Hawaii Revised Statutes Division 2. Business § 453-32.51

(1) Has graduated from a board or state-approved training program as developed and promulgated by the United States Department of Transportation, if required for the applicable level of practice;

(2) Has passed the written and practical examinations of the National Registry of Emergency Medical Technicians for that level of practice;

(3) Holds a current certificate from the National Registry of Emergency Medical Technicians for that level of practice;

(4) Has submitted a letter verifying acceptance into a period of peer review as an emergency medical technician, advanced emergency medical technician, mobile intensive care technician, or paramedic;

(5) Has filed a completed application with the board; and

(6) Has paid all the required fees.