first aid and cardiopulmonary resuscitation Substantial hands-on practice is needed to meet psychomotor skill performance objectives. 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care No AHA course completion card is issued without hands-on manikin skills testing by either an AHA Instructor for that discipline or an AHA-approved computerized manikin in an AHA elearning course. American Heart Association, Program Administration Manual, 2013 pg. 49 What to Avoid When Shopping Online for Training FREE CPR CERTIFICATION! #SHAMMYCPR Common buzzwords and phrases to look for: Online CPR cards, download instantly Download your certification card right after finishing your course No hands-on skills required 100% online Immediate certificate or wallet card Have your card/be certified today Nationally validated, nationally recognized = there is no nationally accrediting or governing body for emergency care training Full refund if not accepted Some Reputable Producers and Providers of CPR Training American Heart Association American Red Cross American Safety & Health Institute MEDIC First Aid National Safety Council Blended Learning Is Not Online-Only Learning ONLINE COURSE + HANDS-ON EVALUATION = CERTIFICATION Blended learning is a training delivery model that combines online course content with in-person, hands-on skills evaluation. Online-only training features no hands-on component. Take Action! File a Complaint with the Federal Trade Commission (FTC) When consumers see or hear an advertisement, federal law says that ad must be truthful, not misleading, and, when appropriate, backed by scientific evidence. If you have a complaint, file it online at http://www.consumer.ftc.gov/media/video-0054-how-file-complaint or call 1-877-FTC-HELP. A public service announcement provided by the Health & Safety Institute.
Latest On-line CPR Skills Check-off Using Remote Instruction
DR 2300B (08/06/14) COLORADO DEPARTMENT OF REVENUE Identification Requirements For individuals who cannot demonstrate lawful presence in the U.S. or for individuals who can demonstrate temporary lawful presence in the U.S. Non-lawfully present individuals must prove their full legal name, identity, date of birth and document their ITIN issued by the Internal Revenue Service. Temporary lawfully present individuals must prove their full legal name, identity, date of birth and temporary lawful presence. An application for an identity document (i.e. driver s license, instruction permit, identification card) shall include the applicant s social security number or a sworn statement made under penalty of law that the applicant does not have a social security number. All applicants must also document their current residential address which includes a street address. A parent s correct address indicated on their driver s license or ID card is acceptable for a minor child under 21 years old. See reverse for a list of acceptable address documents. The chart below shows the documents that you may use to prove each of the elements. In some cases, a single document may prove all elements. However, it may be necessary for some applicants to provide multiple documents. All documents presented must be certified originals or certified amended originals or true copies certified by the issuing agency. If you cannot prove each of the required elements with the documents set forth in the chart below, then you may request to go through Exceptions Processing in an effort to prove the required elements with additional/alternative documents. Document Individuals Who Cannot Demonstrate Lawful Presence Identity Date of Birth Elements Name 1 Temporary Lawful Presence Foreign passport from applicant s country of origin 2,7 X X X Consular identification card 2,7 X X X Military identification document 2,7 X X X Individuals Who Can Demonstrate Temporary Lawful Presence Foreign passport (not expired) w/ photo, U.S. Visa (not expired) and I-94 (not expired) X X X X 6 Valid EAD / Temporary Resident verified by SAVE X X X X You must provide any combination of documents that prove identity, date of birth and name Level 1 Exceptions Processing Documents For Individuals Who Can Demonstrate Temporary Lawful Presence OR Identity Date of Birth Name 1 Temporary Lawful Presence CO license (expired less than 10 yrs, w/ or w/out photo on file) X X X CO ID card (expired less than 10 yrs, w/ or w/out photo on file) X X X Out of state DL / ID (expired less than 10 yrs) X X X 3 (not Military expired) ID/Common Access Card (not expired) X X X 3 X Military ID/Common Access Card (expired less than 10 yrs) X X X 3 VA card w/ photo X X 8 X Bureau of Indian Affairs (BIA) ID card w/ photo X X 8 X U.S. Form DS 232 w/photo and U.S. Visa attached and 1 year I-551 X X X X Parent or legal guardian affidavit of identity if under 21 years old X 4 U.S. school record less than 12 months old Colorado Department of Corrections or Federal Bureau of Prisons ID card See reverse side for footnotes disclaimer and additional document list for address requirement. X 5 X
1 The applicant s full legal name is the name on the applicant s document unless it has been changed by court order, marriage, divorce, or adoption. A marriage certificate, divorce decree, separation decree, or name change order issued by a government may be used to document a name change if it is in English or translated into English. 2 The document must contain the applicant s full legal name, date of birth, date of issuance, country of issuance, and photograph. Documents with an expiration date will be accepted for 10 years after the expiration date. Documents without an expiration date will be accepted for 10 years from their issuance date. 3 Applicants who present out of state driver s licenses / ID cards, Military IDs or Common Access Cards that do not bear the applicant s full legal name will be required to present an additional document (other than the US school record or CO Dept. of Corrections/Federal Bureau of Prisons ID) that document the applicant s full legal name. 4 A parent or legal guardian who signs an affidavit of identity for a minor under 21 years old must also present an identity document from the list on the front of this form and prove they are the parent or legal guardian of the minor. Proof of lawful presence is not required for the signing parent or legal guardian. 5 An identity document issued by the Colorado Department of Corrections or the Federal Bureau of Prisons is acceptable provided the first and last name and date of birth match the first and last name and date of birth on the document presented as proof of lawful presence. visa and I-94 or valid Processed For I-551 stamp may be required to present documentation establishing a Colorado connection. Status F, J, H, and M, require verification of a Colorado connection through the sponsoring entity and original letter, by the Colorado employer, of Colorado employment or verification of education through the valid DS-2019 or I-20AB. Applicants with a B1, B2, WT, WB, CP or NC status are not eligible for a Colorado Driver s License or ID Card (As defined by U.S. Citizenship and Immigration Services). 7 Applicants that cannot demonstrate lawful presence must demonstrate residency in one of the following two (2) ways: 1. Sign affidavit stating applicant is currently a resident of Colorado, provide proof of tax return filing for the immediately preceding year, and present evidence of residence in Colorado; OR 2. Sign affidavit stating applicant has continuously resided in Colorado for the immediately preceding 24 months and present evidence of current residence in Colorado for the immediately preceding 24 months. To establish residency for the preceding 24 months, applicants will need to show separate documents to establish residency for each of the following three periods: 0-12 months, 13-23 months and 24-30 months. 8 If there is a date of birth on this document then it may be used. 6 Applicants presenting a valid foreign passport with U.S. Examples of documents that can be used to demonstrate residency include (but are not limited to): Colorado driver s license, instruction permit or ID card that demonstrates current residential address. Utility bill Credit card statement Pay stub or earnings statement Transcript or report card from an accredited school Bank statement Mortgage document Tax document Homeowners/renter s insurance policy Vehicle registration/title Auto insurance Rent receipt Phone bill This document is created solely to assist applicants in understanding the identification rules for obtaining a Colorado driver s license or identification card. This document does not supersede, alter or amend the rules promulgated by the Department of Revenue; those rules contain the complete requirements and are available on the Department s web site at http://www.colorado.gov/revenue/dmv.