In accordance with section 4765.30 of the Ohio Revised Code, individuals must be issued a certificate to practice to provide emergency medical services (provider or instructor). EMS certifications are issued by the State Board of Emergency Medical, Fire, and Transportation Services through the Ohio Department of Public Safety, Division of Emergency Medical Services.

In accordance with section 4765.55 of the Ohio Revised Code, individuals must possess a certificate to provide fire services (firefighting, fire safety inspector, or instructor). Fire service certifications are issued by the executive director of the Division of Emergency Medical Services.

Successful completion of training through an Ohio EMS accredited training program or chartered fire training program is required to be eligible for certification, although the state of Ohio may issue a certification to an applicant who receives training in another state, U.S. territory, or from the U.S. military through reciprocity.

All certifications require continuing education to be eligible for renewal. Continuing education requirements vary by type and level of certification. Once a certification is issued, the certificate holder shall ensure compliance with, and keep documentation of, all continuing education, as well as any other certification renewal requirements.